Kellogg (2009), American Journal of Sociology

Operating Room: Relational Spaces and Microinstitutional Change in Surgery

In two hospitals answering new regulation, top managers backed new programs, but using them could require junior staff to challenge middle managers with opposing interests; change hinged on spaces where reform-minded middle managers and staff could band together.

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Questions this study helps answer

What the research saysWhy doesn't bad news reach senior leaders?

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