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

机译：实施医疗保健安全和质量的公司治理：英格兰医院董事会的戏剧化

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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.
机译：病人安全管理是所有卫生系统面临的挑战。然而，尽管执行董事会的角色受到越来越多的审查，但该领域在理论和方法上仍未得到充分开发。具体而言，我们对所发挥的性能方面缺乏详尽的了解：董事会成员所说的话和为履行其对患者安全负责的做法。本文利用来自英格兰四个NHS医院基金会信托委员会的公开非参与观察的定性数据。应用戏剧框架探索脚本，设置，分期和性能，我们发现案例研究站点之间在处理和解释感染控制数据的执行维度上存在重要差异。我们详细介绍了与这些差异相关的做法-当前绩效的合法性，数据分类的查询以及高管的命名和羞辱-以考虑其含义。

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