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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:	Sociology. -
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:

551705
Sociology.
Subjects--Index Terms:

Medical casesIndex Terms--Genre/Form:

554714
Electronic books.

The Social Control of Medical Mistakes.
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502 $a Thesis (Ph.D.)--University of Georgia, 2023.
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