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.
Table of Contents
Preface; Editors; Contributors; Prologue: Why Do Our Expectations of How Work Should Be Done; Never Correspond Exactly to How Work Is Done? Towards a Resilient and Lean Health Care; The Jack Spratt Problem: The Potential Downside of Lean Application in Health Care – A Threat to Safety II; Recovery to Resilience: A Patient Perspective; Is System Resilience Maintained at the Expense of Individual Resilience? Challenges in Implementing Resilient Health Care; Exploring Ways to Capture and Facilitate Work-as-Done That Interact with Health Information Technology; Resilience Work-as-Done in Everyday Clinical Work; Understanding Resilient Clinical Practices in Emergency Department Ecosystems; Reporting and Learning: From Extraordinary to Ordinary; Reflections on Resilience: Repertoires and System Features; Power and Resilience in Practice: Fitting a ‘Square Peg in a Round Hole’ in Everyday Clinical Work; Modelling Resilience and Researching the Gap between Work-as-Imagined and Work-as-Done; Simulation: Closing the Gap between Work-as-Imagined and Work-as-Done; Realigning Work-as-Imagined and Work-as-Done: Can Training Help? Resilient Procedures: Oxymoron or Innovation? Conclusion: Pathways Towards Reconciling WAI and WAD; References; Index
Jeffrey Braithwaite, BA, MIR (Hons), MBA, DipLR, PhD, FAIM, FCHSM,
FFPHRCP (UK), FAcSS (UK), is foundation director, Australian Institute
of Health Innovation; director, Centre for Healthcare Resilience and
Implementation Science; and professor of health systems research, Faculty
of Medicine and Health Sciences, Macquarie University, Australia. His
research examines the changing nature of health systems, attracting funding
of more than AU$85 million (€54 million, £42 million). He has contributed
over 600 total publications and presented at international and national
conferences on more than 800 occasions, including 80 keynote addresses.
His research appears in journals such as the British Medical Journal, The Lancet,
Social Science and Medicine, BMJ Quality and Safety and the International Journal
of Quality in Health Care. He has received numerous national and international
awards for his teaching and research. Further details are available at
his Wikipedia entry: http://en.wikipedia.org/wiki/Jeffrey_Braithwaite. He
blogs at http://www.jeffreybraithwaite.com/new-blog/.
Robert L. Wears, MD, PhD, MS, is an emergency physician, professor of
emergency medicine at the University of Florida and visiting professor in
the Clinical Safety Research Unit at Imperial College London. His further
training includes a master’s degree in computer science, a 1-year research
sabbatical focused on psychology and human factors in safety at the Imperial
College, followed by a PhD in industrial safety from Mines ParisTech (Ecole
Nationale Supérieure des Mines de Paris). He serves on the board of directors
of the Emergency Medicine Patient Safety Foundation, and multiple
editorial boards, including Annals of Emergency Medicine, Human Factors and
"This book pushes the boundaries of patient safety science and is essential reading for all those interested in creating better, safer, health systems."
—Russell Mannion, University of Birmingham, United Kingdom
"I really like the highly international nature of the chapter authorship and also the way in which chapters blended together both a resilience engineering prism and an organizational behavior perspective, which is unusual and encouraging."
— Ewan Ferlie, King’s College London, United Kingdom
"The book justifies an important shift in perspective: from the ‘find-and-fix’ approach that focuses on where the system is not working to a more positive focus on how things do work and how we can learn from models of good practice."
— Trisha Greenhalgh, University of Oxford, United Kingdom
"This book builds a much needed bridge over the gap between our plans for care and the reality of practice. It makes a valuable contribution to the RHC series. As the final installment of the trilogy of books on this topic it offers a range of perspectives and challenges to thinking on this topic that will be of interest to students and practitioners interested in health care improvement and re-design."
— Catherine Pope, University of Southampton, United Kingdom
"The change of perspective from Safety I to Safety II is a major breakthrough in thinking about patient safety, emphasizing the complex and dynamic interactions that characterize much healthcare practices. Putting the relation between ‘work-as-imagined’ and ‘work-as-done’ center stage, this book adds to those critical insights by offering tools (and re-analyzing existing ones) that help both scholars and practitioners in researching and designing safer healthcare systems."
— Roland Bal, Erasmus University Rotterdam, Netherlands