Ironies of improvement: Organizational factors undermining resilient performance in healthcare

Shawna Perry; Sandra McDonald; Brandon Anderson; Thang Tran; Robert Wears

doi:10.1109/ICSMC.2007.4414202

Ironies of improvement: Organizational factors undermining resilient performance in healthcare

Shawna Perry^*, Sandra McDonald, Brandon Anderson, Thang Tran, Robert Wears

^*Corresponding author for this work

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

1 Citation (Scopus)

Abstract

Pressures for improved safety and performance in healthcare often are addressed by the imposition of tighter control over processes directed at producing "perfect performance of work." A series of near-miss incidents related to a routine hospital procedure demonstrates how these efforts can yield unintended and unappreciated consequences, undermining system resilience and safety despite the best of intentions. Attention to conflicts between goals and tasks across the organization and the role of workers in creating resilience are overlooked as contributors to system safety.

Original language	English
Title of host publication	2007 IEEE International Conference on Systems, Man, and Cybernetics, SMC 2007
Pages	3413-3417
Number of pages	5
DOIs	https://doi.org/10.1109/ICSMC.2007.4414202
Publication status	Published - 2007
Externally published	Yes
Event	2007 IEEE International Conference on Systems, Man, and Cybernetics, SMC 2007 - Montreal, QC, Canada Duration: 7 Oct 2007 → 10 Oct 2007

Other

Other	2007 IEEE International Conference on Systems, Man, and Cybernetics, SMC 2007
Country/Territory	Canada
City	Montreal, QC
Period	7/10/07 → 10/10/07

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10.1109/ICSMC.2007.4414202

Cite this

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title = "Ironies of improvement: Organizational factors undermining resilient performance in healthcare",

abstract = "Pressures for improved safety and performance in healthcare often are addressed by the imposition of tighter control over processes directed at producing {"}perfect performance of work.{"} A series of near-miss incidents related to a routine hospital procedure demonstrates how these efforts can yield unintended and unappreciated consequences, undermining system resilience and safety despite the best of intentions. Attention to conflicts between goals and tasks across the organization and the role of workers in creating resilience are overlooked as contributors to system safety.",

author = "Shawna Perry and Sandra McDonald and Brandon Anderson and Thang Tran and Robert Wears",

year = "2007",

doi = "10.1109/ICSMC.2007.4414202",

language = "English",

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pages = "3413--3417",

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note = "2007 IEEE International Conference on Systems, Man, and Cybernetics, SMC 2007 ; Conference date: 07-10-2007 Through 10-10-2007",

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Perry, S, McDonald, S, Anderson, B, Tran, T & Wears, R 2007, Ironies of improvement: Organizational factors undermining resilient performance in healthcare. in 2007 IEEE International Conference on Systems, Man, and Cybernetics, SMC 2007., 4414202, pp. 3413-3417, 2007 IEEE International Conference on Systems, Man, and Cybernetics, SMC 2007, Montreal, QC, Canada, 7/10/07. https://doi.org/10.1109/ICSMC.2007.4414202

Ironies of improvement: Organizational factors undermining resilient performance in healthcare. / Perry, Shawna; McDonald, Sandra; Anderson, Brandon et al.
2007 IEEE International Conference on Systems, Man, and Cybernetics, SMC 2007. 2007. p. 3413-3417 4414202.

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

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Ironies of improvement: Organizational factors undermining resilient performance in healthcare

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