The institutional work of hospital risk managers: democratizing and professionalizing risk management

The growing importance of risk management programs and policies in health care organizations has given rise to a new organizational figure, the risk managers. This paper seeks to better understand their role by looking at their risk work as a form of institutional work. From an inductive study of hospital risk managers in the Quebec health care sector, we provide a situated account of the risk work or ‘the effortful pattern of practices’ accomplished by hospital risk managers at the intra- and extra-organizational levels. The results show that they engage in two broader recursive forms of institutional work. At the intra-organizational level, it is by building bridges, autonomizing teams, legitimizing risk work, and pragmatizing interventions that hospital risk managers contribute to democratizing the risk management practices in their organization. At the extra-organizational level, it is by networking with colleagues, hybridizing knowledge, shaping identity, and debating solutions that they contribute t...