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

Zuberi, Dan,

Cleaning up : how hospital outsourcing is hurting workers and endangering patients / Dan Zuberi. - Ithaca : ILR Press, an imprint of Cornell University Press, (c)2013. - 1 online resource (xi, 182 pages) - The culture and politics of health care work .

Includes bibliographies and index.

"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.

"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"--



9780801469824


Hospital housekeeping--British Columbia--Vancouver.
Hospital care--Contracting out--British Columbia--Vancouver.
Hospital care--Safety measures.--British Columbia--Vancouver
Hospitals--Employees.--British Columbia--Vancouver
Nosocomial infections--British Columbia--Vancouver.
Risk assessment.
Housekeeping, Hospital--organization & administration
Cross Infection
Economics, Hospital
Outsourced Services
Patient Safety
Risk Assessment


Electronic Books.

RA975 / .C543 2013