Alaszewski, A.M. (2005) Risk, safety and organisational change in health care. Health, Risk and Society, 7 (4). pp. 315-318. ISSN 1369-8575.
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The increased emphasis on risk assessment and management in health care systems has major implications for the overall management and delivery of health care. Concerns with ensuring safety and minimizing harm are driving 'modernization' of health care systems. In this editorial I use recent articles published in Health, Risk and Society to consider the implace of such changes on professional decision-making, especially the pressure to move from decisions grounded in tacit knowledge to those based on knowledge encoded in clinical guidelines or computer-based decision support systems. These articles indicate that the current changes are unlikely to have the desired impact as they tend to disregard the reality of professional decision-making, especially the ways in which professionals need to use tacit knowledge when using decision-support systems and they also fail to recognize that professionals can exploit and use risk and uncertainty to override formal decision-making systems.
|Uncontrolled keywords:||Risk, modernization, intuition, edcoded knowledge, decision support systems|
|Subjects:||H Social Sciences > H Social Sciences (General)
H Social Sciences > HM Sociology
|Divisions:||Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies|
|Depositing User:||Paula Loader|
|Date Deposited:||13 Sep 2010 14:58|
|Last Modified:||20 Sep 2010 12:35|
|Resource URI:||http://kar.kent.ac.uk/id/eprint/4946 (The current URI for this page, for reference purposes)|
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