title: Downsizing, reengineering and patient safety: numbers, newness and resultant risk.
abstract: Downsizing and reengineering are facts of life in contemporary healthcare organizations. In most instances, these organizational changes are undertaken in an attempt to increase productivity or cut operational costs with results measured in these terms. Less often considered are potential detrimental effects on patient safety or strategies, which might be used to minimize these risks.
authors.affiliation: Obstetrix Medical Group, Ft. Lauderdale, FL, USA.
authors.forename: G E
authors.initials: GE
authors.lastname: Knox
authors.forename: M
authors.initials: M
authors.lastname: Kelley
authors.forename: S
authors.initials: S
authors.lastname: Hodgson
authors.forename: K R
authors.initials: KR
authors.lastname: Simpson
authors.forename: L
authors.initials: L
authors.lastname: Carrier
authors.forename: D
authors.initials: D
authors.lastname: Berry
mesh_terms: D006754:Hospital Restructuring; D007324:Institutional Management Teams; D015279:Organizational Culture; D009936:Organizational Innovation; D020415:Personnel Downsizing; D011787:Quality of Health Care; D012308:Risk Management / Q000458:organization & administration*; D017751:Safety Management; D014481:United States