ArticleSociology of health & illness2016
The social practice of rescue: the safety implications of acute illness trajectories and patient categorisation in medical and maternity settings.
Article in Sociology of health & illness, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed.
- Recognising and responding to clinical deterioration in acute hospitals. Recording patient-reported wellness after Martha's rule.Frontiers in health services · 2026Article
- Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis.BMJ quality & safety · 2024Article
- Am I safe? An Interpretative Phenomenological Analysis of Vulnerability as Experienced by Patients With Complications Following Surgery.Qualitative health research · 2022Article
- Ethnographic research as an evolving method for supporting healthcare improvement skills: a scoping review.BMC medical research methodology · 2021Article
- Quality and safety of in-hospital care for acute medical patients at weekends: a qualitative study.BMC health services research · 2018Article
- Employing the arts for knowledge production and translation: Visualizing new possibilities for women speaking up about safety concerns in maternity.Health expectations : an international journal of public participation in health care and health policy · 2018Article
- Analysing healthcare coordination using translational mobilization.Journal of health organization and management · 2018Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
The normative position in acute hospital care when a patient is seriously ill is to resuscitate and rescue. However, a number of UK and international reports have highlighted problems with the lack of timely recognition, treatment and referral of patients whose condition is deteriorating while being cared for on hospital wards. This article explores the social practice of rescue, and the structural and cultural influences that guide the categorisation and ordering of acutely ill patients in different hospital settings. We draw on Strauss et al.'s notion of the patient trajectory and link this with the impact of categorisation practices, thus extending insights beyond those gained from emergency department triage to care management processes further downstream on the hospital ward. Using ethnographic data collected from medical wards and maternity care settings in two UK inner city hospitals, we explore how differences in population, cultural norms, categorisation work and trajectories of clinical deterioration interlink and influence patient safety. An analysis of the variation in findings between care settings and patient groups enables us to consider socio-political influences and the specifics of how staff manage trade-offs linked to the enactment of core values such as safety and equity in practice.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.