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Health care is under tremendous pressure regarding efficiency,
safety, and economic viability. It has responded by adopting
techniques that have been useful in other industries, such as
quality management, lean production, and high reliability -
although with limited, and all-too-often disappointing, results.
The Resilient Health Care Network (RHCN) has worked since 2011 to
facilitate the interaction and collaboration among practitioners
and researchers interested in applying concepts from resilience
engineering to health care and patient safety. This has met with
considerable success, not least because the focus from the start
was on developing concrete ways to complement a Safety-I
perspective with a Safety-II perspective. Building on previous
volumes, Delivering Resilient Health Care presents documented
experiences and practical guidance on how to bring Resilient Health
Care into practice. It provides concrete advice on how to prepare a
study, how to choose the right data, how to collect it, how to
analyse the data, and how to interpret the results. This fourth
book in the Resilient Healthcare series contains contributions from
international experts in health care, organisational studies and
patient safety, as well as resilience engineering. This book
provides a practical guide for delivering resilient healthcare,
particularly for clinicians on the frontline of care unsure how to
incorporate resilience into their everyday work, managers
coordinating care, and for policymakers hoping to steer the system
in the right direction. Other groups - patients, the media, and
researchers - will also find much of interest here.
This book is the 3rd volume in the Resilient Health Care series.
Resilient health care is a product of both the policy and
managerial efforts to organize, fund and improve services, and the
clinical care which is delivered directly to patients. This volume
continues the lines of thought in the first two books. Where the
first volume provided the rationale and basic concepts of RHC and
the second teased out the everyday clinical activities which adjust
and vary to create safe care, this book will look more closely at
the connections between the sharp and blunt ends. Doing so will
break new ground, since the systematic study in patient safety to
date with few exceptions has been limited.
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
Health care is under tremendous pressure regarding efficiency,
safety, and economic viability. It has responded by adopting
techniques that have been useful in other industries, such as
quality management, lean production, and high reliability -
although with limited, and all-too-often disappointing, results.
The Resilient Health Care Network (RHCN) has worked since 2011 to
facilitate the interaction and collaboration among practitioners
and researchers interested in applying concepts from resilience
engineering to health care and patient safety. This has met with
considerable success, not least because the focus from the start
was on developing concrete ways to complement a Safety-I
perspective with a Safety-II perspective. Building on previous
volumes, Delivering Resilient Health Care presents documented
experiences and practical guidance on how to bring Resilient Health
Care into practice. It provides concrete advice on how to prepare a
study, how to choose the right data, how to collect it, how to
analyse the data, and how to interpret the results. This fourth
book in the Resilient Healthcare series contains contributions from
international experts in health care, organisational studies and
patient safety, as well as resilience engineering. This book
provides a practical guide for delivering resilient healthcare,
particularly for clinicians on the frontline of care unsure how to
incorporate resilience into their everyday work, managers
coordinating care, and for policymakers hoping to steer the system
in the right direction. Other groups - patients, the media, and
researchers - will also find much of interest here.
This book is the 3rd volume in the Resilient Health Care series.
Resilient health care is a product of both the policy and
managerial efforts to organize, fund and improve services, and the
clinical care which is delivered directly to patients. This volume
continues the lines of thought in the first two books. Where the
first volume provided the rationale and basic concepts of RHC and
the second teased out the everyday clinical activities which adjust
and vary to create safe care, this book will look more closely at
the connections between the sharp and blunt ends. Doing so will
break new ground, since the systematic study in patient safety to
date with few exceptions has been limited.
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