Dynamic changes in reliability and resilience in the emergency department

Robert L. Wears, Shawna J. Perry, Allyson McFauls

Research output: Chapter in Book/Report/Conference proceedingConference proceeding contributionpeer-review

6 Citations (Scopus)

Abstract

Emergency Departments (EDs) are open systems that routinely cope with highly variable and uncertain inputs. This paper will use two critical incidents to explore system adaptations to demand, complexity, unpredictability, and other threats to performance. We then relate the observations to three recently proposed graphical representations of organizational resilience: the resilience state space model; the stress-strain model of adaptation; and a dynamic model of resilience. We use these graphics to analyze the ED's response to chronic constraints and unexpected shocks. The models are found to be mutually reinforcing - each highlights some important aspects of resilience, while none capture all of the salient features.

Original languageEnglish
Title of host publication51st Annual Meeting of the Human Factors and Ergonomics Society, HFES 2007
Place of PublicationRed Hook, NY
PublisherCurran Associates Inc.
Pages612-616
Number of pages5
Volume2
ISBN (Print)9781605600376
Publication statusPublished - 2007
Externally publishedYes
Event51st Annual Meeting of the Human Factors and Ergonomics Society, HFES 2007 - Baltimore, MD, United States
Duration: 1 Oct 20075 Oct 2007

Other

Other51st Annual Meeting of the Human Factors and Ergonomics Society, HFES 2007
CountryUnited States
CityBaltimore, MD
Period1/10/075/10/07

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