Patient Safety As An Interactional Achievement: Conversational Analysis In The Trauma Center Of An Inner City Hospital

<p>In this dissertation, I apply the methodology of Conversational Analysis to highlight the informal communication of an emergency room work group with the objective of discovering recurrent patterns of interaction and the inherent relational work necessary to accomplish the safe medical care of patients in a Trauma Code on a level of safety comparative to that of ultra-safe systems as described in the literature of High Reliability Organizations.</p> <p>The significance of relational elements of interaction on emerging social order is highlighted in processes of attunement, or the diminishing of difference of status in the use of mitigated speech and the co-construction of narrative. The use of mitigated speech and narrative serve as conversational moves of consequence, by which participants seek cooperation, coordination, and collaborate in face-to-face interaction, in a mutually constructed course of action; that is, in providing safe medical care in a highly complex and high risk environment.</p>

Name thesis:degree_name

Ph.D.

Level thesis:degree_level

Open Access Dissertation

Discipline thesis:degree_discipline

Anthropology

Year dc:date.available

2009

Author dc:creator

• Karadjoff, Margaret

Contributors dc:contributor

• Allen Batteau

• conversational analysis
• high reliability organization
• mitigated speech
• patient safety
• relational elements of interaction
• Anthropology

Repository record dc:identifier

https://digitalcommons.wayne.edu/oa_dissertations/48

OAI identifier oai:identifier

oai:digitalcommons.wayne.edu:oa_dissertations-1047