A01=Katherine Kellogg
administration
Author_Katherine Kellogg
authority
Category=JKS
Category=MBP
complications
eq_bestseller
eq_isMigrated=1
eq_nobargain
eq_non-fiction
eq_society-politics
fatigue
health policy
healthcare
hospitals
infection
injury
interns
malpractice
management
medical professionals
medicine
mistakes
nonfiction
patient outcomes
reform
regulation
residency
residents
resistance
surgeons
surgery
surgical errors
tradition
work hours
Product details
- ISBN 9780226430027
- Weight: 454g
- Dimensions: 16 x 24mm
- Publication Date: 30 Jul 2011
- Publisher: The University of Chicago Press
- Publication City/Country: US
- Product Form: Hardback
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In 2003, in the face of errors and accidents caused by medical and surgical trainees, the American Council of Graduate Medical Education mandated a reduction in resident work hours to eighty per week. Over the course of two and a half years spent observing residents and staff surgeons trying to implement this new regulation, Katherine C. Kellogg discovered that resistance to it was both strong and successful - in fact, two of the three hospitals she studied failed to make the change. "Challenging Operations" takes up the apparent paradox of medical professionals resisting reforms designed to help them and their patients. Through vivid anecdotes, interviews, and incisive observation and analysis, Kellogg shows the complex ways that institutional reforms spark resistance when they challenge long-standing beliefs, roles, and systems of authority. At a time when numerous policies have been enacted to address the nation's soaring medical costs, uneven access to care, and shortage of primary-care physicians, "Challenging Operations" sheds new light on the difficulty of implementing reforms and offers concrete recommendations for effectively meeting that challenge.
Katherine C. Kellogg is associate professor at the MIT Sloan School of Management.
