Resilient Health Care

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Resilient Health Care

Author : Erik Hollnagel
Publisher : CRC Press
ISBN 13 : 1317065166
Total Pages : 254 pages
Book Rating : 4.3/5 (17 download)

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Book Synopsis Resilient Health Care by : Erik Hollnagel

Download or read book Resilient Health Care written by Erik Hollnagel and published by CRC Press. This book was released on 2019-07-23 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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 that capacity because its focus is on a system’s overall ability to sustain required operations under both expected and unexpected conditions rather than on individual features or qualities. Resilience engineering’s unique approach emphasises the usefulness of performance variability, and that successes and failures have the same aetiology. This book contains contributions from acknowledged international experts in health care, organisational studies and patient safety, as well as resilience engineering. Whereas current safety approaches primarily aim to reduce or eliminate the number of things that go wrong, Resilient Health Care aims to increase and improve the number of things that go right. Just as the WHO argues that health is more than the absence of illness, so does Resilient Health Care argue that safety is more than the absence of risk and accidents. This can be achieved by making use of the concrete experiences of resilience engineering, both conceptually (ways of thinking) and practically (ways of acting).

Resilient Health Care, Volume 3

Author : Jeffrey Braithwaite
Publisher : CRC Press
ISBN 13 : 1498780571
Total Pages : 210 pages
Book Rating : 4.4/5 (987 download)

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Book Synopsis Resilient Health Care, Volume 3 by : Jeffrey Braithwaite

Download or read book Resilient Health Care, Volume 3 written by Jeffrey Braithwaite and published by CRC Press. This book was released on 2016-10-03 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Working Across Boundaries

Author : Jeffrey Braithwaite
Publisher : CRC Press
ISBN 13 : 1000007340
Total Pages : 178 pages
Book Rating : 4.0/5 ( download)

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Book Synopsis Working Across Boundaries by : Jeffrey Braithwaite

Download or read book Working Across Boundaries written by Jeffrey Braithwaite and published by CRC Press. This book was released on 2019-06-03 with total page 178 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book demonstrates how Resilient Health Care principles can enable those on the frontline to work more effectively towards interdisciplinary care by gaining a deeper understanding of the boundaries that exist in everyday clinical settings. This is done by presenting a set of case studies, theoretical chapters and applications that relate experiences, bring forth ideas and illustrate practical solutions. The chapters address many different issues such as resolving conflict, overcoming barriers to patient-flow management, and building connections through negotiation. They represent a range of approaches, rather than a single way of solving the practical problems, and have been written to serve both a scientific and an andragogical purpose. Working Across Boundaries is primarily aimed at people who are directly involved in the running and improvement of health care systems, providing them with practical guidance. It will also be of direct interest to health care professionals in clinical and managerial positions as well as researchers. Presents the latest work of the lauded Resilient Health Care Net group, developing applications of Resilience Engineering to health care, furthering safety thinking and generating applicable solutions that will benefit patient safety worldwide Enables health care professionals to become aware of the boundaries that affect their work so that they are able to use their strengths and overcome their weaknesses Written from a Safety-II perspective, where the purpose is to make sure that as much as possible goes well and the focus therefore is on everyday work rather than on failures. There are at present no other books that adopt this perspective nor which go into the practical details Provides a concise presentation of the state of resilient health care as a science, in terms of major theoretical issues and practical methods and techniques on the overarching and important topics of boundary-crossing and integration of care settings

Implementation Science

Author : Per Nilsen
Publisher : Taylor & Francis
ISBN 13 : 1040016235
Total Pages : 381 pages
Book Rating : 4.0/5 (4 download)

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Book Synopsis Implementation Science by : Per Nilsen

Download or read book Implementation Science written by Per Nilsen and published by Taylor & Francis. This book was released on 2024-05-13 with total page 381 pages. Available in PDF, EPUB and Kindle. Book excerpt: This core textbook introduces the key concepts, theories, models and frameworks used in implementation science, and supports readers applying them in research projects. The first part of the book focuses on the theory of implementation science, providing a discussion of its emergence from the evidence-based practice movement and its connections to related topics such as innovation research. It includes chapters looking at a wide range of theories, methods and frameworks currently used in implementation science, and a chapter focusing on suitable theories that could be imported from other fields. The first part also addresses strategies and outcomes of implementation and discusses how researchers can build causal pathways adapted to their study. The second part of the book focuses squarely on putting the theory of implementation science to work in practice, with chapters discussing research methods used in the field and how to select the most appropriate approach. This section also features several chapters presenting in-depth case studies of specific applications. This multidisciplinary text is an essential resource for graduate students from a range of healthcare backgrounds taking courses on implementation science, as well as researchers from medicine, nursing, public health, allied health, economics, political science, sociology and engineering.

Healthy, Resilient, and Sustainable Communities After Disasters

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309316227
Total Pages : 535 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Healthy, Resilient, and Sustainable Communities After Disasters by : Institute of Medicine

Download or read book Healthy, Resilient, and Sustainable Communities After Disasters written by Institute of Medicine and published by National Academies Press. This book was released on 2015-09-10 with total page 535 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the devastation that follows a major disaster, there is a need for multiple sectors to unite and devote new resources to support the rebuilding of infrastructure, the provision of health and social services, the restoration of care delivery systems, and other critical recovery needs. In some cases, billions of dollars from public, private and charitable sources are invested to help communities recover. National rhetoric often characterizes these efforts as a "return to normal." But for many American communities, pre-disaster conditions are far from optimal. Large segments of the U.S. population suffer from preventable health problems, experience inequitable access to services, and rely on overburdened health systems. A return to pre-event conditions in such cases may be short-sighted given the high costs - both economic and social - of poor health. Instead, it is important to understand that the disaster recovery process offers a series of unique and valuable opportunities to improve on the status quo. Capitalizing on these opportunities can advance the long-term health, resilience, and sustainability of communities - thereby better preparing them for future challenges. Healthy, Resilient, and Sustainable Communities After Disasters identifies and recommends recovery practices and novel programs most likely to impact overall community public health and contribute to resiliency for future incidents. This book makes the case that disaster recovery should be guided by a healthy community vision, where health considerations are integrated into all aspects of recovery planning before and after a disaster, and funding streams are leveraged in a coordinated manner and applied to health improvement priorities in order to meet human recovery needs and create healthy built and natural environments. The conceptual framework presented in Healthy, Resilient, and Sustainable Communities After Disasters lays the groundwork to achieve this goal and provides operational guidance for multiple sectors involved in community planning and disaster recovery. Healthy, Resilient, and Sustainable Communities After Disasters calls for actions at multiple levels to facilitate recovery strategies that optimize community health. With a shared healthy community vision, strategic planning that prioritizes health, and coordinated implementation, disaster recovery can result in a communities that are healthier, more livable places for current and future generations to grow and thrive - communities that are better prepared for future adversities.

Resilience in Healthcare Leadership

Author : Alan Belasen, PhD
Publisher : CRC Press
ISBN 13 : 1000520633
Total Pages : 208 pages
Book Rating : 4.0/5 (5 download)

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Book Synopsis Resilience in Healthcare Leadership by : Alan Belasen, PhD

Download or read book Resilience in Healthcare Leadership written by Alan Belasen, PhD and published by CRC Press. This book was released on 2022-01-20 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: The COVID-19 Pandemic has been an ultimate challenge for leadership resiliency. Resilient leaders are thoughtful and deliberate. They balance logic and emotion, ego and humility. They lead through compassionate empathy by focusing on the ‘how’, not only the ‘what’. They use their influence to drive positive change, diversity and inclusion, and create an equitable community. Most books on resilient leadership appear to focus on spirituality and tools to grow an “unshakable core of calm, strength, and happiness” or “bounce back without getting stuck in the toxic emotions of guilt, false guilt, anger, and bitterness”. These books are very similar to handbooks focusing on mental toughness and providing guides for overcoming adversity and managing negative emotions. This book, however, defines resilience as a critical competency of high-performing leaders. Leaders must cultivate resilience in themselves and foster it throughout their organizations and multidisciplinary teams in order to adapt and succeed. Resilience in Healthcare Leadership is differentiated by offering practical strategies and self-assessment instruments for identifying strengths and weaknesses and for developing and sustaining the performance of resilient leaders. The book will also focus on best practices to help build a talent pipeline and develop resilient care team leaders to effectively manage the challenges of disruptive environments. Whether senior or mid-level manager the reader will learn to apply knowledge and skills to initiate cultural change, assess strengths and weaknesses, align leadership roles with organizational goals, and position themselves to become a resilient leader. The reader will also learn how to identify message strategies consistent with stakeholders’ needs, resolve conflicts, lead multidisciplinary teams, and realize the impact of resilient leadership in influencing outcomes. Takeaways and tools are included to guide progressive learning and leadership development and build a strong succession pipeline, to help organizations become more prepared to respond to challenges facing healthcare leaders in the future.

Safety-I and Safety-II

Author : Erik Hollnagel
Publisher : CRC Press
ISBN 13 : 1317059794
Total Pages : 167 pages
Book Rating : 4.3/5 (17 download)

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Book Synopsis Safety-I and Safety-II by : Erik Hollnagel

Download or read book Safety-I and Safety-II written by Erik Hollnagel and published by CRC Press. This book was released on 2018-04-17 with total page 167 pages. Available in PDF, EPUB and Kindle. Book excerpt: Safety has traditionally been defined as a condition where the number of adverse outcomes was as low as possible (Safety-I). From a Safety-I perspective, the purpose of safety management is to make sure that the number of accidents and incidents is kept as low as possible, or as low as is reasonably practicable. This means that safety management must start from the manifestations of the absence of safety and that - paradoxically - safety is measured by counting the number of cases where it fails rather than by the number of cases where it succeeds. This unavoidably leads to a reactive approach based on responding to what goes wrong or what is identified as a risk - as something that could go wrong. Focusing on what goes right, rather than on what goes wrong, changes the definition of safety from ’avoiding that something goes wrong’ to ’ensuring that everything goes right’. More precisely, Safety-II is the ability to succeed under varying conditions, so that the number of intended and acceptable outcomes is as high as possible. From a Safety-II perspective, the purpose of safety management is to ensure that as much as possible goes right, in the sense that everyday work achieves its objectives. This means that safety is managed by what it achieves (successes, things that go right), and that likewise it is measured by counting the number of cases where things go right. In order to do this, safety management cannot only be reactive, it must also be proactive. But it must be proactive with regard to how actions succeed, to everyday acceptable performance, rather than with regard to how they can fail, as traditional risk analysis does. This book analyses and explains the principles behind both approaches and uses this to consider the past and future of safety management practices. The analysis makes use of common examples and cases from domains such as aviation, nuclear power production, process management and health care. The final chapters explain the theoret

The Resilient Practitioner

Author : Thomas M. Skovholt
Publisher : Routledge
ISBN 13 : 1135858004
Total Pages : 241 pages
Book Rating : 4.1/5 (358 download)

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Book Synopsis The Resilient Practitioner by : Thomas M. Skovholt

Download or read book The Resilient Practitioner written by Thomas M. Skovholt and published by Routledge. This book was released on 2014-04-08 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: Therapists and other helping professionals, such as teachers, doctors and nurses, social workers, and clergy, work in highly demanding fields and can suffer from burnout, compassion fatigue, and secondary stress. This happens when they give more attention to their clients’ well being than their own. Both students and practitioners in these fields will find this book an essential guide to striking an optimal balance between self-care and other-care. The authors describe the joys and hazards of the work, the long road from novice to senior practitioner, the essence of burnout, ways to maintain the professional and personal self, methods experts use to maintain vitality, and a self-care action plan. Vivid real-life examples and self-reflection questions will engage and motivate readers to think about their own work and ways to enhance their own resilience. Eloquently written and supported by extensive research, helping professionals will find this a valuable resource both when a novice and when an experienced practitioner.

The Resilient Physician

Author : John D. Kelly IV
Publisher : Springer
ISBN 13 : 3319612204
Total Pages : 110 pages
Book Rating : 4.3/5 (196 download)

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Book Synopsis The Resilient Physician by : John D. Kelly IV

Download or read book The Resilient Physician written by John D. Kelly IV and published by Springer. This book was released on 2017-08-27 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by a veteran clinician for medical practitioners of all disciplines and levels of experience, this concise pocket guide presents a frank discussion about facilitating resiliency in the face of the personal and professional challenges of a medical career. Furthermore, it provides proven techniques and suggestions for stress management aimed at the maintenance of a more successful practice and peaceful life. First defining and elucidating the problems of stress plaguing the field, including burnout, substance abuse and suicide, the bulk of the book presents and discusses ways to combat and master the everyday stress of the "medical marriage," such as engaging in mindfulness training, learning to forgive oneself and others, listening to your own body, utilizing time away from medicine, and performing simple acts of kindness and gratitude. Issues surrounding the inevitability of mistakes, the pursuit of perfectionism, happiness and success are then examined and reflected upon, as are stress management considerations from other cultures and literary sources. Equal parts personal and practical, The Resilient Physician is a must-have for any clinician or medical professional seeking better understanding and outcomes when handling the constant demands of this high-stress - but ultimately rewarding - career.

Resilient Therapy

Author : Angie Hart
Publisher : Routledge
ISBN 13 : 1134140118
Total Pages : 225 pages
Book Rating : 4.1/5 (341 download)

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Book Synopsis Resilient Therapy by : Angie Hart

Download or read book Resilient Therapy written by Angie Hart and published by Routledge. This book was released on 2007-08-07 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: Whilst much has been written about the identification of resilience in children and their families, comparatively little has been written about what practitioners can do to support those children and families who need the most pressing help. Resilient Therapy explores a new therapeutic methodology designed to help children and young people find ways to keep positive when living amidst persistent disadvantage. Using detailed case material from a range of contexts, the authors illustrate how resilient mechanisms work in complex situations, and how resilient therapy works in real-life situations. In addition to work with families, helping welfare organisations achieve greater resilience is also tackled. This book will be essential reading for practitioners working with children, adolescents and their families who wish to help their clients cope with adversity and promote resilience.

Refuge and Resilience

Author : Laura Simich
Publisher : Springer
ISBN 13 : 9400779232
Total Pages : 226 pages
Book Rating : 4.4/5 (7 download)

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Book Synopsis Refuge and Resilience by : Laura Simich

Download or read book Refuge and Resilience written by Laura Simich and published by Springer. This book was released on 2014-06-05 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: Taking an interdisciplinary approach and focusing on the social and psychological resources that promote resilience among forced migrants, this book presents theory and evidence about what keeps refugees healthy during resettlement. The book draws on contributions from cultural psychiatry, anthropology, ethics, nursing, psychiatric epidemiology, sociology and social work. Concern about immigrant mental health and social integration in resettlement countries has given rise to public debates that challenge scientists and policy makers to assemble facts and solutions to perceived problems. Since the 1980s, refugee mental health research has been productive but arguably overly-focused on mental disorders and problems rather than solutions. Social science perspectives are not well integrated with medical science and treatment, which is at odds with social reality and underlies inadequacy and fragmentation in policy and service delivery. Research and practice that contribute to positive refugee mental health from Canada and the U.S. show that refugee mental health promotion must take into account social and policy contexts of immigration and health care in addition to medical issues. Despite traumatic experiences, most refugees are not mentally ill in a clinical sense and those who do need medical attention often do not receive appropriate care. As recent studies show, social and cultural determinants of health may play a larger role in refugee health and adaptation outcomes than do biological factors or pre-migration experiences. This book’s goal therefore is to broaden the refugee mental health field with social and cultural perspectives on resilience and mental health.

Wellbeing at Work

Author : Jim Clifton
Publisher : Simon and Schuster
ISBN 13 : 159562242X
Total Pages : 302 pages
Book Rating : 4.5/5 (956 download)

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Book Synopsis Wellbeing at Work by : Jim Clifton

Download or read book Wellbeing at Work written by Jim Clifton and published by Simon and Schuster. This book was released on 2021-06-01 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: What if the next global crisis is a mental health pandemic? It is here now. One-third of Americans have shown signs of clinical anxiety or depression, and the current state of suffering globally has risen significantly. The mental health pandemic manifests everywhere, not least in your workplace. As organizations around the world face health and social crises, as well as economic uncertainty, acknowledging and improving wellbeing in your workplace is more critical than ever. Increasingly, leaders and managers must support mental health and cultivate resilience in employees — not just increase engagement and performance. Based on more than 100 million Gallup global interviews, Wellbeing at Work shows you how to do just that. Coauthored by Gallup’s CEO and its Chief Workplace Scientist, Wellbeing at Work explores the five key elements of wellbeing — career, social, financial, physical and community — and how organizations can help employees and teams thrive in those elements. The book also gives leaders ideas and action items to help employees use their innate talents and strengths to thrive in each of the wellbeing elements. And Wellbeing at Work introduces a metric to report a person’s best possible life: Gallup Net Thriving, which will become the “other stock price” for organizations. In a world where work and life are more blended than ever, maximizing employee wellbeing takes on greater urgency. Wellbeing at Work shows leaders how to create a thriving and resilient culture. If you and your leaders don’t change the world, who will? Wellbeing at Work includes a unique code to take the CliftonStrengths assessment, which reveals your top five strengths.

Safety-II in Practice

Author : Erik Hollnagel
Publisher : Taylor & Francis
ISBN 13 : 135178076X
Total Pages : 130 pages
Book Rating : 4.3/5 (517 download)

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Book Synopsis Safety-II in Practice by : Erik Hollnagel

Download or read book Safety-II in Practice written by Erik Hollnagel and published by Taylor & Francis. This book was released on 2017-07-14 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: Safety-I is defined as the freedom from unacceptable harm. The purpose of traditional safety management is therefore to find ways to ensure this ‘freedom’. But as socio-technical systems steadily have become larger and less tractable, this has become harder to do. Resilience engineering pointed out from the very beginning that resilient performance - an organisation’s ability to function as required under expected and unexpected conditions alike – required more than the prevention of incidents and accidents. This developed into a new interpretation of safety (Safety-II) and consequently a new form of safety management. Safety-II changes safety management from protective safety and a focus on how things can go wrong, to productive safety and a focus on how things can and do go well. For Safety-II, the aim is not just the elimination of hazards and the prevention of failures and malfunctions but also how best to develop an organisation’s potentials for resilient performance – the way it responds, monitors, learns, and anticipates. That requires models and methods that go beyond the Safety-I toolbox. This book introduces a comprehensive approach for the management of Safety-II, called the Resilience Assessment Grid (RAG). It explains the principles of the RAG and how it can be used to develop the resilience potentials. The RAG provides four sets of diagnostic and formative questions that can be tailored to any organisation. The questions are based on the principles of resilience engineering and backed by practical experience from several domains. Safety-II in Practice is for both the safety professional and academic reader. For the professional, it presents a workable method (RAG) for the management of Safety-II, with a proven track record. For academic and student readers, the book is a concise and practical presentation of resilience engineering.

Moral Resilience

Author : Cynda Hylton Rushton
Publisher : Oxford University Press
ISBN 13 : 0190619295
Total Pages : 304 pages
Book Rating : 4.1/5 (96 download)

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Book Synopsis Moral Resilience by : Cynda Hylton Rushton

Download or read book Moral Resilience written by Cynda Hylton Rushton and published by Oxford University Press. This book was released on 2018-10-02 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: Suffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, in part a reflection of the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish that occurs when the burdens of treatment appear to outweigh the benefits; scarce human and material resources must be allocated; informed consent is incomplete or inadequate; or there are disagreements about goals of treatment among patients, families or clinicians. Each is a source of moral adversity that challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. If moral suffering is unrelieved it can lead to disengagement, burnout, and undermine the quality of clinical care. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. It is vital to shift the focus to solutions and to expanded individual and system strategies that mitigate the detrimental effects of moral suffering. Moral resilience, the capacity of an individual to restore or sustain integrity in response to moral adversity, offers a path forward. It encompasses capacities aimed at developing self-regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum approach, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all.

Resilience

Author : Steven M. Southwick
Publisher : Cambridge University Press
ISBN 13 : 1009299735
Total Pages : 283 pages
Book Rating : 4.0/5 (92 download)

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Book Synopsis Resilience by : Steven M. Southwick

Download or read book Resilience written by Steven M. Southwick and published by Cambridge University Press. This book was released on 2023-09-07 with total page 283 pages. Available in PDF, EPUB and Kindle. Book excerpt: Life presents us all with challenges. Most of us at some point will be struck by major traumas such as the sudden death of a loved one, a debilitating disease, or a natural disaster. What differentiates us is how we respond. In this important book, three experts in trauma and resilience answer key questions such as What helps people adapt to life's most challenging situations?, How can you build up your own resilience?, and What do we know about the science of resilience? Combining cutting-edge scientific research with the personal experiences of individuals who have survived some of the most traumatic events imaginable, including the COVID-19 pandemic, this book provides a practical resource that can be used time and time again. The experts describe ten key resilience factors, including facing fear, optimism, and relying on role models, through the experiences and personal reflections of highly resilient survivors. Each resilience factor will help you to adapt and grow from stressful life events and will bring hope and inspiration for overcoming adversity.

Handbook of Adult Resilience

Author : John W. Reich
Publisher : Guilford Press
ISBN 13 : 146250647X
Total Pages : 562 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis Handbook of Adult Resilience by : John W. Reich

Download or read book Handbook of Adult Resilience written by John W. Reich and published by Guilford Press. This book was released on 2012-04-02 with total page 562 pages. Available in PDF, EPUB and Kindle. Book excerpt: What enables people to bounce back from stressful experiences? How do certain individuals maintain a sense of purpose and direction over the long term, even in the face of adversity? This is the first book to move beyond childhood and adolescence to explore resilience across the lifespan. Coverage ranges from genetic and physiological factors through personal, family, organizational, and community processes. Contributors examine how resilience contributes to health and well-being across the adult life cycle; why—and what happens when—resilience processes fail; ethnic and cultural dimensions of resilience; and ways to enhance adult resilience, including reviews of exemplary programs.

Resilient Health Care, Volume 2

Author : Robert L. Wears
Publisher : CRC Press
ISBN 13 : 1317065131
Total Pages : 349 pages
Book Rating : 4.3/5 (17 download)

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Book Synopsis Resilient Health Care, Volume 2 by : Robert L. Wears

Download or read book Resilient Health Care, Volume 2 written by Robert L. Wears and published by CRC Press. This book was released on 2017-03-02 with total page 349 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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