Katherine Carroll PhD, UTS is an Australian Research Council Postdoctoral Research Fellow at the Centre for Health Communication, University of Technology, Sydney. Her current research uses video and ethnographic methods to understand how donor human milk is used in neonatal intensive care units in Australia and the United States. Rick Iedema PhD, USyd is Research Professor and Director of the Centre for Health Communication at the University of Technology, Sydney. He is also Fellow of the Academy of Social Sciences of Australia and Associate Editor of the journal Health Expectations. Rick's research investigates the rising complexity of health service provision. Jessica Mesman PhD holds a senior position at the Department of Science and Technology Studies at Maastricht University. Her book Uncertainty in Medical Innovation: Experienced Pioneers in Neonatal Care won the Sociology of Health and Illness Best Book of the Year 2009 Award. Jessica's research applies a science and technology studies approach to patient safety in, among others, intensive care and neonatology, and to decision- making processes in critical care medicine.

"In my experience, healthcare is a safety-critical world (justifiably) skeptical about outside interventions to 'improve' it. Exnovations are a great answer, and this book demonstrates beautifully how improvements can be made to work from within." - Sidney Dekker, Professor, Safety Science Innovation Lab, Griffith University, Australia "This book shows how to move beyond engagement to empowerment of front-line clinicians in quality and safety improvements, expanding their skills and intelligence to a new level to create sustainable solutions for complex safety challenges." - Ian Leistikow, MD PhD, Senior Inspector, Dutch Healthcare Inspectorate, the Netherlands "Relatively recent advances in technology have accumulated like sedimentary rock on the ancient foundation of medicine to produce a complex and error-prone system. Placing the video camera in their hands, clinicians are directed to clearly view and review their daily practices in order to improve the quality of their services. Iedema and colleagues view the world of medical practice and technology with a fresh (video) eye, showing clinicians are able to heal themselves" - Associate Professor Kenneth Herrmann, MD, Neonatal-Intensive Care Specialist, Indiana University School of Medicine (Department of Paediatrics) and Women's Deaconness Hospital in Newburgh, Indiana, US

• Preface. About the authors. List of contributors. Glossary. Healthcare practice improvement from within. The complexity of health care work. Does the complexity of care call for 'research complexity'? Exnovation: innovation from within. Improving medical handover using video methodology: two projects, two perspectives. Forms of feedback in video-reflexivity: some notes and observations on a Maastricht experiment. Improving postoperative handovers using video reflexivity: the Utrecht experience. Designing an ambulance paramedic to emergency triage staff handover protocol for New South Wales, Australia. Conclusion: improving one's own practices and relationships 'from within'. Bibliography. Index.

Katherine Carroll PhD, UTS is an Australian Research Council Postdoctoral Research Fellow at the Centre for Health Communication, University of Technology, Sydney. Her current research uses video and ethnographic methods to understand how donor human milk is used in neonatal intensive care units in Australia and the United States. Rick Iedema PhD, USyd is Research Professor and Director of the Centre for Health Communication at the University of Technology, Sydney. He is also Fellow of the Academy of Social Sciences of Australia and Associate Editor of the journal Health Expectations. Rick's research investigates the rising complexity of health service provision. Jessica Mesman PhD holds a senior position at the Department of Science and Technology Studies at Maastricht University. Her book Uncertainty in Medical Innovation: Experienced Pioneers in Neonatal Care won the Sociology of Health and Illness Best Book of the Year 2009 Award. Jessica's research applies a science and technology studies approach to patient safety in, among others, intensive care and neonatology, and to decision- making processes in critical care medicine.

"In my experience, healthcare is a safety-critical world (justifiably) skeptical about outside interventions to 'improve' it. Exnovations are a great answer, and this book demonstrates beautifully how improvements can be made to work from within." - Sidney Dekker, Professor, Safety Science Innovation Lab, Griffith University, Australia "This book shows how to move beyond engagement to empowerment of front-line clinicians in quality and safety improvements, expanding their skills and intelligence to a new level to create sustainable solutions for complex safety challenges." - Ian Leistikow, MD PhD, Senior Inspector, Dutch Healthcare Inspectorate, the Netherlands "Relatively recent advances in technology have accumulated like sedimentary rock on the ancient foundation of medicine to produce a complex and error-prone system. Placing the video camera in their hands, clinicians are directed to clearly view and review their daily practices in order to improve the quality of their services. Iedema and colleagues view the world of medical practice and technology with a fresh (video) eye, showing clinicians are able to heal themselves" - Associate Professor Kenneth Herrmann, MD, Neonatal-Intensive Care Specialist, Indiana University School of Medicine (Department of Paediatrics) and Women's Deaconness Hospital in Newburgh, Indiana, US

• Preface. About the authors. List of contributors. Glossary. Healthcare practice improvement from within. The complexity of health care work. Does the complexity of care call for 'research complexity'? Exnovation: innovation from within. Improving medical handover using video methodology: two projects, two perspectives. Forms of feedback in video-reflexivity: some notes and observations on a Maastricht experiment. Improving postoperative handovers using video reflexivity: the Utrecht experience. Designing an ambulance paramedic to emergency triage staff handover protocol for New South Wales, Australia. Conclusion: improving one's own practices and relationships 'from within'. Bibliography. Index.

Katherine Carroll PhD, UTS is an Australian Research Council Postdoctoral Research Fellow at the Centre for Health Communication, University of Technology, Sydney. Her current research uses video and ethnographic methods to understand how donor human milk is used in neonatal intensive care units in Australia and the United States. Rick Iedema PhD, USyd is Research Professor and Director of the Centre for Health Communication at the University of Technology, Sydney. He is also Fellow of the Academy of Social Sciences of Australia and Associate Editor of the journal Health Expectations. Rick's research investigates the rising complexity of health service provision. Jessica Mesman PhD holds a senior position at the Department of Science and Technology Studies at Maastricht University. Her book Uncertainty in Medical Innovation: Experienced Pioneers in Neonatal Care won the Sociology of Health and Illness Best Book of the Year 2009 Award. Jessica's research applies a science and technology studies approach to patient safety in, among others, intensive care and neonatology, and to decision- making processes in critical care medicine.

"In my experience, healthcare is a safety-critical world (justifiably) skeptical about outside interventions to 'improve' it. Exnovations are a great answer, and this book demonstrates beautifully how improvements can be made to work from within." - Sidney Dekker, Professor, Safety Science Innovation Lab, Griffith University, Australia "This book shows how to move beyond engagement to empowerment of front-line clinicians in quality and safety improvements, expanding their skills and intelligence to a new level to create sustainable solutions for complex safety challenges." - Ian Leistikow, MD PhD, Senior Inspector, Dutch Healthcare Inspectorate, the Netherlands "Relatively recent advances in technology have accumulated like sedimentary rock on the ancient foundation of medicine to produce a complex and error-prone system. Placing the video camera in their hands, clinicians are directed to clearly view and review their daily practices in order to improve the quality of their services. Iedema and colleagues view the world of medical practice and technology with a fresh (video) eye, showing clinicians are able to heal themselves" - Associate Professor Kenneth Herrmann, MD, Neonatal-Intensive Care Specialist, Indiana University School of Medicine (Department of Paediatrics) and Women's Deaconness Hospital in Newburgh, Indiana, US

• Preface. About the authors. List of contributors. Glossary. Healthcare practice improvement from within. The complexity of health care work. Does the complexity of care call for 'research complexity'? Exnovation: innovation from within. Improving medical handover using video methodology: two projects, two perspectives. Forms of feedback in video-reflexivity: some notes and observations on a Maastricht experiment. Improving postoperative handovers using video reflexivity: the Utrecht experience. Designing an ambulance paramedic to emergency triage staff handover protocol for New South Wales, Australia. Conclusion: improving one's own practices and relationships 'from within'. Bibliography. Index.