Resilient Health Care, Volume 3 Reconciling Work-as-Imagined and Work-as-Done

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.

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 Instituteof Health Innovation; director, Centre for Healthcare Resilience andImplementation Science; and professor of health systems research, Facultyof Medicine and Health Sciences, Macquarie University, Australia. Hisresearch examines the changing nature of health systems, attracting fundingof more than AU$85 million (€54 million, £42 million). He has contributedover 600 total publications and presented at international and nationalconferences 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 Journalof Quality in Health Care. He has received numerous national and internationalawards for his teaching and research. Further details are available athis Wikipedia entry: http://en.wikipedia.org/wiki/Jeffrey_Braithwaite. Heblogs at http://www.jeffreybraithwaite.com/new-blog/. Robert L. Wears, MD, PhD, MS, is an emergency physician, professor ofemergency medicine at the University of Florida and visiting professor inthe Clinical Safety Research Unit at Imperial College London. His furthertraining includes a master’s degree in computer science, a 1-year researchsabbatical focused on psychology and human factors in safety at the ImperialCollege, followed by a PhD in industrial safety from Mines ParisTech (EcoleNationale Supérieure des Mines de Paris). He serves on the board of directorsof the Emergency Medicine Patient Safety Foundation, and multipleeditorial boards, including Annals of Emergency Medicine, Human Factors and