ABSTRACT

Health care is under tremendous pressure regarding efficiency, safety, and economic viability. It has responded by adopting techniques that have been useful in other industries, such as quality management, lean production, and high reliability – although with limited, and all-too-often disappointing, results. The Resilient Health Care Network (RHCN) has worked since 2011 to facilitate the interaction and collaboration among practitioners and researchers interested in applying concepts from resilience engineering to health care and patient safety. This has met with considerable success, not least because the focus from the start was on developing concrete ways to complement a Safety-I perspective with a Safety-II perspective.

Building on previous volumes, Delivering Resilient Health Care presents documented experiences and practical guidance on how to bring Resilient Health Care into practice. It provides concrete advice on how to prepare a study, how to choose the right data, how to collect it, how to analyse the data, and how to interpret the results. This fourth book in the Resilient Healthcare series contains contributions from international experts in health care, organisational studies and patient safety, as well as resilience engineering.

This book provides a practical guide for delivering resilient healthcare, particularly for clinicians on the frontline of care unsure how to incorporate resilience into their everyday work, managers coordinating care, and for policymakers hoping to steer the system in the right direction. Other groups – patients, the media, and researchers – will also find much of interest here.

chapter Chapter 1|5 pages

Coming of age

chapter Chapter 3|22 pages

Procuring evidence for Resilient Health Care

chapter Chapter 4|12 pages

Resilience Engineering for quality improvement

Case study in a unit for the care of older people

chapter Chapter 7|14 pages

Exploring resilience strategies in anaesthetists’ work

A case study using interviews and the Resilience Markers Framework (RMF)

chapter Chapter 9|21 pages

Team Resilience

Implementing resilient health care at Middlemore ICU

chapter Chapter 14|12 pages

Where process improvement meets resilience

A study of the preparation and administration of drugs in a surgical inpatient unit

chapter Chapter 15|13 pages

The Safety-II case

185Reconciling the gap between WAI and WAD through structured dialogue and reasoning about safety

chapter Chapter 16|11 pages

When disaster strikes

Sustained resilience performance in an acute clinical setting