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Resilience Engineering in Practice
Resilience engineering has since 2004 attracted widespread interest from industry as well as academia. Practitioners from various fields, such as aviation and air traffic management, patient safety, off-shore exploration and production, have quickly realised the potential of resilience engineering and have became early adopters. The continued development of resilience engineering has focused on four abilities that are essential for resilience. These are the ability a) to respond to what happens, b) to monitor critical developments, c) to anticipate future threats and opportunities, and d) to learn from past experience - successes as well as failures. Working with the four abilities provides ...
Improving Healthcare Team Communication
Communications research in aviation is widely regarded by many in the healthcare community as the 'gold standard' to emulate. Yet healthcare and aviation differ in many ways, as do the vital communications shared among members of clinical teams. Aviation team communication should, then, be understood in terms of what lessons will benefit those who work in healthcare. In Improving Healthcare Team Communication, renowned experts provide insights from 'sharp end' operator research in high-hazard sectors that shed light on the performance of cognitive tasks including resource availability assessment, allocation, anticipation, prediction, trade-off decisions, speculation and negotiation. The book reports on recent field research to address what is known, and what needs to be learned, about team communication among operators. Students, clinicians and healthcare managers can find answers in it to the questions they face daily. How can healthcare information be better shared? What can we expect from its improvement, and how do we get there? Lessons learned from team communication research and experience in aviation and healthcare will point the way to improved patient safety.
Resilient Health Care
Health care is everywhere under tremendous pressure with regard to efficiency, safety, and economic viability - to say nothing of having to meet various political agendas - and has responded by eagerly adopting techniques that have been useful in other industries, such as quality management, lean production, and high reliability. This has on the whole been met with limited success because health care as a non-trivial and multifaceted system differs significantly from most traditional industries. In order to allow health care systems to perform as expected and required, it is necessary to have concepts and methods that are able to cope with this complexity. Resilience engineering provides tha...
Resilient Health Care, Volume 2
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 to be balanced.
Resilience Engineering Perspectives, Volume 2
Preparation and Restoration is the second volume of Resilience Engineering Perspectives within the Ashgate Studies in Resilience Engineering series. In four sections, it broadens participation of the field to include policy and organization studies, and articulates aspects of resilience beyond initial definitions: - Policy and Organization explores public policy and organizational aspects of resilience and how they aid or inhibit preparation and restoration - Models and Measures addresses thoughts on ways to measure resilience and model systems to detect desirable, and undesirable, results - Elements and Traits examines features of systems and how they affect the ability to prepare for and r...
Governance and Control of Financial Systems
The recent financial crisis has made it paramount for the financial services industry to find new perspectives to look at their industry and, most importantly, to gain a better understanding of how the global financial system can be made less vulnerable and more resilient. The primary objective of this book is to illustrate how the safety science of Resilience Engineering can help to gain a better understanding of what the financial services system is and how to improve governance and control of financial services systems by leveraging some of its key concepts. Resilience is the intrinsic ability of a system to adjust its functioning prior to, during, or following changes and disturbances, s...
Resilient Health Care, Volume 2
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-engin...
First, Do Less Harm
Each year, hospital-acquired infections, prescribing and treatment errors, lost documents and test reports, communication failures, and other problems have caused thousands of deaths in the United States, added millions of days to patients' hospital stays, and cost Americans tens of billions of dollars. Despite (and sometimes because of) new medical information technology and numerous well-intentioned initiatives to address these problems, threats to patient safety remain, and in some areas are on the rise. In First, Do Less Harm, twelve health care professionals and researchers plus two former patients look at patient safety from a variety of perspectives, finding many of the proposed solut...
Macrocognition Metrics and Scenarios
Macrocognition Metrics and Scenarios: Design and Evaluation for Real-World Teams translates advances by scientific leaders in the relatively new area of macrocognition into a format that will support immediate use by members of the software testing and evaluation community for large-scale systems as well as trainers of real-world teams. Macrocognition is defined as how activity in real-world teams is adapted to the complex demands of a setting with high consequences for failure. The primary distinction between macrocognition and prior research is that the primary unit for measurement is a real-world team coordinating their activity, rather than individuals processing information, the predominant model for cognition for decades. This book provides an overview of the theoretical foundations of macrocognition, describes a set of exciting new macrocognitive metrics, and provides guidance on using the metrics in the context of different approaches to evaluation and measurement of real-world teams.
Resilience Engineering Perspectives: Remaining sensitive to the possibility of failure
The first volume in the Ashgate Studies in Resilience Engineering series deals with important issues such as measurements and models, the use of procedures to ensure safety, the relation between resilience and robustness, safety management, and the use of risk analysis. The chapters utilize a report from a serious medical accident to illustrate more concretely how resilience engineering can make a difference, both to the understanding of how accidents happen and to what an organization can do to become more resilient.
