Resilient Health Care, Volume 3: Reconciling Work-as-Imagined and Work-as-DoneJeffrey Braithwaite, Robert L. Wears, Erik Hollnagel 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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ability action activities adaptive capacity administration adverse events analysis applied approach Ashgate assessment barcode reader behaviour blood components blood transfusion blunt end Braithwaite challenge Chapter Clay-Williams clinicians cognitive complex adaptive system context coping create demand and capacity develop effective EHR systems emergency department environment everyday clinical example focus FRAM front-line functions goals health care system Hollnagel hospital identify implementation improve interactions Jr dr Lean Lean production learning medications methods monitoring nurse organisational outcomes patient identification patient safety performance adjustments perspective potential practice practitioners prescriptions problem procedures professionals recognise relationships requires resilience engineering resilience expressions Resilient Health response risk Safety-II simulated patient simulation situations skills specific staff strategies Surrey system resilience Taylor & Francis teamwork tion trade-offs Triage understanding value stream mapping variability WAI–WAD Wears work-as-imagined and work-as-done