Resilient Health Care

Despite the common focus on deviations and failures in health systems, it is an undeniable fact that clinical work goes right far more often than it goes wrong, and that we only can make it better if we understand how this happens. This second volume of Resilient Health Care continues the line of thinking of the first book. It breaks new ground by analyzing everyday work situations in primary, secondary, and tertiary care to identify and describe the fundamental strategies that clinicians everywhere have developed and use with a fluency that belies the demands to be resolved and the dilemmas t

Cover -- Contents -- List of Figures -- List of Tables -- About the Editors -- Author Biographies -- Preface -- 1 A Lesson in Resilience: the 2011 Stanley Cup Riot -- 2 Translating Tensions into Safe Practices Through Dynamic Trade-offs: the Secret Second -- 3 Workarounds in Nursing Practice in Acute Care: a Case of a Health Care Arms Race? -- 4 The Demands Imposed by a Health Care Reform on Clinical Work in Transitional Care -- 5 The Stockholm Blizzard of 2012 -- 6 Individual-collective Trade-offs: Implications for Resilience -- 7 Managing Medicines Management: Organisational Resilience in Community Pharmacies -- 8 Blood Transfusion with Health Information Technology in Emergency Settings from -- 9 Exposing Hidden Aspects of Resilience and Brittleness in Everyday Clinical Practice Using -- 10 Patient Boarding in the Emergency Department as a Symptom of Complexity-induced Risks -- 11 Looking for Patterns in Everyday Clinical Work -- 12 Tempest in a Teapot: Standardisation and Workarounds in Everyday Clinical Work -- 13 ECW in Complex Adaptive Systems -- 14 Revealing Resilience through Critical Incident Narratives: a Way to Move from -- 15 Patients as a Source of Resilience -- 16 Strategies to Get Resilience into Everyday Clinical Work -- 17 Mobilising Resilience by Monitoring the Right Things for the Right People at the Right -- 18 Why is Work-as-Imagined Different from Work-as-Done? -- Bibliography -- Index.

Properly performing health care systems require concepts and methods that match their complexity. Resilience engineering provides that capability. It focuses on a system's overall ability to sustain required operations under both expected and unexpected conditions rather than on individual features or qualities. This book contains contributions from international experts in health care, organisational studies and patient safety, as well as resilience engineering. Whereas current safety approaches primarily aim to reduce the number of things that go wrong, Resilient Health Care aims to increase