Engineering resilience in an urban emergency department

Hunte, Garth; Marsden, Julian

doi:10.4324/9780429469695-11

Cited by 11 publications

(44 citation statements)

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“…The methods used to study RHC varied in the studies: fifteen were qualitative [41][42][43][44][45][46][47][48][49][50][51][52][53][54][55], and five used mixed methods [34][35][36][37]40]. The methods used in the studies published in books, however, were mainly qualitative [56][57][58][59][60][61][62][63][64][65][66][67][68][69] except two studies that used mixed methods [38,39].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Two studies were conducted in developing countries: Brazil [42,52] and South Africa [35]. For studies published in books, all were conducted in developed countries: the United Kingdom [59,61,66,67], New Zealand [63,68], Norway [58,62], France [56], Switzerland [57], Australia [60], Denmark [64], Canada [65], the United States of America [69], Japan [39] and one unstated, possibly USA [38]. within and between different hospitals Develop suggestions for how to design process support to enhance resilience process.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Resilient Health Care: a systematic review of conceptualisations, study methods and factors that develop resilience.

Iflaifel

Lim

Ryan

et al. 2020

Preprint

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Background Traditional approaches to safety management in health care have focused primarily on counting errors and understanding how things go wrong. Resilient Health Care (RHC) provides an alternative complementary perspective of learning from incidents and understanding how, most of the time, work is safe. The aim of this review was to identify how RHC is conceptualised, described and interpreted in the published literature, to describe the methods used to study RHC, and to identify factors that develop RHC.Methods Electronic searches of PubMed, Scopus and Cochrane databases were performed to identify relevant peer-reviewed studies, and a hand search undertaken for studies published in books that explained how RHC as a concept has been interpreted, what methods have been used to study it, and what factors have been important to its development. Studies were evaluated independently by two researchers. Data was synthesised using a thematic approach.Results Thirty-six studies were included; they shared similar descriptions of RHC which was the ability to adjust its functioning prior to, during, or following events and thereby sustain required operations under both expected and unexpected conditions. Qualitative methods were mainly used to study RHC. Two types of data sources have been used: direct (e.g. focus groups and surveys) and indirect (e.g. observations and simulations) data sources. Most of the tools for studying RHC were developed based on predefined resilient constructs and have been categorised into three categories: performance variability and Work As Done, cornerstone capabilities for resilience, and integration with other safety management paradigms. Tools for studying RHC currently exist but have yet to be fully implemented. Effective team relationships, trade-offs and health care ‘resilience’ training of health care professionals were factors used to develop RHC. Conclusions Although there was consistency in the conceptualisation of RHC, methods used to study and the factors used to develop it, several questions remain to be answered before a gold standard strategy for studying RHC can confidently be identified. These include operationalising RHC assessment methods in multi-level and diverse settings and developing, testing and evaluating interventions to address the wider safety implications of RHC amidst organisational and institutional change.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Resilient Health Care: a systematic review of conceptualisations, study methods and factors that develop resilience.

Iflaifel

Lim

Ryan

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…Reconciling the gap between Work-as-imagined (WAI) and Work-as-done (WAD) to enhance safety by learning from everyday clinical work instead of focusing only on adverse events [27,29,30,32,36,39,46,47,38,41,43].…”

Section: Risk Of Biasmentioning

confidence: 99%

“…Many studies conceptualised RHC [33,30,23,36,38,40,41,[43][44][45]47] as the ability to: 1) Monitor: monitor, predict and address critical issues by scrutinising and observing the operations in the health care system to recognise the usual culture of the system.…”

Section: Risk Of Biasmentioning

confidence: 99%

See 1 more Smart Citation

Resilient Health Care: a systematic review of conceptualisations, study methods and factors that develop resilience.

Iflaifel

Lim

Ryan

et al. 2019

Preprint

View full text Add to dashboard Cite

Background Traditional approaches to safety management in health care have focused primarily on counting errors and understanding how things go wrong. Resilient Health Care (RHC) provides an alternative complementary perspective of learning from incidents and understanding how, most of the time, work is safe. The aim of this review was to identify how RHC was conceptualised, described and interpreted, to describe the methods used to study, and to identify factors that develop RHC. Methods Electronic searches of PubMed, Scopus and Cochrane databases were performed to identify relevant peer-reviewed studies, and a hand search for studies published in books that explained how RHC as a concept was interpreted, methods used to study, and factors to develop RHC. Studies were evaluated independently by two researchers. Data was synthesised using a deductive thematic approach. Results Twenty-seven studies were included; they shared similar descriptions of RHC which was the ability to adjust its functioning prior to, during, or following events and thereby sustain required operations under both expected and unexpected conditions. Qualitative methods such as observations and interviews were used to study RHC. Models for studying RHC currently exist and were in the early stages of implementation. Effective team relationships, trade-offs and healthcare ‘resilience’ training of health care professionals were factors used to develop RHC. Conclusions Although there was consistency in the conceptualisation of RHC, methods used to study and factors to develop RHC, further research should focus on operationalising RHC assessment methods and developing, testing and evaluating interventions for developing RHC.

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The nature and role of informal resilience practices in the performance of lean production systems

Gayer

Saurin

Anzanello

2022

JMTM

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PurposeResilience in lean production systems (LPSs) relies on both formal and informal practices. Considering that these latter are relatively less explored, this paper describes the nature and role of informal resilience practices in the performance of LPSs.Design/methodology/approachA survey was devised to assess the use of 12 informal practices related to resilience. The survey was answered by 206 respondents from high and low lean adopters in Brazil, focusing on their internal operations. Multiple linear regression analysis was used to assess the impact of those practices on operational performance. Six respondents were approached on follow-up interviews, offering examples of informal resilience in LPSs.FindingsBoth high and low lean adopters used informal resilience practices to a similar extent, and they were not detrimental to high lean adopters. These practices had no moderating effect on the relationship between the level of leanness and the operational performance of high lean adopters.Research limitations/implicationsThis study did not capture how the contribution of informal resilience practices changed over time within the same company.Practical implicationsAs the informal resilience practices are not necessarily consonant with lean principles, their use and rationale should be made explicit to workers and managers in LPSs. Moreover, lean assessments might be more credible if paying heed to the informal ways of implementing lean practices.Originality/valueThis is the first study that investigates the role of informal resilience practices in LPSs.

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Engineering resilience in an urban emergency department

Cited by 11 publications

References 0 publications

Resilient Health Care: a systematic review of conceptualisations, study methods and factors that develop resilience.

Resilient Health Care: a systematic review of conceptualisations, study methods and factors that develop resilience.

Resilient Health Care: a systematic review of conceptualisations, study methods and factors that develop resilience.

The nature and role of informal resilience practices in the performance of lean production systems

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