Is System Resilience Maintained at the Expense of Individual Resilience?

Nyssen, Anne‐Sophie; Bérastégui, Pierre

doi:10.1201/9781315366838-13

Cited by 2 publications

(2 citation statements)

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“…There is a need to progress from purely reactive regulatory approaches that are based on measurement of outcomes and compliance rates towards proactive approaches that enable organisations to support health care professionals in making performance adjustments and dynamic trade-offs using their skills and expertise. Quantitative measures of resilience might remain elusive (Cook and Ekstedt, 2016), but useful qualitative data can be gathered readily through studies of everyday clinical work, interviews with staff and other qualitative approaches.…”

Section: The Future Of Learning For Improving Patient Safetymentioning

confidence: 99%

Learning from incidents in health care: Critique from a Safety-II perspective

2017

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Section: The Future Of Learning For Improving Patient Safetymentioning

confidence: 99%

Learning from incidents in health care: Critique from a Safety-II perspective

2017

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“…The general search strategy was based on that taken by Thompson et al 19 with a range of search terms associated with complexity theory used to account for broad indexing. This included ‘chaos theory’, because complexity is often described as developing out of,1 as well as encompassing the more specific concept of, chaos 22. Keywords related to healthcare and health systems were also searched.…”

Section: Methodsmentioning

confidence: 99%

The influence of complexity: a bibliometric analysis of complexity science in healthcare

et al. 2019

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ObjectivesTo analyse trends in the academic literature applying complexity science to healthcare, focusing specifically on bibliometric characteristics and indicators of influence.DesignThis study reports a bibliometric analysis via a systematic search of the academic literature applying complexity science to healthcare.MethodA search of four academic databases was performed on 19 April 2018. Article details were downloaded and screened against inclusion criteria (peer-reviewed journal articles applying complexity science to healthcare). Publication and content data were then collected from included articles, with analysis focusing on trends over time in the types and topics of articles, and where they are published. We also analysed the influence of this body of work through citation and network analyses.ResultsArticles on complexity science in healthcare were published in 268 journals, though a much smaller subset was responsible for a substantial proportion of this literature. USA contributed the largest number of articles, followed by the UK, Canada and Australia. Over time, the number of empirical and review articles increased, relative to non-empirical contributions. However, in general, non-empirical literature was more influential, with a series of introductory conceptual papers being the most influential based on both overall citations and their use as index references within a citation network. The most common topics of focus were health systems and organisations generally, and education, with recent uptake in research, policy, and change and improvement.ConclusionsThis study identified changes in the types of articles on complexity science in healthcare published over time, and their content. There was evidence to suggest a shift from conceptual work to the application of concrete improvement strategies and increasingly in-depth examination of complex healthcare systems. We also identified variation in the influence of this literature at article level, and to a lesser extent by topic of focus.

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Is System Resilience Maintained at the Expense of Individual Resilience?

Cited by 2 publications

References 0 publications

Learning from incidents in health care: Critique from a Safety-II perspective

Learning from incidents in health care: Critique from a Safety-II perspective

The influence of complexity: a bibliometric analysis of complexity science in healthcare

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