Measurement of resilience potentials in emergency departments: Applications of a tailored resilience assessment grid

Chuang, Sheuwen; Ou, Ju Chi; Ma, Hon Ping

doi:10.1016/j.ssci.2019.09.012

Cited by 33 publications

(23 citation statements)

References 17 publications

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“…The four abilities of resilient systems proposed by Hollnagel (2017) have been widely used for the modeling of resilience (e.g., Arcuri et al, 2020; Bertoni et al, 2021; Chuang et al, 2020). They are (Hollnagel, 2017): (i) the ability to respond, which implies knowing what to do, or being able to respond to regular and irregular changes, disturbances, and opportunities; (ii) the ability to monitor, which implies knowing what to look for, or being able to monitor what could seriously affect the system performance in the near term, positively or negatively; (iii) the ability to learn, which implies knowing what has happened, or being able to learn from experience, in particular to acquire the right lessons from the right experience; and (iv) the ability to anticipate, which implies knowing what to expect, or being able to prepare for developments further into the future, such as disruptions, constraints or opportunities.…”

Section: Introductionmentioning

confidence: 99%

Making resilience explicit in FRAM: Shedding light on desired outcomes

Bueno

Wachs

Saurin

et al. 2021

Hum Ftrs & Erg Mfg Svc

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Resilience plays a key role in desired outcomes of socio‐technical systems. However, the Functional Resonance Analysis Method (FRAM), which has been the main modeling tool in light of resilience engineering, does not make explicit the role of resilience. This paper addresses this gap by proposing new procedures for the development of FRAM models of desired outcomes. They are: (i) the active search for functions that display resilient performance; (ii) the assessment of the frequency at which the function output is expected to occur at the same way as it occurred in the desired outcome – frequent unwanted variabilities that occur despite desired outcomes tend to be hidden; (iii) understanding of the reasons for desired outcomes based on the analysis of the logical associations between each function, the abilities of resilient systems and guidelines for coping with complexity; and (iv) the proposal of recommendations for sustaining the observed successful performance. Two case studies of events with desired outcomes in an intensive care unit illustrate the applicability of the proposal. The proposal is expected to be useful for making systems more resilient to everyday work, in which vulnerabilities might be hidden by desired outcomes.

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Section: Introductionmentioning

confidence: 99%

Making resilience explicit in FRAM: Shedding light on desired outcomes

Bueno

Wachs

Saurin

et al. 2021

Hum Ftrs & Erg Mfg Svc

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“…Resilience Engineering (RE) theory has developed to the point where it has been able to provide theoretical suggestions on measuring resilience potentials, which are now being tested [11]. Hollnagel's [10] latest work provides a comprehensive framework from which research endeavouring to measure an organisation's 'potential for resilience' can now take place.…”

Section: Introductionmentioning

confidence: 99%

“…By 2017, the Australian Radiation Protection and Nuclear Safety Agency had included the four resilience potentials in its Holistic Safety Guidelines [15] and this was closely followed by the publication of the Australian Organisational Resilience Practitioner Guide for Public Sector Organisations [16]. Since that time studies have continued into specific applications including a comparison of four hospital emergency departments [11] and the production of aircraft components [17]. Some more recent efforts, particularly in the safety sciences, have included the measurement the four resilience potentials within upper and lower-tier enterprises [18] and communication as an aspect of resilient organisational behaviour in emergency situations [19].…”

Section: Introductionmentioning

confidence: 99%

Measuring Resilience Potentials: A Pilot Program Using the Resilience Assessment Grid

Klockner

Meredith

2020

Safety

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Researchers in the resilience engineering space have proposed the notion that organisations operating in complex socio-technical systems cannot ‘be’ resilient but can have the ‘potential for resilient performance’. This theoretical stance also suggests that organisations wanting to enhance their potential for resilience begin by measuring their operational safety performance against four key potentials, these being: the Potential to Anticipate; the Potential to Respond; the Potential to Learn; and the Potential to Monitor. Furthermore, to measure these four key resilience constructs, organisations have been recommended to use a Resilience Assessment Grid (RAG) developed as part of this theory. However, scarce research appears to have been conducted that bridges the theory and practice divide on just how organisations can pragmatically measure their current performance against these four resilience potentials using the RAG. Therefore, this research was interested in undertaking a pilot study using RAG theory in order to examine an organisation’s four resilience potentials, and was conducted within a large road transport organisation in Australia. Results indicated that measuring both the four individual potentials and a combination of the four potentials was possible using a RAG and proved effective in providing a snapshot of operational safety system resilience concepts. Recommendations on how to increase organisational resilience potentials were provided to ensure future safety endeavours would enhance the organisation’s potential to be resilience in the face of system variability and operational demands.

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“…Such proceeding will be an example of a holistic manner, with a high potential to identify extraordinary facts about SIRE [6,7]. Furthermore, it will face the next gap (Gap 2)-focusing mostly on selected resilience issues in emergency discussion [2,[8][9][10][11], when a comprehensive analysis is characterized by a great potential to obtain new ideas for infrastructure resilience enhancement [12,13].…”

Section: Introductionmentioning

confidence: 99%

Risk-Based Approach for Informing Sustainable Infrastructure Resilience Enhancement and Potential Resilience Implication in Terms of Emergency Service Perspective

Gromek¹,

Sobolewski²

2020

Sustainability

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Infrastructure resilience ascribes into the United Nations’ agenda for sustainable development. The more information supporting infrastructure resilience enhancement, the higher chance that it will be done objectively and effectively, and especially in a sustainable way. In spite of many different approaches and data sources, there is a lack of information that respects the emergency service point of view. The main research objective is to investigate factors determining sustainable infrastructure resilience enhancement that reflects direct protection of the most important values (human life and health) by connecting multiple variants of infrastructural resilience corresponding with the voice of emergency service and based on real data risk assessment. The methodology consists in formulation of a reference model for informing sustainable infrastructure resilience enhancement, risk assessment for infrastructure safety in terms of emergency service perspective and risk-based rationalization of the enhancement manners. The model stems from urban resilience and city resilience. Its components are physical resilience, structure and setting resilience, organizational resilience, economic resilience and legal resilience. These elements are related to hazards’ character, operational specification and resource requirements, operationalizing the model in terms of emergency conditions. For risk rationalization purpose, 1,255,826 events which occurred in 2015–2019 are analysed. Nearly 70% of the summary value of infrastructural risk is related to residential buildings and other categories of objects (garages, auto repair shops, monuments of material culture, objects of natural environment, hydro-technical objects, military objects, ex-territorial objects and others). Sustainable-related manners are specified notably for abovementioned buildings and objects. Deepening the analysis of cognitive limitations gives ideas for further research.

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Measurement of resilience potentials in emergency departments: Applications of a tailored resilience assessment grid

Cited by 33 publications

References 17 publications

Making resilience explicit in FRAM: Shedding light on desired outcomes

Making resilience explicit in FRAM: Shedding light on desired outcomes

Measuring Resilience Potentials: A Pilot Program Using the Resilience Assessment Grid

Risk-Based Approach for Informing Sustainable Infrastructure Resilience Enhancement and Potential Resilience Implication in Terms of Emergency Service Perspective

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