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

Tim Freeman, Ross Millar, Russell Mannion, Huw Davies

    Research output: Contribution to journalArticlepeer-review

    19 Citations (Scopus)
    1 Downloads (Pure)

    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.
    Original languageEnglish
    Pages (from-to)233-251
    JournalSociology of Health and Illness
    Volume38
    Issue number2
    Early online date4 Aug 2015
    DOIs
    Publication statusPublished - 2 Feb 2016

    Keywords

    • Governance
    • National Health Service (NHS)
    • Safety

    Fingerprint

    Dive into the research topics of 'Enacting corporate governance of health care safety and quality: a dramaturgy of hospital boards in England'. Together they form a unique fingerprint.

    Cite this