The Netherlands and England are near neighbours whose health care systems have much in common policy communities also usually been well aware of what is going on the other country. Nevertheless, for two decades from 1982, adopted repeatedly redeveloped performance indicator (PI) field while virtually shunned them. A broad institutional explanation this divergence provided by England’s majoritarian adversarial political system that leaves governments with fewer constraints compromises than...

The safety movement in healthcare approaches patient mainly by reducing uncertainty to prevent possible errors. This article is concerned with how this approach relates other modes of conceptualising safety. Following the work Georges Canguilhem, I argue that, depending on we conceptualise knowing, acting and error, a different mode possible: one that involves ‘living uncertainty’. Through ethnographic research daily clinical Dutch primary care facilities, show assumption can be made safe...

Abstract Background Clinical practice guidelines (CPGs) have become central to efforts change clinical and improve the quality of health care. Despite growing attention for rigorous development methodologies, it remains unclear what contribution CPGs make improvement. Aim This mixed methods study examines guideline in relation availability certain types evidence reflects on implications CPGs' promise care practices. Methods The 62 was assessed with Appraisal Guidelines, Research, Evaluation...

In contemporary care institutions, accountability procedures and devices are increasingly pervasive considered crucial for monitoring quality. Such practices based on the idea that belong in two separate domains. The distinction between 'from nowhere everyone' somewhere someone' problematises this implicit split. Taking seriously observations of everyday caring accounting by professionals, who resist splitting from outset, demands a reconceptualisation relation as reciprocal co-emerging....

Speaking to the debate on nature of critique, this article is about struggle produce an account when listening and retelling stories. It begins with disconcertment over a coherent story that emerges in interviews development performance indicators for Dutch hospital care. The are presented as solutions problem unruliness healthcare world. Drawing Helen Verran's work generative critique I slow down ‘problem-solution-found’ plot. Instead contrasting apparently stories complexities ‘underlying’...

Abstract There are worries about the quality of scientific research, validity knowledge it produces and integrity academics. What is lacking in debate what scientists have to say they do create safeguard see as ‘good science’. Using Dutch academia a case, we show that academics’ understandings practice differ vital ways from those policy makers. Policy maker's understanding competitive marketplace foster innovative research disturbs everyday ethics creativity work according scientists, who...

This article – grounded in ethnographic fieldwork within the organization of chronic patients with multiple sclerosis Russia empiricizes and problematizes work it takes to craft collaborations care. We attend notion collaboration ‘from a body’, or, rather, from bodies-in-movement. By scrutinizing three turning points our along relations partners field, we specify how movement matters collaborations. Attention embodiment allows us energy resources such ask for that are otherwise silenced or...