Title Cleaning up : how hospital outsourcing is hurting workers and endangering patients / Dan Zuberi

Published Ithaca : ILR Press, an imprint of Cornell University Press, 2013

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Description 1 online resource (xi, 182 pages) Series The culture and politics of health care work Culture and politics of health care work. Contents "Stuff gets missed" : an introduction to a growing health care crisis -- Germs, blood, and cost-cutting : the daily struggle to keep hospitals clean -- Compromising cleanliness : how outsourcing keeps hospital workers from doing their jobs -- Untrained workers, unfit managers -- Breaking up the team -- Down and out in Vancouver : struggling, stressed, and exhausted hospital support workers -- Cleaning up Summary "To cut costs and maximize profits, hospitals in the United States and many other countries are outsourcing such tasks as cleaning and food preparation to private contractors. In Cleaning Up, the first book to examine this transformation in the healthcare industry, Dan Zuberi looks at the consequences of outsourcing from two perspectives: its impact on patient safety and its role in increasing socioeconomic inequality. Drawing on years of field research in Vancouver, Canada as well as data from hospitals in the U.S. and Europe, he argues that outsourcing has been disastrous for the cleanliness of hospitals--leading to an increased risk of hospital-acquired infections, a leading cause of severe illness and death--as well as for the effective delivery of other hospital services and the workers themselves. Zuberi's interviews with the low-wage workers who keep hospitals running uncover claims of exposure to near-constant risk of injury and illness. Many report serious concerns about the quality of the work due to understaffing, high turnover, poor training and experience, inadequate cleaning supplies, and on-the-job injuries. Zuberi also presents policy recommendations for improving patient safety by reducing the risk of hospital-acquired infection and ameliorating the work conditions and quality of life of hospital support workers. He makes the case that hospital outsourcing exemplifies the trend towards "low-road" service-sector jobs that threatens to undermine society's social health, as well as the physical health and well-being of patients in health care settings globally"-- Publisher's Web site Bibliography Includes bibliographical references and index Notes In English Print version record Subject Hospital housekeeping -- British Columbia -- Vancouver Hospital care -- Contracting out -- British Columbia -- Vancouver Hospital care -- British Columbia -- Vancouver -- Safety measures Hospitals -- British Columbia -- Vancouver -- Employees Nosocomial infections -- British Columbia -- Vancouver Risk assessment. Housekeeping, Hospital -- organization & administration Cross Infection Economics, Hospital Outsourced Services Patient Safety Risk Assessment risk assessment. POLITICAL SCIENCE -- Public Policy -- Social Security. POLITICAL SCIENCE -- Public Policy -- Social Services & Welfare. MEDICAL -- Hospital Administration & Care. Risk assessment Hospital care -- Contracting out Hospital care -- Safety measures Hospital housekeeping Hospitals -- Employees Nosocomial infections SUBJECT British Columbia Subject British Columbia -- Vancouver Form Electronic book ISBN 9780801469824 0801469821

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