國立虎尾科技大學 |

The Social Control of Medical Mistakes.

紀錄類型:	書目-語言資料,手稿 : Monograph/item
正題名/作者:	The Social Control of Medical Mistakes./
作者:	Boches, Daniel J.
面頁冊數:	1 online resource (175 pages)
附註:	Source: Dissertations Abstracts International, Volume: 84-12, Section: B.
Contained By:	Dissertations Abstracts International84-12B.
標題:	Social research. -
電子資源:	click for full text (PQDT)
ISBN:	9798379689315

The Social Control of Medical Mistakes.
Boches, Daniel J.

The Social Control of Medical Mistakes. - 1 online resource (175 pages)

Source: Dissertations Abstracts International, Volume: 84-12, Section: B.

Thesis (Ph.D.)--University of Georgia, 2023.

Includes bibliographical references

How doctors police mistakes among themselves varies. Physicians support, tolerate, avoid, ridicule, confront, report, and banish colleagues for errors. What explains this variation? Drawing on semi-structured interviews with 43 clinicians from two academic health systems, I find that the "social geometry" of medical cases partially explains and predicts the reactive handling and proactive elimination of errors in healthcare. In Chapter 1, I review the literature on medical mistakes, including their prevalence and handling, and introduce the logic of social geometry, an innovative sociological paradigm developed by Donald Black that explains behavior with its location, direction, distance, and movement in social space. In Chapters 2 through 4, I demonstrate how geometrical theory orders the physician self-policing of errors. Specifically, in Chapter 2, I argue that assertive and passive responses to mistakes (e.g., direct talking-tos and toleration) are partially explained by the vertical direction of medical cases. Similarly, in Chapter 3, I argue that antagonistic and sympathetic responses (e.g., gossip and consolation) are partially explained by the social distance of medical cases. In Chapter 4, I turn my attention to the prevention of mistakes. I find that doctors use a number of individual strategies to curb errors, including avoidance, permitted mistakes, and emotional control. Preliminary evidence also suggests that errors are successfully prevented when multiple experienced doctors quickly respond to injury and illness, which tends to arise under a particular case-level social geometry: notably, when patients are intimate with their doctors and have high social status. In Chapter 5, I end by discussing the implications of this research, and demonstrate how it can inform the effective engineering of "just cultures" in healthcare.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024

Mode of access: World Wide Web

ISBN: 9798379689315Subjects--Topical Terms:

1179269
Social research.
Subjects--Index Terms:

Medical casesIndex Terms--Genre/Form:

554714
Electronic books.

The Social Control of Medical Mistakes.
LDR:03215ntm a22004097 4500 001 1143077
005 20240513060752.5
006 m o d
007 cr mn ---uuuuu
008 250605s2023 xx obm 000 0 eng d
020 $a 9798379689315
035 $a (MiAaPQ)AAI30314677
035 $a AAI30314677
040 $a MiAaPQ $b eng $c MiAaPQ $d NTU
100 1 $a Boches, Daniel J. $3 1467651
245 1 4 $a The Social Control of Medical Mistakes.
264 0 $c 2023
300 $a 1 online resource (175 pages)
336 $a text $b txt $2 rdacontent
337 $a computer $b c $2 rdamedia
338 $a online resource $b cr $2 rdacarrier
500 $a Source: Dissertations Abstracts International, Volume: 84-12, Section: B.
500 $a Advisor: Cooney, Mark.
502 $a Thesis (Ph.D.)--University of Georgia, 2023.
504 $a Includes bibliographical references
520 $a How doctors police mistakes among themselves varies. Physicians support, tolerate, avoid, ridicule, confront, report, and banish colleagues for errors. What explains this variation? Drawing on semi-structured interviews with 43 clinicians from two academic health systems, I find that the "social geometry" of medical cases partially explains and predicts the reactive handling and proactive elimination of errors in healthcare. In Chapter 1, I review the literature on medical mistakes, including their prevalence and handling, and introduce the logic of social geometry, an innovative sociological paradigm developed by Donald Black that explains behavior with its location, direction, distance, and movement in social space. In Chapters 2 through 4, I demonstrate how geometrical theory orders the physician self-policing of errors. Specifically, in Chapter 2, I argue that assertive and passive responses to mistakes (e.g., direct talking-tos and toleration) are partially explained by the vertical direction of medical cases. Similarly, in Chapter 3, I argue that antagonistic and sympathetic responses (e.g., gossip and consolation) are partially explained by the social distance of medical cases. In Chapter 4, I turn my attention to the prevention of mistakes. I find that doctors use a number of individual strategies to curb errors, including avoidance, permitted mistakes, and emotional control. Preliminary evidence also suggests that errors are successfully prevented when multiple experienced doctors quickly respond to injury and illness, which tends to arise under a particular case-level social geometry: notably, when patients are intimate with their doctors and have high social status. In Chapter 5, I end by discussing the implications of this research, and demonstrate how it can inform the effective engineering of "just cultures" in healthcare.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2024
538 $a Mode of access: World Wide Web
650 4 $a Social research. $3 1179269
650 4 $a Health care management. $3 1148454
650 4 $a Sociology. $3 551705
653 $a Medical cases
653 $a Doctors
653 $a Medical mistakes
653 $a Healthcare
653 $a Health systems
653 $a Social geometry
655 7 $a Electronic books. $2 local $3 554714
690 $a 0626
690 $a 0344
690 $a 0769
710 2 $a University of Georgia. $b Sociology - PHD. $3 1467652
710 2 $a ProQuest Information and Learning Co. $3 1178819
773 0 $t Dissertations Abstracts International $g 84-12B.
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30314677 $z click for full text (PQDT)