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
Part I: Openings.
1. Introduction: The Journey to Here and What Happens Next.
Jeffrey Braithwaite, Erik Hollnagel, and Garth S. Hunte
2. Bon Voyage: Navigating the Boundaries of Resilient Health Care.
Jeffrey Braithwaite, Erik Hollnagel, and Robert L. Wears
Part II: Negotiating Across Boundaries.
3. Working Across Boundaries: Creating Value and Producing Safety in Health Care Using Empathetic Negotiation Skills.
Andrew Johnson, Paul Lane, Michael Klug, and Robyn Clay-Williams
4. Untangling Conflict in Health Care.
Part III: Theorising About Boundaries.
5. 'Practical' Resilience: Misapplication of Theory?.
Sam Sheps and Robert L. Wears
6. Creating Resilience in Health Care Organisations through Various Forms of Shared Leadership.
Lev Zhuravsky, Eric Arne Lofquist, and Jeffrey Braithwaite
7. Simulation: A Tool to Detect and Traverse Boundaries.
Mary D. Patterson, Peter Dieckmann, and Ellen S. Deutsch
Part IV: Empiricising Boundaries.
Looking Back Over the Boundaries of Our Systems and Knowledge.
Kate Churruca, Janet C. Long, Louise A. Ellis, and Jeffrey Braithwaite
9. Understanding Medication Dispensing as Done in Real World Settings – Combining Conceptual Models and an Empirical Approach.
Peter Dieckmann, Marianne Hald Clemmensen, and Saadi Lahlou
10. Resilient Frontline Management of the Operating Room Floor: The Role of Boundaries and Coordination.
Sudeep Hegde and Cullen Jackson
11. Patient Flow Management: Codified and Opportunistic Escalation Actions.
Jonathan Back, Alastair J. Ross, Peter Jaye, Katherine Henderson, and Janet E. Anderson
12. Trust and Psychological Safety as Facilitators of Resilient Health Care.
Mark A. Sujan, Huayi Huang, and Deborah Biggerstaff
13. Collaborative Use of Slack Resources as a Support to Resilience: Study of a Maternity Ward.
Natália Basso Werle, Tarcisio Abreu Saurin, and Marlon Soliman
14. Resilient Performance in Acute Health Care: Implementation of an Intervention Across Care Boundaries.
Robyn Clay-Williams, Paul Lane, Brette Blakely, Siva Senthuran, and Andrew Johnson
Part V: Closure.
15. Discussion, Integration and Concluding Remarks
Jeffrey Braithwaite, Erik Hollnagel, and Garth Hunte