Preface Editors Contributors Prologue: Why Do Our Expectations of How Work Should Be Done Never Correspond Exactly to How Work Is Done? Part I Problems and Issues Jeffrey Braithwaite, Robert L. Wears and Erik Hollnagel 1. Towards a Resilient and Lean Health Care Tarcisio Abreu Saurin, Caroline Brum Rosso and Lacey Colligan 2. The Jack Spratt Problem: The Potential Downside of Lean Application in Health Care – A Threat to Safety II Sam Sheps and Karen Cardiff 3. Recovery to Resilience: A Patient Perspective Carolyn Canfield 4. Is System Resilience Maintained at the Expense of Individual Resilience? Anne-Sophie Nyssen and Pierre Bérastégui 5. Challenges in Implementing Resilient Health Care Sheuwen Chuang and Erik Hollnagel Part II Applications Jeffrey Braithwaite, Robert L. Wears and Erik Hollnagel 6. Exploring Ways to Capture and Facilitate Work-as-Done That Interact with Health Information Technology Kazue Nakajima, Shinichi Masuda and Shin Nakajima 7. Resilience Work-as-Done in Everyday Clinical Work Andrew Johnson and Paul Lane vi Contents 8. Understanding Resilient Clinical Practices in Emergency Department Ecosystems Jeffrey Braithwaite, Robyn Clay-Williams, Garth S. Hunte and Robert L. Wears 9. Reporting and Learning: From Extraordinary to Ordinary Mark A. Sujan, Simone Pozzi and Carlo Valbonesi 10. Reflections on Resilience: Repertoires and System Features Richard I. Cook and Mirjam Ekstedt 11. Power and Resilience in Practice: Fitting a ‘Square Peg in a Round Hole’ in Everyday Clinical Work Garth S. Hunte and Robert L. Wears Part III Methods and Solutions Jeffrey Braithwaite, Robert L. Wears and Erik Hollnagel 12. Modelling Resilience and Researching the Gap between Work-as-Imagined and Work-as-Done Janet E. Anderson, Alastair J. Ross and Peter Jaye 13. Simulation: Closing the Gap between Work-as-Imagined and Work-as-Done Mary Patterson, Ellen S. Deutsch and Lisa Jacobson 14. Realigning Work-as-Imagined and Work-as-Done: Can Training Help? Robyn Clay-Williams and Jeffrey Braithwaite 15. Resilient Procedures: Oxymoron or Innovation? Robert L. Wears and Garth S. Hunte 16. Conclusion: Pathways Towards Reconciling WAI and WAD Jeffrey Braithwaite, Robert L. Wears and Erik Hollnagel References Index