Mellanchefers ledarskap ur ett förändringsperspektiv
En kvalitativ studie om mellanchefers arbete med patientsäkerhet under besparingstider
No accidents or injuries should occur because of our public health care. It should be a place with high security and good quality in order to avoid this type of accidents. This is a tough situation when the public health care organization should have as good quality as possible despite savings. It is difficult for middle managers to improve patient safety in the absence of money.The purpose of this study is to explain the work with patient safety that middle manager perform during saving times. The perspective we will look into is how they work with patient safety as an ongoing change. The study builds on qualitative interviews with three middle managers on a hospital in Västmanland, Sweden, in order to attain our purpose.We discovered that the middle managers have a severe situation to handle in order to connect patient safety and savings. They have a lack of resources because of the savings that affect their daily work. We could see that employees are the most urgent resource that is missing.We can conclude that the middle managers are affected of a vicious circle. The savings affect the resources that affect time for the personal. There are not enough employees which results in less time for every individual in their work with patient safety. This connections lead to higher costs because of injuries that occur in the public health care because of time constraints. The employees easier make mistakes in their daily work and the increasing costs this results in is bigger savings for the public health care.