Web Access Research Portal

Researcher: Iedema, R (Professor Rick Iedema)

Fields of Research

Health care administration
Health services and systems
Other language, communication and culture
Organisation and management theory
Clinical sciences
Health and community services
Organisational behaviour
Social and political philosophy
Health informatics and information systems
Infectious diseases
Media studies
Political theory and political philosophy
Social and cultural anthropology
Mental health services
Organisational, interpersonal and intercultural communication

Research Objectives

Health policy evaluation
Evaluation of health outcomes
Clinical health
Other health
Expanding knowledge in language, communication and culture
Social structure and health
Evaluation of health and support services
Expanding knowledge in human society
Public health (excl. specific population health)
Expanding knowledge in the health sciences
Mental health
The media
Rural and remote area health
Political systems
Disease distribution and transmission (incl. surveillance and response)
Palliative care

Career Best Publications

Research Publications

'Hands on, Hands Off': A model of effective clinical supervision that recognises trainees' need for support and independence (Final Research Report for: Institute of medical Education & Training and Sax Institute)
'It's an Interesting Conversation I'm Hearing': The Doctor as Manager; Organization Studies
A new structure of attention? Open disclosure of adverse events to patients and their families; Journal of Language and Social Psychology
A prospective, multi-method, multi-disciplinary, multi-level, collaborative, social-organisational design for researching health sector accreditation [LP0560737]; BMC Health Services Research
A tale of two hospitals: Assessing cultural landscapes and compositions; Social Science & Medicine
Accounting for health-care outcomes: implications for intensive care unit practice and performance; Health Services Management Research
Adaptive interpretations of adaptive organisations: enhancing practitioner resilience in dealing with public service instability; International Public Administration Association Conference
Advocacy at end-of-life. Research design: An ethnographic study of an ICU; International Journal of Nursing Studies
Affect is central to patient safety: The horror stories of young anaesthetists; Social Science & Medicine
Aged-care nurses in rural Tasmanian clinical settings more likely to think hypothetical medication error would be reported and disclosed compared to hospital and community nurses; Australian Journal of Rural Health
An innovative approach to strengthening health professionals’ infection control and limiting hospital-acquired infection: Video-reflexive ethnography; BMJ Innovations
An outside perspective on the lifeworld of ICU; Australian Critical Care
Analysis of Staff interviews collected as part of the '100 patient stories project'
Anatomy of an Incident Disclosure: The Importance of Dialogue; The Joint Commission Journal on Quality and Patient Safety
Are health systems changing in support of patient safety?: A multi-methods evaluation of education, attitudes and practice; International Journal of Health Care Quality Assurance
Attitudes Toward Error Disclosure Need to Engage with Systems Thinking; The US Joint commission journal on quality and patient safety
Being open about unanticipated problems in health care: The challenges of uncertainties; Journal of Health Services Research and Policy
Beyond hand hygiene: a qualitative study of the everyday work of preventing cross-contamination on hospital wards; BMJ quality & safety
Beyond profession: nursing leadership in contemporary; Journal of Nursing Management
Codesigning as a discursive practice in emergency health services: the architecture of deliberation; The Journal of Applied Behavioral Science
Comparison of face-to-face and videoconferenced multidisciplinary clinical meetings
Constructing boundaries without being seen: the case of Jorg Haider, Politician; Revista Canaria de Estudios Ingleses
Corridor communication, spatial design and patient safety: enacting and managing complexities; Space, Meaning and Organisation
Creating safety by strengthening clinicians' capacity for reflexivity; BMJ (Clinical Research Edition)
Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study; BMJ Quality and Safety
Design and trial of a new ambulance-to-emergency department handover protocol: ‘IMIST-AMBO’; BMJ Quality and Safety
Disclosing clinical adverse events to patients: can practice inform policy?; Health Expectations
Discourse analysis and the study of organizations; Text
Discourse research that intervenes in the quality and safety of care practices; Discourse & Communication
Discourse studies in the 21st century: A response to Mats Alvesson and Dan Kärreman's 'Decolonializing discourse'; Human Relations
Editorial: Patients: Passive subjects or active participants in reducing the spread of infection?; Journal of Clinical Nursing
Electronic Incident Reporting: A case study of formal and informal accountabilities; Organisational Behaviour in Health Care Conference
Embodying the contemporary Clinical-Manager: entrepreneurializing middle-management?; Identity Trouble: Critical Discourse and Contested Identities
Emergency communication: the discursive challenges facing emergency clinicians and patients in hospital emergency departments; Discourse & Communication
Emergency communication: the discursive challenges facing emergency clinicians and patients in hospital emergency departments; Discourse & Communication
Emergency Department Co-design Evaluation Program 1 Stage 2 - Final Report to Health Services Performance Improvement Branch, NSW Health
Emergency Department Co-Design Evaluation Program 2 Stage 1 - Final Report to Health Services Performance Improvement Branch, NSW Health
Emergency Department Co-Design Evaluation Stage 1 - Final Report to Health Services Performance Improvement Branch, NSW Health
Emergent modes of work and communities of practice; Health Services Management Research
Emotional labour: clinicians' attitudes to death and dying; Journal of Health, Organization and Management
End-of-Life Care in an Acute Care Hospital: Linking Policy and Practice; Death Studies: Education - Counseling - Care - Law - Ethics
Evaluating the impact of information communication technologies on complex organizational systems: a multi-disciplinary, multi-method framework; Medinfo
Experiences of health professionals who conducted root cause analyses after undergoing a safety improvement programme; BMJ Quality and Safety
Final Report: The Open Disclosure Research and Indicator Development Including the '100 Patient Stories' Project
Finding the patient in patient safety; Health: An Interdisciplinary Journal for The Social Study of Health, Illness and Medicine
From Doing Work to Talking Work: Renegotiating Knowing, Doing, and Identity; Applied Linguistics
Giving voice to health professionals' attitudes about their clinical service structures in theoretical context; Health Care Analysis
Grappling with cultural differences; Communication between oncologists and immigrant cancer patients with and without interpreters; Patient Education and Counseling
Guarded spaces and intimate places: Hospital research in the age of transparent accountability; Hosted by the Department of Social Anthropology, University of Sussex
Handover--Enabling Learning in Communication for Safety (HELiCS): a report on achievements at two hospital sites; Medical Journal of Australia
Health care participants' dualism: Are new sub-species evolving?; Royal Society of Medicine. Journal
Health care professionals' views of implementing a policy of open disclosure of errors; Journal of Health Services Research & Policy
HELiCS: Handover - Enabling learning in Communication for Safety. A Handover Communication Improvement Resource
Hospital quality improvement initiative for patients with acute coronary syndromes in China a cluster randomized, controlled trial; Circulation. Cardiovascular Quality and Outcomes
Hospital sector organizational restructuring: evidence of its futility; Organizing and Reorganizing: Power and Change in Health Care Organizations
Hospitalisation, care plans and not for resuscitation orders in older people in the last year of life; Age and Ageing
Identity Trouble: Critical Discourse and Contested Identities; Palgrave Macmillan
Indicators of Effective Open Disclosure
Integrating patients' nonmedical status in end-of-life decision making: Structuring communication through 'conferencing'; Communication and Medicine: an interdisciplinary journal of healthcare, ethics and society
Interpretation in Consultations With Immigrant Patients With Cancer: How Accurate Is It?; Journal of Clinical Oncology
Involving patients in understanding hospital infection control using visual methods; Journal of Clinical Nursing
Junior doctors and nurses' views and experiences of medical error: Moving toward shared learning and responsibility; Journal of Interprofessional Education & Practice
Knowledge management in healthcare settings; Asia Pacific Journal of Health Management
Learning how we learn: an ethnographic study in a neonatal intensive; Journal of Advanced Nursing
Legal aspects of open disclosure II: attitudes of health professionals - findings from a national survey; Medical Journal of Australia
Lifestyle science: Self-healing, co-production and DIY; Health Sociology Review
Literature review: incident disclosure research, policy and legal reforms since 2008
Making clinical governance work; British Medical Journal
Managing Clinical Processes in Health Services; Elsevier Australia
Managing the scope and impact of root cause analysis recommendations; Journal of Health, Organization and Management
Media Literacy
Mobile IT solutions for home healthcare; Health Information Technology in the International Context (Advances in Health Care Management)
Multimethod Evaluation of Information and Communication Technologies in Health in the Context of Wicked Problems and Sociotechnical Theory; American Medical Informatics Association. Journal
Multimodality, resemiotization: extending the analysis of discourse as multi-semiotic practice; Visual Communication
Narrativizing errors of care: Critical incident reporting in clinical practice; Social Science & Medicine
New approaches to researching patient safety; Social Science & Medicine
NSW Ambulance/Emergency Department Handover Project Report
Observation and Response Charts Usability Testing Report
On the multi-modality, materially and contingency of organization discourse; Organization Studies
Open Disclosure: A Review of the Literature
Out of the frying pan? Streamlining the ethics review process of multisite qualitative research projects; Australian Health Review
Patient perceptions of carrying their own health information: approaches towards responsibility and playing an active role in their own health – implications for a patient-held health file; Health Expectations: an international journal of public participation in health care and health policy
Patient safety and clinical practice improvement: the importance of reflecting on real-time in situ care processes; A Socio-cultural Perspective on Patient Safety
Patient-Clinician Communication: An Overview of Relevant Research and Policy Literatures
Patients' and family members' experiences of open disclosure following adverse events; International Journal for Quality in Health Care
Patients' and family members' views on how clinicians enact and how they should enact incident disclosure: the '100 patient stories' qualitative study; BMJ (Clinical Research Edition)
Patients’ and families’ perspectives of patient safety at the end of life: a video-reflexive ethnography study; International Journal for Quality in Health Care
Policy in the hearts, minds and hands of nurses; The National Nursing Forum: Nursing Now - Power of Policy
Post-script: The significance of video research methodology for health and social science; International Journal of Multiple Research Approaches
Practising Open Disclosure: clinical incident communication and systems improvement; Sociology of Health and Illness: A Journal of Medical Sociology
Presencing identity: Organizational change and immaterial labor; Journal of Organizational Change Management
Prognostic communication preferences of migrant patients and their relatives; Psycho-Oncology
Promoting safety: Longer-term responses of three health professional groups to a safety improvement programme; International Journal of Health Care Quality Assurance
Redefining accountability in health care: managing the plurality of medical interests; Health: An Interdisciplinary Journal for The Social Study of Health, Illness and Medicine
Research as affect-sphere: towards spherogenics; Emotion Review
Resemiotization of a policy initiative: Promoting Open Disclosure as ‘open communication about clinical adverse events'; Exploring Semiotic Remediation As Discourse Practice
Reshaping ICU Ward Round Practices Using; Qualitative Health Research
Response to M.-J. Johnstone 'Clinical risk management and the ethics of open disclosure. Part 1. Benefits and risks to patient safety'; Australasian Emergency Nursing Journal
Restructuring as gratification; Royal Society of Medicine. Journal
Rethinking the Critical Management Agenda: Integrating materiality and Agency with Discourse; Proceedings of the ‘What is an organization Conference: A Tribute to the Work of James R. Taylor'
Rural patients' experiences of the open disclosure of adverse events; Australian Journal of Rural Health
Should I stay or should I go? Patient understandings of and responses to sourceisolation practices; Patient Experience Journal
Speaking about dying in the intensive care unit, and its implications for multidisciplinary end-of-life care; Communication and Medicine
Surveillance, resistance, observance: Exploring the teleo-affective volatility of workplace interaction; Organization Studies
System barriers to the evidence-based care of acute coronary syndrome patients in China: Qualitative analysis; Circulation. Cardiovascular Quality and Outcomes
The challenges of clinical governance: 'informationalising' as socio-technical literacy; Health Information Management Journal
The contribution of nurses to incident disclosure: a narrative review; International Journal of Nursing Studies
The CORE study protocol: A stepped wedge cluster randomised controlled trial to test a co-design technique to optimise psychosocial recovery outcomes for people affected by mental illness in the community mental health setting; BMJ Open
The hierarchy of work pursuits of public health managers; Health Services Management Research
The implications of mandatory notification for clinician-researchers involved in observational research in health services; Medical Journal of Australia
The meaning of home at the end of life: A video-reflexive ethnography study; Palliative Medicine
The medical record as organizing discourse; Document Design: Journal of Research and Problem Solving in Organizational Communication
The missing evidence: a systematic review of patients’ experiences of adverse events in health care; International Journal for Quality in Health Care
The National Open Disclosure Pilot: evaluation of a policy implementation initiative; Medical Journal of Australia
The reification of numbers: statistics and the distance between self, work and others; British Medical Journal
The relationship between birth unit design and safe, satisfying birth: developing a hypothetical model; Midwifery
The teleo-affective limits of end-of-life care in the intensive care unit; Social Science & Medicine
The “clinalyst”: Institutionalizing reflexive space to realize safety and flexible systematization in health care; Journal of Organizational Change Management
Triple trouble: Undecidability, identity and organizational change; Identity Trouble: Critical Discourse and Contested Identities
Trust after medical incidents; Discourses of Trust (Palgrave Studies in Professional and Organizational Discourse)
Trust, communication, theory of mind and the social brain hypothesis: Deep explanations for what goes wrong in health care; Journal of Health Organization and Management
Using Patient Stories for Patient Safety: A Reference Resource Containing Vignettes, Quotes and Clips from the 100 Patient Stories Project
Using patients' experiences of adverse events to improve health service delivery and practice: Protocol of a data linkage study of Australian adults age 45 and above; BMJ Open
Utilizing experience-based co-design to improve the experience of patients accessing emergency departments in New South Wales public hospitals: An evaluation study; Health Services Management Research
Video Research in Health: Visibilising the Effects of Computerising Clinical Care; Qualitative Research Journal
Viewing the taken-for-granted from under a different aspect: a video-based method in pursuit of patient safety; International Journal of Multiple Research Approaches
Visual Melodies: Interactive Installation for Creating a Relaxing Environment in a Healthcare Setting; OZCHI 2009: 21st Annual Conference of the Australian Computer-Human Interaction Special Interest Group (CHISIG) of the Human Factors and Ergonomics Society of Australia
Visualising Health Care Practice Improvement: Innovation from Within; Radcliffe Publishing Ltd
What do patients and relatives know about problems and failures in care?; BMJ Quality and Safety
What Prevents Incident Disclosure, and What Can Be Done to Promote It?; The Joint Commission Journal on Quality and Patient Safety
When requests become orders-A formative investigation into the impact of a computerized physician order entry system on a pathology laboratory service; International Journal of Medical Informatics
Whiteboards: Mediating professional tensions in clinical practice; Communication and Medicine: an interdisciplinary journal of healthcare, ethics and society
`Keeping things moving': space and the construction of middle management identity in a post-NPM organization; Discourse & Communication
‘Hands on, hands off’: a model of clinical supervision that recognises trainees’ need for support and independence; Australian Health Review

Research Projects

Strengthening clinicians incident disclosure communication; Australian Research Council (ARC)
Strengthening frontline clinicians? infection control: A multi-method study to reduce MRSA infection and transmission; National Health & Medical Research Council (NHMRC)

Research Candidate Supervision

An ethnographic approach to making sense of the relationship between policy and nursing practice
Patients' experiences, understandings and enactments of infection control