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Resilient Health Care, Volume 2 - The Resilience of Everyday Clinical Work (Hardcover, 2 Rev Ed)
Loot Price: R3,336
Discovery Miles 33 360
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Resilient Health Care, Volume 2 - The Resilience of Everyday Clinical Work (Hardcover, 2 Rev Ed)
Series: Ashgate Studies in Resilience Engineering
Expected to ship within 12 - 17 working days
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Health systems everywhere are expected to meet increasing public
and political demands for accessible, high-quality care.
Policy-makers, managers, and clinicians use their best efforts to
improve efficiency, safety, quality, and economic viability. One
solution has been to mimic approaches that have been shown to work
in other domains, such as quality management, lean production, and
high reliability. In the enthusiasm for such solutions, scant
attention has been paid to the fact that health care as a
multifaceted system differs significantly from most traditional
industries. Solutions based on linear thinking in engineered
systems do not work well in complicated, multi-stakeholder
non-engineered systems, of which health care is a leading example.
A prerequisite for improving health care and making it more
resilient is that the nature of everyday clinical work be well
understood. Yet the focus of the majority of policy or management
solutions, as well as that of accreditation and regulation, is work
as it ought to be (also known as 'work-as-imagined'). The aim of
policy-makers and managers, whether the priority is safety,
quality, or efficiency, is therefore to make everyday clinical work
- or work-as-done - comply with work-as-imagined. This fails to
recognise that this normative conception of work is often
oversimplified, incomplete, and outdated. There is therefore an
urgent need to better understand everyday clinical work as it is
done. Despite the common focus on deviations and failures, it is
undeniable 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, but takes it
further through a range of chapters from leading international
thinkers on resilience and health care. Where the first book
provided the rationale and basic concepts of RHC, the Resilience of
Everyday Clinical Work b
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