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Why is learning from patient safety incidents (still) so hard? A sociocultural perspective on learning from incidents in healthcare organizations.
J Health Organ Manag
January 2025
Department of Quality, Safety and Clinical Adoption, University Health Network, Toronto, Canada.
Purpose: Despite robust quality improvement efforts in healthcare, learning from patient safety incidents remains difficult. Our study explores counter-vailing powers shaping learning processes and possibilities in healthcare organizations, with a focus on social, political and organizational dynamics of learning.
Design/methodology/approach: Deploying concepts of situated curriculum, boundary work and interconnected knowledge practices, we interviewed staff and physicians ( = 15) in a large Academic Health Science Centre in Canada about their experiences of incident investigations and resultant information sharing.
Moral persuasion for value-laden objections to human papillomavirus vaccination.
Patient Educ Couns
August 2024
Department of Bioethics, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
The martial art of jiu jitsu capitalizes on the strength of a sparring partner by redirecting their momentum. Jiu jitsu persuasion similarly redirects the concerns motivating an objection in a manner that undermines the objection. This method of persuasion effectively addresses criticisms that motivate vaccine hesitancy, including moral criticisms.
View Article and Find Full Text PDFReduced low-prevalence visual search detriment with increasing age: Implications for cognitive theories of aging and real-world search tasks.
Psychon Bull Rev
August 2024
School of Medicine and Psychology, Psychology Building (building 39), The Australian National University, Canberra, ACT 2601, Australia.
When performing multiple successive visual searches, low-prevalence targets are at elevated risk of being missed. This has important implications for real-world visual search tasks, such as diagnostic medical imaging (e.g.
View Article and Find Full Text PDFSelf-inconsistency or self-expansion from wearing multiple hats? The daily effects of enacting multiple professional identities on work meaningfulness.
J Appl Psychol
June 2024
Department of Management and Entrepreneurship, Ivy College of Business, Iowa State University.
People increasingly support themselves through -concurrently performing more than one job-and spend time enacting their professional identities each day. In accordance with self-consistency theory, scholars have emphasized that having to act out more than one professional identity promotes a fragmented sense of self for multiple jobholders, which impedes the meaningfulness of their work. However, we assert that this prevailing view about self-inconsistency is incomplete and problematic because it overlooks consideration for how enacting multiple professional identities may be a self-expanding and stimulating experience that satisfies basic needs for growth and exploration.
View Article and Find Full Text PDFClinicians have good moral and professional reasons to contribute to pragmatic clinical trials (PCTs). We argue that clinicians have a defeasible duty to participate in this research that takes place in usual care settings and does not involve substantive deviation from their ordinary care practices. However, a variety of countervailing reasons may excuse clinicians from this duty in particular cases.
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