Resilience skills as emergent phenomena: A study of emergency departments in Brazil and the United States

Wachs, Priscila; Saurin, Tarcísio Abreu; Righi, Angela Weber; Wears, Robert L.

doi:10.1016/j.apergo.2016.02.012

Cited by 61 publications

(59 citation statements)

References 19 publications

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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%

Section: Study Characteristicsmentioning

confidence: 99%

“…Studies reported in peer-reviewed journals were mostly conducted in developed countries: the United Kingdom [36,41,43,45,47,54], the United States of America [34,44,52,53], Finland [46], Australia [40,49,51], Denmark [49][50][51]55], Norway [48] and Israel [37]. 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].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Wachs P, et al 2016 (Brazil, USA) [52] The intrinsic ability of a system to adjust its functioning prior to, during, or following changes and disturbances, so that it can sustain required operations under both expected and unexpected conditions. In turn, performance adjustment means filling in the gaps of standardized operating procedures, whatever their extent and reason.…”

mentioning

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%

Section: Study Characteristicsmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

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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“…In the literature, studies in high reliability domains, such as anesthesia (FLETCHER et al, 2002), healthcare (WACHS et al, 2016), aviation (HELMREICH, 2000) and electricity distribution (SAURIN et al, 2014), have analyzed and identified non-technical skills as a way to redesign workplaces, equipment and training programs, so that workers are able to deal with the demands of complex environments. In other domains regarded as risky environments, such as precast concrete building, there is a lack of 28 research on the performance adjustments and on the necessary skills for the workforce to cope with unexpected situations.…”

Section: Resilience Engineering and Performance Adjustmentsmentioning

confidence: 99%

Resilience skills used by front-line workers to assemble precast concrete structures: an exploratory study

2017

Self Cite

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Abstractesides increasing productivity, prefabricated building systems can also contribute to the reduction of the levels of risk exposure by workers. However, there are several hazards that can be faced by workers involved in the assembly of prefabricated components, such as being struck by objects during lifting and handling of large components, and falls from height. This paper is focused on the assembly process of precast concrete building systems, widely used in Brazil. It is uses the Resilience Engineering theoretical framework, which has been pointed out as the new paradigm to manage health and safety, being concerned with the abilities of a system to adjust its functioning prior to, during, or following changes and disturbances, so that it can sustain required operations under unexpected conditions. The aim of this paper is to propose guidelines to design preventive measures, based on the identification of resilient skills used by front-line workers involved in the process of assembling precast concrete structures. Those skills were identified in a case study carried out in a construction site in Brazil, in which some critical assembly processes were analyzed at a fine level of detail. Keywords

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All in a day's work: Towards improved understanding of safety leadership during regular safety‐related tasks in mining

Donovan

Salmon

Horberry

et al. 2020

Hum Ftrs & Erg Mfg Svc

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This article examines safety leadership during regular safety‐related tasks conducted across a mining work system. Applying a systems‐thinking methodology, a modified version of the critical decision method (CDM) interview technique was used to examine decision‐making and behavior in association with five safety‐related tasks executed across the work system; hazard identification, inspections, standard operating procedure development, task observation and return to work coordination activities. Data were mapped onto Rasmussen's risk management framework to explore the characteristics of safety leadership decision‐making and behavior which occurred across the work system to support successful task execution. Vertical integration was present and was associated with a core set of decision‐making elements and leadership behaviors that facilitated the communication and exchange of information within and across the work system in association with tasks executed. In addition, different profiles of decision‐making characteristics and behavioral engagement were evident at different system levels, which indicated variability in safety leadership was required to support successful task execution across the work system. Task type was found to influence safety leadership, with structured tasks demonstrating less intensive decision‐making and behavioral engagement requirements than unstructured tasks. The findings add to the knowledge base on safety leadership through improved understanding of the concept, its occurrence across tasks and work system levels, and the factors which influence it to support safe system functioning. Future research endeavors and practical implications are discussed.

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Resilience skills as emergent phenomena: A study of emergency departments in Brazil and the United States

Cited by 61 publications

References 19 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.

Resilience skills used by front-line workers to assemble precast concrete structures: an exploratory study

All in a day's work: Towards improved understanding of safety leadership during regular safety‐related tasks in mining

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