Dynamic changes in reliability and resilience in the emergency department

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

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 proceeding › Conference proceeding contribution › peer-review

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 language	English
Title of host publication	51st Annual Meeting of the Human Factors and Ergonomics Society, HFES 2007
Place of Publication	Red Hook, NY
Publisher	Curran Associates Inc.
Pages	612-616
Number of pages	5
Volume	2
ISBN (Print)	9781605600376
Publication status	Published - 2007
Externally published	Yes
Event	51st Annual Meeting of the Human Factors and Ergonomics Society, HFES 2007 - Baltimore, MD, United States Duration: 1 Oct 2007 → 5 Oct 2007

Other

Other	51st Annual Meeting of the Human Factors and Ergonomics Society, HFES 2007
Country/Territory	United States
City	Baltimore, MD
Period	1/10/07 → 5/10/07

Cite this

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title = "Dynamic changes in reliability and resilience in the emergency department",

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.",

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Dynamic changes in reliability and resilience in the emergency department. / Wears, Robert L.; Perry, Shawna J.; McFauls, Allyson.
51st Annual Meeting of the Human Factors and Ergonomics Society, HFES 2007. Vol. 2 Red Hook, NY: Curran Associates Inc., 2007. p. 612-616.

Research output: Chapter in Book/Report/Conference proceeding › Conference proceeding contribution › peer-review

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AU - Perry, Shawna J.

AU - McFauls, Allyson

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N2 - 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.

AB - 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.

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M3 - Conference proceeding contribution

AN - SCOPUS:58149465218

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BT - 51st Annual Meeting of the Human Factors and Ergonomics Society, HFES 2007

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T2 - 51st Annual Meeting of the Human Factors and Ergonomics Society, HFES 2007

Y2 - 1 October 2007 through 5 October 2007

ER -

Dynamic changes in reliability and resilience in the emergency department

Abstract

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