High-Reliability Organizing (HRO) in the COVID-19 Liminal Zone: Characteristics of Workers and Local Leaders

Stralen, van; Daved,; Thomas, Ann

doi:10.51362/neonatology.today/2021416490101

Cited by 10 publications

(11 citation statements)

References 37 publications

(39 reference statements)

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“…High-Reliability Organizing, an activity (the "verb" to organize for high reliability), engages the indeterminate, ambiguous, or illstructured problem embedded in the environment, addresses the abrupt, exigent circumstance, and responds to catastrophic failure (23,(30)(31)(32). We describe this as the VUCA-2T environment (Volatility, Uncertainty, Complexity, Ambiguity-Threat, and Time Compression, see Table 1) (24), modified from the US Army concept VUCA (33,34) and the anthropologic concept of liminality (35). Such situations do not often readily translate into straightforward problems with definitive constituents, rules, and outcomes (7,23,25).…”

Section: "Much Of the Academic Criticism Of Common Sense Is Directed At These Categorizations Of Common Sense The Visibility Of Practicalmentioning

confidence: 99%

Common Sense High Reliability Organizing (HRO) in the Response to COVID-19

Stralen

Daved

Thomas³

2021

Neonatology Today

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We find descriptions of common sense in the domains of anthropology, artificial intelligence, and psychiatry. This is the common sense for adaptation, a form of practical intelligence that better predicts success in everyday experiences, if not real-world survival. This common sense is experienced-based knowledge rather than rule-based. When unexpected situations occur, it supports continuous assessments and decisions to adjust to the conditions at hand. Overwhelmingly practical, common-sense deals with a concrete situation on its own terms. Common sense describes cultural knowledge and behaviors. Inquiry drives practical common sense.

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Section: "Much Of the Academic Criticism Of Common Sense Is Directed At These Categorizations Of Common Sense The Visibility Of Practicalmentioning

confidence: 99%

Common Sense High Reliability Organizing (HRO) in the Response to COVID-19

Stralen

Daved

Thomas³

2021

Neonatology Today

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“…The environment of VUCA-2T Elsewhere we have described the environment of practice (20), that is, the experienced environment we have in common with military operations, public safety, neonatology, critical care, medisocial work, and pediatric subacute care. We have worked closely with all these programs with a robust human behavior component in both internal and external environments, a distinguishing feature from socio-technical systems.…”

Section: Daved Van Stralen 1973mentioning

confidence: 99%

“…They remain unstudied and under-described except for and spectators. For operators, the acceptance of uncertainty and fear is unique (20), capability calibrates the threat response (3), and operators focus on possibility over probability. The more sig-ness to say, "I don't know."…”

Section: Mental Responsesmentioning

confidence: 99%

“…During the more deliberate extension of a discipline, we can identify and correct inductive errors not acting and engaging or not engaging can be equally harmful. In uncertain situations where a consequence includes death, inductive reasoning to identify 'probably correct' conclusions engenders vulnerability, which paradoxically increases safety (20). On the other hand, deductive reasoning seems a better approach as the conclusion is guaranteed to be true.…”

Section: Induction and Deductionmentioning

confidence: 99%

“…We can infer information in these situations. For that, we must ceptance and control of the feeling of fear (20), neuromodulation of stress-fear-threat (3), and social organizing to prevent the ecology of fear (11). Behaviors come in suites coordinated for various purposes (28,29).…”

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confidence: 99%

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High-Reliability Organizing (HRO) and Abrupt Change from COVID 19: Failure of Scientific Rationality and Classical Logic

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A disaster is an environmental disruption of medical care, a victim generator that disrupts the ability to treat multiple patients. Death can come from physiological, physical, social, or behavioral threats within the disaster environment. Legal or administrative definitions of disasters are necessary for out-of-area resource allocation. Topological dynamical systems describe the continuous transformations within the topological space of a disaster. A functional description of disasters focuses on the damage produced by the disaster rather than how the damage was caused. An ecological description underscores how damage creates a new environment within our familiar, formerly safe work environment. The disaster environment can have a latent effect on physiology in several ways. The disaster forms an embedded problem, an ill-structured problem embedded in the environment. We extend operations into disasters by developing capabilities rather than assessing risk.

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High-Reliability Organizing (HRO) in the COVID-19 Liminal Zone: Characteristics of Workers and Local Leaders

Cited by 10 publications

References 37 publications

Common Sense High Reliability Organizing (HRO) in the Response to COVID-19

Common Sense High Reliability Organizing (HRO) in the Response to COVID-19

High-Reliability Organizing (HRO) and Abrupt Change from COVID 19: Failure of Scientific Rationality and Classical Logic

Disaster Series: Elements of a Disaster

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