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Social and Behavioral Sciences

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Wayne State University Dissertations

Theses/Dissertations

2009

Mitigated speech

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Patient Safety As An Interactional Achievement: Conversational Analysis In The Trauma Center Of An Inner City Hospital, Margaret Karadjoff Jan 2009

Patient Safety As An Interactional Achievement: Conversational Analysis In The Trauma Center Of An Inner City Hospital, Margaret Karadjoff

Wayne State University Dissertations

In this dissertation, I apply the methodology of Conversational Analysis to highlight the informal communication of an emergency room work group with the objective of discovering recurrent patterns of interaction and the inherent relational work necessary to accomplish the safe medical care of patients in a Trauma Code on a level of safety comparative to that of ultra-safe systems as described in the literature of High Reliability Organizations.

The significance of relational elements of interaction on emerging social order is highlighted in processes of attunement, or the diminishing of difference of status in the use of mitigated speech and the …