Over the last two decades healthcare quality and safety have risen to the fore of health
policy and research. This has largely been informed by theoretical and empirical ideas …

Background Hospital discharge is a vulnerable stage in the patient pathway. Research
highlights communication failures and the problems of co-ordination as resulting in delayed …

In an effort to improve operational efficiency, healthcare services around the world have
adopted process improvement methodologies from the manufacturing sector, such as Lean …

Background The transition from acute mental health inpatient to community care is often a
vulnerable period in the pathway, where people can experience additional risks and anxiety …

This paper presents an ethnographic account of the implementation of Lean service
redesign methodologies in one UK NHS hospital operating department. It is suggested that …

The paper explores the attitudes of medical physicians towards adverse incident reporting in
health care, with particular focus on the inhibiting factors or barriers to participation. It is …

The relationship between human resource management practices and organizational
performance (including quality of care in health-care organizations) is an important topic in …

The creation of new roles commonly threatens the power and status of elite professionals
through the substitution of their labour. In this paper we examine the institutional work …

The blurring of managerial and professional jurisdictions remains a significant area of
organizational research. This process is often described as involvingre-stratification', the …

We examine the 'identity work'of manager–professional 'hybrids', specifically medical
professionals in managerial roles in the British National Health Service, to maintain and …