Les pratiques de coordination en situation extrême

Bouty, Isabelle; Drucker-Godard, Carole; Godé, Cécile; Lièvre, Pascal; Nizet, Jean; Pichault, François

doi:10.3917/mav.041.0387

Cited by 16 publications

(9 citation statements)

References 37 publications

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“…However, in the case of radiological‐nuclear SAR, the exercises showed a lack of established formalized mechanisms. In rapidly changing situations and volatile and complex environments, coordination is less dependent on design than on ongoing work activities that emerge in response to imminent coordination challenges (Bouty et al, 2012). In an upscaling phase, it is difficult to predict which organizations will engage in the response operation and what tasks, people and expertise are needed at different times.…”

Section: Discussionmentioning

confidence: 99%

Exercise design for interagency collaboration training: The case of maritime nuclear emergency management tabletop exercises

Elvegård,

Andreassen

2023

Contingencies & Crisis Mgmt

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In this paper, we explore a concept of exercise design within emergency management competence development. The paper presents recommendations for exercise design aspects that may be suitable for gaining collaboration skills and knowledge that responders need in unknown events of high complexity. This study explores the practice of tabletop exercises with complex scenarios that engage participants to discover organizational roles and responsibility division in collaborative action. Empirically, we base our analysis on maritime search and rescue nuclear preparedness exercises in the Arctic seas. We focus on elements that are essential for learners to increase their knowledge of operational complexity and collaborative performance, including understanding one's own and others' roles and responsibilities, formation of interagency teams, their boundaries and interaction between authorities and levels, mutual recognition of risks and learning about resource capacities and their limitations. The study draws conclusions on aspects that are critical for designing emergency management tabletop exercises, in particularly discussions in mixed groups for interpretative learning; own practice reflection for integrative learning; formulating general collaborative competence objectives, and complexity and realism of scenarios.

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Section: Discussionmentioning

confidence: 99%

Exercise design for interagency collaboration training: The case of maritime nuclear emergency management tabletop exercises

Elvegård,

Andreassen

2023

Contingencies & Crisis Mgmt

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“…However, these teams require heightened vigilance to detect problems as early as possible, frequent training practices and significant improvisational and adaptive skills. 11 Given their high reliability and low accident rate, they can be considered as high reliability organizations or HROs. 7 For some HROs, the extreme situation can mostly be interpreted as a necessary control of risk.…”

Section: Innovation In Crisis Times and Extreme Situationsmentioning

confidence: 99%

Organizational innovation under constraints: The case of covid patients’ flow management in Parisian hospitals

Gomez

Kerveillant

Langlois

et al. 2022

Health Serv Manage Res

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The COVID crisis has put hospitals under great stress over the past 2 years and some institutions came close to their breaking points. This has often forced decision makers and the entire institutions to change their practices and the organization of the hospitals in order to continue operating despite limited resources. It has also led some hospitals to develop and implement organizational innovations. This article is based on a qualitative case study analyzing the case of a crisis unit that has implemented various innovative medical and organizational actions in order to manage the flow of resuscitation Covid patients in a large group of hospitals in Paris. This team has implemented a new evaluation scale of resuscitation needs in order to better manage quantitatively and qualitatively the patients’ flow; it has defined medical criteria to select the patients eligible for transfer; it has organized one hundred patients transfers to other hospitals’ intensive care units, in and out of the region, involving private hospitals and private ambulances for a new collaboration. The case allows us to understand innovation in the midst of an extreme situation, when material and human resources are highly constrained, and with very strong time pressure. We highlight the importance of implementing flexible organizational processes and staffing the crisis team with physicians and nurses with specific and complementary skills and experience in flow management and crisis situations.

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“…Des travaux plus récents, et liés notamment aux terrains militaires et sanitaires, indiquent que, pour que cette situation de gestion soit qualifiée d'extrême, il faut ajouter trois caractéristiques qui doivent être concomitantes. Cette situation doit être évolutive, incertaine, et risquée (Lièvre et Gauthier, 2009 ;Aubry et al, 2010 ;Bouty et al, 2012 ;Godé, 2015 ;Lebraty, 2015). L'évolutivité aborde les aspects rapides, simultanés et discontinus des changements auxquels les individus font face (Lièvre, 2005).…”

Section: …Qui Ne Sont Pas éLoignées Des Situations De Gestion Extrêmesunclassified

Proposition de caractérisation de la logistique humanitaire à la lumière de MSF Log : un fort couplage du système d’information et de lasupply chain

et¹,

Marc

2018

Logistique & Management

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L'objectif de cet article de caractériser et de définir la logistique humanitaire. Dans cette logique, les auteurs ont adopté une posture de type positiviste aménagée et ont respecté deux étapes. Tout d'abord, une méta-analyse de la littérature académique a été réalisée notamment depuis les travaux fondateurs de Mentzer et al ( ) et de Howden (2009. Puis, une étude de cas unique, sur une longue période, centrée sur MSF Log a été effectué et mobilisée. Cette étude s'est appuyée sur divers matériaux (observations in situ, entretiens, documentations, etc.). Les principaux résultats montrent que la logistique humanitaire repose in fine sur le couplage d'un système d'information agile et d'une supply chain résiliente.

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Les pratiques de coordination en situation extrême

Cited by 16 publications

References 37 publications

Exercise design for interagency collaboration training: The case of maritime nuclear emergency management tabletop exercises

Exercise design for interagency collaboration training: The case of maritime nuclear emergency management tabletop exercises

Organizational innovation under constraints: The case of covid patients’ flow management in Parisian hospitals

Proposition de caractérisation de la logistique humanitaire à la lumière de MSF Log : un fort couplage du système d’information et de lasupply chain

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