"Preface""; ""Acknowledgements""; ""Contents""; ""List of Figures""; ""Part I""; ""1: Studying Patient Safety: An Introduction""; "" An International Movement""; "" Studying a Programme""; "" Patient Safety in Denmark""; "" Alternative Approaches and Dichotomizing Tendencies""; "" A Pragmatic Stance on the Clinical Situation""; "" Researching Patient Safety""; "" Ethnographic Studies and the Establishment of a Problem""; "" Content""; ""References""; ""2: The Oral Syringe Case""; "" The Limits of Failsafe Organizing: Reintroducing the Wider System"" "" Failsafe Fantasies and Safety Dispositions """"References""; ""3: Failsafe Systems and Practical Reasoning""; "" A First Meeting: Enthusiasm and the Failsafe Vision""; "" To Err Is Human: The Book of Patient Safety""; "" The Swiss Cheese Model: The Organizational Model of Patient Safety""; "" The Root Cause Analysis: The Method of Patient Safety""; "" Medical Reasoning and Pragmatic Practices""; "" A Medical Conference Case""; "" Aristotle on Phronesis: Medical Reasoning as Practical Wisdom""; "" Dewey on Pragmatism: Medical Reasoning as Pragmatic Method"" "" Jonsen and Toulmin on Casuistry: Medical Reasoning as Case-Based Reasoning""""References""; ""Part II""; ""4: Blame and Responsibility in Patient Safety""; "" Naming, Blaming and Shaming: Myths about Medical Culture""; "" A Culture of Doubting: Fox on Acting with Uncertainty""; "" Competent Decisions Going Wrong: Paget on Medical Mistakes""; "" Technical and Normative Errors: Bosk on Professional Self-control""; "" A Problem of Incompetence: Rosenthal on Problem Doctors""; "" Busting the Myth of the â#x80;#x98;Person Approachâ#x80;#x99;"" "" When â#x80;#x98;The Problem of Incompetenceâ#x80;#x99; Became â#x80;#x98;The Problem of Blameâ#x80;#x99;"""" All the â#x80;#x98;Greysâ#x80;#x99; of Responsibility: The Consequences of Banning Blame""; ""References""; ""5: The Distributed Risks of Safety Management""; "" Classification Risk: The Reportable and the Invisible""; "" Second-Order Risk: Tensions and Trade-Offs between First- and Second-Order Safety Work""; "" Standardization Risk: Redistribution of Uncertainty""; "" Responsibility Risk: Blurring of Roles and Responsibilities""; "" Organizing Principles in Patient Safety""; ""References"" ""6: Learning in Patient Safety"""" Systems Learning: Patient Safety and â#x80;#x98;Learning Organizationsâ#x80;#x99;""; "" To Know with the Muscles: Deweyâ#x80;#x99;s Approach to Learning""; "" The Case of a Misdiagnosed Extrauterine Pregnancy""; "" Closing Safety Gaps""; "" When â#x80;#x98;Muscle Knowledgeâ#x80;#x99; Is Overruled""; "" Learning as Fostering Safety Dispositions""; "" Learning as Habit and Reflectivity""; "" Learning by Taking Responsibility""; ""References""; ""7: Stability and Change in Patient Safety""; "" The Paradox of Stability and Change.

This book examines the organizational consequences of the recent international preoccupation with managing patient safety in the clinic. Built on presuppositions about failsafe system-design, risk elimination, and human fallibility, the patient safety programme introduces new problems and safety threats in clinical practice by devaluing practical forms of reasoning and the trained safety dispositions of clinicians.