Enacting corporate governance of healthcare safety and quality: a dramaturgy of hospital boards in England

Article


Freeman, T., Millar, R., Mannion, R. and Davies, H. 2016. Enacting corporate governance of healthcare safety and quality: a dramaturgy of hospital boards in England. Sociology of Health & Illness. 38 (2), pp. 233-251. https://doi.org/10.1111/1467-9566.12309
TypeArticle
TitleEnacting corporate governance of healthcare safety and quality: a dramaturgy of hospital boards in England
AuthorsFreeman, T., Millar, R., Mannion, R. and Davies, H.
Abstract

The governance of patient safety is a challenging concern for all health systems. Yet, while the role of executive Boards receives increased scrutiny, the area remains theoretically and methodologically underdeveloped. Specifically, we lack a detailed understanding of the performative aspects at play: what Board members say and do to discharge their accountabilities for patient safety. This article draws on qualitative data from overt non-participant observation of four NHS hospital Foundation Trust Boards in England. Applying a dramaturgical framework to explore scripting, setting, staging and performance, we found important differences between case study sites in the performative dimensions of processing and interpretation of infection control data. We detail the practices associated with these differences - the legitimation of current performance, the querying of data classification, and the naming and shaming of executives – to consider their implications.

Keywordsgovernance; National Health Service (NHS); safety
LanguageEnglish
PublisherBlackwell
JournalSociology of Health & Illness
ISSN0141-9889
Electronic1467-9566
Publication dates
Online04 Aug 2015
Print02 Feb 2016
Publication process dates
Deposited01 May 2015
Accepted18 Apr 2015
Output statusPublished
Publisher's version
License
Accepted author manuscript
Copyright Statement

Published version: © 2015 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for SHIL.
This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Final Accepted Version: This is the peer reviewed version of the following article:healthcare safety and quality: a dramaturgy of hospital boards in England. Sociol Health Illn, 38: 233–251. doi:10.1111/1467-9566.12309, which has been published in final form at http://dx.doi.org/10.1111/1467-9566.12309. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

Additional information

Article first published online: 4 AUG 2015

Digital Object Identifier (DOI)https://doi.org/10.1111/1467-9566.12309
Scopus EID2-s2.0-84956717375
Web of Science identifierWOS:000369826400004
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