Resilient Health Care
Health care is everywhere under tremendous pressure with regard to efficiency, safety, and economic viability - to say nothing of having to meet various political agendas - and has responded by eagerly adopting techniques that have been useful in other industries, such as quality management, lean production, and high reliability. This has on the whole been met with limited success because health care as a non-trivial and multifaceted system differs significantly from most traditional industries. In order to allow health care systems to perform as expected and required, it is necessary to have concepts and methods that are able to cope with this complexity. Resilience engineering provides that capacity because its focus is on a system’s overall ability to sustain required operations under both expected and unexpected conditions rather than on individual features or qualities. Resilience engineering’s unique approach emphasises the usefulness of performance variability, and that successes and failures have the same aetiology. This book contains contributions from acknowledged international experts in health care, organisational studies and patient safety, as well as resilience engineering. Whereas current safety approaches primarily aim to reduce or eliminate the number of things that go wrong, Resilient Health Care aims to increase and improve the number of things that go right. Just as the WHO argues that health is more than the absence of illness, so does Resilient Health Care argue that safety is more than the absence of risk and accidents. This can be achieved by making use of the concrete experiences of resilience engineering, both conceptually (ways of thinking) and practically (ways of acting).
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List of Figures and Tables
HEALTH CARE ASA MULTIPLE STAKEHOLDER
Resilience the Second Story and Progress on Patient Safety
What SafetyII Might Learn from the Sociocultural Critique
Health Care as a Complex Adaptive System
The HUG Case
Investigating Expertise Flexibility and Resilience in Socio
Reconciling Regulation and Resilience in Health Care
Too Much of a Good Thing?
Overige edities - Alles weergeven
ability accidents activities adaptive capacity adjustments adverse events Amalberti anticipate approach aviation behaviours Braithwaite Chapter characteristics classical laparoscopy clinical clinicians cognitive communication complex adaptive system context coopetition culture decision developed dynamic emergency emergency department environment error everyday Evidence-Based Medicine example expertise focus function go wrong health care organisations health care system health system Healthcare Hollnagel hospital human improve incidents interactions Journal learning linear Medicine mindful organising monitoring multiple nurses operations outcomes Patient Empowerment patient safety PDCA performance physician potential practice problems procedures processes professional propofol protocols quality and safety recognise regulation regulatory reliability require resilience engineering resilient health response risk robotic robotic surgery root cause analysis safety management Safety-I perspective scabies situations social socio-technical systems staff standardisation strategies structure sub-systems success surgery Sutcliffe trade-offs understanding unexpected variability Weick