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

Bertoni, Vanessa Becker; Saurin, Tarcísio Abreu; Fogliatto, Flávio Sanson; Falegnami, Andrea; Patriarca, Riccardo

doi:10.1016/j.ssci.2020.105148

Cited by 13 publications

(15 citation statements)

References 36 publications

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“…An advantage of the RAG is its flexibility and easy to read graphical results (resilience profile), as the organisation’s weaknesses and strengths are easily understood. Similar to our study some studies on the RAG included sub-dimensions or themes such as leadership [ 16 ], social interaction [ 38 ] and sensemaking [ 39 ] as facets to better describe the underlying construct of each potential. It is also possible to include a fifth resilience category if it is relevant to the setting.…”

Section: Discussionmentioning

confidence: 84%

The resilient potential behaviours in an Internal Medicine Department: Application of resilience assessment grid

Safi

Thude²,

Brandt³

et al. 2022

PLoS ONE

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Background The healthcare system is frequently subject to unpredictable conditions such as organisational changes and pandemics. In order to perform as required under these conditions (i.e. exhibiting resilient behaviour), it is necessary to know the current position of the organisation with respect to the four resilient potentials i.e. respond, monitor, learn and anticipate. The study aimed to understand and assess resilient performance of an Internal Medicine Department in a public hospital in Denmark using the resilience assessment grid (RAG). Methods A modified Delphi method was used to develop the context specific RAG, using interviews to generate items, two rounds of expert panel reviews and pilot testing the developed RAG questionnaire. The four sets of structured RAG questions were tested and revised until satisfactory face and content validity for application was achieved. The final version of the RAG (28-item Likert scale) questionnaire was sent electronically to 87 healthcare professionals (clinicians and managers) in January 2021 and 2022. The data was statistically analysed and illustrated in radar charts to assist in interpreting the resilience profiles. Results While the resilience profiles in 2021 and 2022 were similar, the scores in 2022 were slightly lower for some of the sub-indicators. The results indicate areas for improvement, especially related to the Internal Medicine Department’s potential to respond and learn. The results from the RAG were presented to the chief clinical consultants and managers to identify initiatives for quality improvement and for planning a new workflow at the Internal Medicine Department. Conclusion The RAG is a managerial tool to assess the potential resilient performance of the organisation in respect to the four resilience potentials, i.e., responding, monitoring, learning, and anticipating. It can be used to construct the resilience profile of the system over time to manage organisational changes.

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Section: Discussionmentioning

confidence: 84%

The resilient potential behaviours in an Internal Medicine Department: Application of resilience assessment grid

Safi

Thude²,

Brandt³

et al. 2022

PLoS ONE

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“…Sin embargo, este dominio ha sido escasamente abordado en la investigación, solo 9% (7 artículos) para resiliencia. En estos estudios destaca la intención de estudiar un mayor número de interacciones que pueden influir la forma como se hace el trabajo ("work as done") en contextos complejos y el efecto que eso puede tener en los resultados (Bertoni et al, 2021;Jatobá et al, 2016).…”

Section: Escasez De Estudios Con Una Perspectiva De Sistemasunclassified

Ergonomía en Los Sistemas De Salud De América Latina: Revisión Sistemática De La Situación Actual, Necesidades Y Desafíos Futuros

Aceves-González¹,

Landa-Avila²,

Carvalho³

et al. 2020

EIDCC

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Resumen: La ergonomía (o factores humanos) (E/FH) es una disciplina científica que ayuda a mejorar, (re)diseñar e implementar sistemas de salud resilientes y seguros que garanticen la seguridad de los pacientes y el bienestar de todos los actores involucrados. A pesar de los beneficios de integrar la E/FH en los sistemas de salud, su diseminación y aplicación en América Latina ha sido lenta. Este artículo identifica los aportes en investigación de la E/FH a los sistemas de salud de América Latina a través de una revisión sistemática de literatura. La revisión siguió las directrices PRISMA, realizando la búsqueda en inglés, español y portugués en las bases de datos Scopus, Web of Science, PubMed y Scielo. Un total de 77 artículos fueron incluidos en la revisión y analizados acorde con los cinco dominios en que se ha enfocado la E/FH en los sistemas de salud. Estos dominios incluyen: i) usabilidad de la tecnología, ii) seguridad del paciente y análisis de incidentes, iii) desempeño y seguridad de los trabajadores, iv) diseño de sistemas, y v) resiliencia de sistemas. La mayoría de los estudios se han centrado en el desempeño y seguridad de los trabajadores y la usabilidad de la tecnología; mientras que los otros tres dominios han sido menos estudiados. Lo que sugiere la necesidad de incentivar el uso de los dominios de E/FH con un enfoque de diseño de sistemas, resiliencia de sistemas y de análisis de incidentes que han demostrado ser más eficaces para mejorar los sistemas de salud.

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“…Given the challenges regarding safety, effectiveness and value shared by most healthcare systems [3,4,5], RE and RAG have garnered considerable interest. The RAG has been applied across several domains in addition to healthcare [6][7][8] to analyze and support resilience performance; these include aviation [9], air traffic management [10], nuclear power plants [11] and the water sector [12]. In healthcare, the RAG has been primarily applied in emergency care [7,13] and anesthesia departments [14].…”

Section: Introductionmentioning

confidence: 99%

The application of resilience assessment grid in healthcare: A scoping review

et al. 2022

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Background The Resilience Assessment Grid (RAG) has attracted increasing interest in recent healthcare discourse as an instrument to understand and measure the resilience performance of socio-technical systems. Despite its growing popularity in healthcare, its applicability and utility remain unclear. This scoping review aims to understand the practical application of RAG method and its outcomes in healthcare. Method We followed the Arksey and O’Malley, and the Levac and colleagues’ framework for scoping reviews and the PRISMA-ScR Checklist. We conducted searches of three electronic databases [Medline, Embase and Web of Science] in May 2021. Supplementary searches included Google Scholar, web and citation searches, and hand searches of the nine seminal edited books on Resilience Engineering and Resilient Health Care. All English language, empirical studies of RAG application in the healthcare setting were included. Open Science Framework [Registration-DOI. 10.17605/OSF.IO/GTCZ3]. Results Twelve studies met the inclusion criteria. Diversities were found across study designs and methodologies. Qualitative designs and literature reviews were most frequently used to develop the RAG and applied it in practice. Eight of the studies had qualitative designs, three studies had mixed-methods designs and one study had a quantitative design. All studies reported that the RAG was very helpful for understanding how frontline healthcare professionals manage the complexity of everyday work. While the studies gained insights from applying the RAG to analyze organizational resilience and identify areas for improvement, it was unclear how suggestions were implemented and how they contributed to quality improvement. Conclusion The RAG is a promising tool to manage some of the current and future challenges of the healthcare system. To realise the potential benefits of the RAG, it is important that we move beyond the development phase of the RAG tool and use it to guide implementation and management of quality initiatives.

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

Cited by 13 publications

References 36 publications

The resilient potential behaviours in an Internal Medicine Department: Application of resilience assessment grid

The resilient potential behaviours in an Internal Medicine Department: Application of resilience assessment grid

Ergonomía en Los Sistemas De Salud De América Latina: Revisión Sistemática De La Situación Actual, Necesidades Y Desafíos Futuros

The application of resilience assessment grid in healthcare: A scoping review

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