Engineering Resilience Into Intensive Care Units

Pariès, Jean; Lot, Nicolas; Rome, Fanny; Tassaux, Didier

doi:10.4000/books.pressesmines.1068

Cited by 8 publications

(44 citation statements)

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“…Two studies were conducted in developing countries: Brazil [30] and South Africa [22]. For studies published in books, all were conducted in developed countries: the United Kingdom [36,39,45,46], New Zealand [41,47], Norway [34,40], France [32], Switzerland [33], Australia [37], Denmark [42],…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Viewing resilience as effective use of strategies to deal with and mitigate the impact of threats to patient safety before they escalate rather than an outcome of successful management of threats [25,23,33].…”

Section: Risk Of Biasmentioning

confidence: 99%

“…Selecting and prioritising goals in the midst of competing demands (the quality of trade-offs) [33,37].…”

Section: Risk Of Biasmentioning

confidence: 99%

“…Many studies conceptualised RHC [33,30,23,36,38,40,41,[43][44][45]47] as the ability to: 1) Monitor: monitor, predict and address critical issues by scrutinising and observing the operations in the health care system to recognise the usual culture of the system.…”

Section: Risk Of Biasmentioning

confidence: 99%

“…They found that most of the resilience characteristics were observed in the ICU. These characteristics were facilitated by a self-organisational process employed through crises after the merger, rather than intentionally being engineered in the ICU or emerging from experience [33]. observations and semi-structured interviews to understand how they dealt with variability and how this variability affected patient safety.…”

Section: Modelsmentioning

confidence: 99%

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Resilient Health Care: a systematic review of conceptualisations, study methods and factors that develop resilience.

Iflaifel

Lim

Ryan

et al. 2019

Preprint

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Background Traditional approaches to safety management in health care have focused primarily on counting errors and understanding how things go wrong. Resilient Health Care (RHC) provides an alternative complementary perspective of learning from incidents and understanding how, most of the time, work is safe. The aim of this review was to identify how RHC was conceptualised, described and interpreted, to describe the methods used to study, and to identify factors that develop RHC. Methods Electronic searches of PubMed, Scopus and Cochrane databases were performed to identify relevant peer-reviewed studies, and a hand search for studies published in books that explained how RHC as a concept was interpreted, methods used to study, and factors to develop RHC. Studies were evaluated independently by two researchers. Data was synthesised using a deductive thematic approach. Results Twenty-seven studies were included; they shared similar descriptions of RHC which was the ability to adjust its functioning prior to, during, or following events and thereby sustain required operations under both expected and unexpected conditions. Qualitative methods such as observations and interviews were used to study RHC. Models for studying RHC currently exist and were in the early stages of implementation. Effective team relationships, trade-offs and healthcare ‘resilience’ training of health care professionals were factors used to develop RHC. Conclusions Although there was consistency in the conceptualisation of RHC, methods used to study and factors to develop RHC, further research should focus on operationalising RHC assessment methods and developing, testing and evaluating interventions for developing RHC.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Risk Of Biasmentioning

confidence: 99%

“…Selecting and prioritising goals in the midst of competing demands (the quality of trade-offs) [33,37].…”

Section: Risk Of Biasmentioning

confidence: 99%

Section: Risk Of Biasmentioning

confidence: 99%

Section: Modelsmentioning

confidence: 99%

See 3 more Smart Citations

Resilient Health Care: a systematic review of conceptualisations, study methods and factors that develop resilience.

Iflaifel

Lim

Ryan

et al. 2019

Preprint

View full text Add to dashboard Cite

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Monitor, anticipate, respond, and learn: Developing and interpreting a multilayer social network of resilience abilities

et al. 2021

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Hospital management from a high reliability organizational change perspective

Eriksson

2017

IJPSM

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Purpose The purpose of this paper is to describe and analyze nurses’ perceptions and evaluations of healthcare developmental work after the introduction of Lean and Six Sigma and, how nurses aspire to maintain a high reliability organization (HRO). Design/methodology/approach Nurses’ roles and the way they respond to new efficiency and quality working methods are crucial. Underlying themes were analyzed from in-depth, semi-structured interviews with (n=17) nurses at two Swedish hospitals. Findings The nurses perceived that Lean worked better than Six Sigma, because of its bottom-up approach, and its similarities with nurses’ well-known work qualities. Nurses coordinate patients care, collaborate in teams and take leadership roles. To maintain high reliability and to become quality developers, nurses need stable resources. However, professional’s logic collides with management’s logic. Expert knowledge (top-down approach) without nurses’ local knowledge (bottom-up approach) can lead to problems. Healthcare quality methods are standardized but must be used with flexibility. However, HROs ensue not only from method quality but also from work attitudes, commitment and continuous work-improvement. Practical implications Management can support personnel in developmental work with: continuous education, training, teamwork, knowledge sharing and cooperation. Authoritarian method structures that limit the healthcare professionals’ autonomy should be softened or abandoned. Originality/value The study uses theoretical concepts from HROs, which were developed for unexpected events, to explain the consequences of implementing Lean and Six Sigma in healthcare.

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Engineering Resilience Into Intensive Care Units

Cited by 8 publications

References 0 publications

Resilient Health Care: a systematic review of conceptualisations, study methods and factors that develop resilience.

Resilient Health Care: a systematic review of conceptualisations, study methods and factors that develop resilience.

Monitor, anticipate, respond, and learn: Developing and interpreting a multilayer social network of resilience abilities

Hospital management from a high reliability organizational change perspective

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