Resilient Health Care: a determinant framework for understanding variation in everyday work and designing sustainable digital health systems

Research output: Chapter in Book/Report/Conference proceedingChapterResearchpeer-review

Abstract

This chapter presents an overview of Resilient Health Care (RHC), introducing two aspects of RHC that are important for designing sustainable digital health systems and for considering implementation outcomes: (1) understanding how normal variation in everyday work can affect implementation of digital health interventions, and (2) the role of information systems in coping with unexpected events. The importance of considering how variation in everyday work can lead to wanted and unwanted outcomes when designing information systems is illustrated through a case study of implementation of a telehealth intervention. We examine how normal variation in everyday work can lead to both safety and error, and discuss how consideration of system resilience when designing and implementing health informatics applications can contribute to improving safety for patients in the future. How health information systems can assist organisations in coping with the unexpected is illustrated through a second case study, of a thunderstorm asthma event in Melbourne, Australia. We briefly present the thunderstorm asthma case, and discuss the role of healthcare informatics in preparing for future unexpected events affecting population health.

LanguageEnglish
Title of host publicationApplied interdisciplinary theory in health informatics
Subtitle of host publicationa knowledge base for practitioners
EditorsPhilip Scott, Nicolette de Keizer, Andrew Georgiou
Place of PublicationAmsterdam
PublisherIOS Press
Chapter12
Pages134-145
Number of pages12
ISBN (Electronic)9781614999911
ISBN (Print)9781614999904
DOIs
Publication statusPublished - Aug 2019

Publication series

NameStudies in Health Technology and Informatics
Volume263
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Fingerprint

Health care
Health
Delivery of Health Care
Informatics
Thunderstorms
Information Systems
Information systems
Asthma
Health Information Systems
Telemedicine
Patient Safety
Safety
Population

Bibliographical note

Copyright the Author(s) and IOS Press 2019. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • Complex Adaptive System
  • Patient Safety
  • Resilient Health Care
  • Safety-I
  • Safety-II

Cite this

Clay-Williams, R., & Braithwaite, J. (2019). Resilient Health Care: a determinant framework for understanding variation in everyday work and designing sustainable digital health systems. In P. Scott, N. de Keizer, & A. Georgiou (Eds.), Applied interdisciplinary theory in health informatics: a knowledge base for practitioners (pp. 134-145). (Studies in Health Technology and Informatics; Vol. 263). Amsterdam: IOS Press. https://doi.org/10.3233/SHTI190118
Clay-Williams, Robyn ; Braithwaite, Jeffrey. / Resilient Health Care : a determinant framework for understanding variation in everyday work and designing sustainable digital health systems. Applied interdisciplinary theory in health informatics: a knowledge base for practitioners. editor / Philip Scott ; Nicolette de Keizer ; Andrew Georgiou. Amsterdam : IOS Press, 2019. pp. 134-145 (Studies in Health Technology and Informatics).
@inbook{167774013ffd4b2f93c25d359071ff79,
title = "Resilient Health Care: a determinant framework for understanding variation in everyday work and designing sustainable digital health systems",
abstract = "This chapter presents an overview of Resilient Health Care (RHC), introducing two aspects of RHC that are important for designing sustainable digital health systems and for considering implementation outcomes: (1) understanding how normal variation in everyday work can affect implementation of digital health interventions, and (2) the role of information systems in coping with unexpected events. The importance of considering how variation in everyday work can lead to wanted and unwanted outcomes when designing information systems is illustrated through a case study of implementation of a telehealth intervention. We examine how normal variation in everyday work can lead to both safety and error, and discuss how consideration of system resilience when designing and implementing health informatics applications can contribute to improving safety for patients in the future. How health information systems can assist organisations in coping with the unexpected is illustrated through a second case study, of a thunderstorm asthma event in Melbourne, Australia. We briefly present the thunderstorm asthma case, and discuss the role of healthcare informatics in preparing for future unexpected events affecting population health.",
keywords = "Complex Adaptive System, Patient Safety, Resilient Health Care, Safety-I, Safety-II",
author = "Robyn Clay-Williams and Jeffrey Braithwaite",
note = "Copyright the Author(s) and IOS Press 2019. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.",
year = "2019",
month = "8",
doi = "10.3233/SHTI190118",
language = "English",
isbn = "9781614999904",
series = "Studies in Health Technology and Informatics",
publisher = "IOS Press",
pages = "134--145",
editor = "Philip Scott and {de Keizer}, Nicolette and Andrew Georgiou",
booktitle = "Applied interdisciplinary theory in health informatics",
address = "Netherlands",

}

Clay-Williams, R & Braithwaite, J 2019, Resilient Health Care: a determinant framework for understanding variation in everyday work and designing sustainable digital health systems. in P Scott, N de Keizer & A Georgiou (eds), Applied interdisciplinary theory in health informatics: a knowledge base for practitioners. Studies in Health Technology and Informatics, vol. 263, IOS Press, Amsterdam, pp. 134-145. https://doi.org/10.3233/SHTI190118

Resilient Health Care : a determinant framework for understanding variation in everyday work and designing sustainable digital health systems. / Clay-Williams, Robyn; Braithwaite, Jeffrey.

Applied interdisciplinary theory in health informatics: a knowledge base for practitioners. ed. / Philip Scott; Nicolette de Keizer; Andrew Georgiou. Amsterdam : IOS Press, 2019. p. 134-145 (Studies in Health Technology and Informatics; Vol. 263).

Research output: Chapter in Book/Report/Conference proceedingChapterResearchpeer-review

TY - CHAP

T1 - Resilient Health Care

T2 - a determinant framework for understanding variation in everyday work and designing sustainable digital health systems

AU - Clay-Williams, Robyn

AU - Braithwaite, Jeffrey

N1 - Copyright the Author(s) and IOS Press 2019. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

PY - 2019/8

Y1 - 2019/8

N2 - This chapter presents an overview of Resilient Health Care (RHC), introducing two aspects of RHC that are important for designing sustainable digital health systems and for considering implementation outcomes: (1) understanding how normal variation in everyday work can affect implementation of digital health interventions, and (2) the role of information systems in coping with unexpected events. The importance of considering how variation in everyday work can lead to wanted and unwanted outcomes when designing information systems is illustrated through a case study of implementation of a telehealth intervention. We examine how normal variation in everyday work can lead to both safety and error, and discuss how consideration of system resilience when designing and implementing health informatics applications can contribute to improving safety for patients in the future. How health information systems can assist organisations in coping with the unexpected is illustrated through a second case study, of a thunderstorm asthma event in Melbourne, Australia. We briefly present the thunderstorm asthma case, and discuss the role of healthcare informatics in preparing for future unexpected events affecting population health.

AB - This chapter presents an overview of Resilient Health Care (RHC), introducing two aspects of RHC that are important for designing sustainable digital health systems and for considering implementation outcomes: (1) understanding how normal variation in everyday work can affect implementation of digital health interventions, and (2) the role of information systems in coping with unexpected events. The importance of considering how variation in everyday work can lead to wanted and unwanted outcomes when designing information systems is illustrated through a case study of implementation of a telehealth intervention. We examine how normal variation in everyday work can lead to both safety and error, and discuss how consideration of system resilience when designing and implementing health informatics applications can contribute to improving safety for patients in the future. How health information systems can assist organisations in coping with the unexpected is illustrated through a second case study, of a thunderstorm asthma event in Melbourne, Australia. We briefly present the thunderstorm asthma case, and discuss the role of healthcare informatics in preparing for future unexpected events affecting population health.

KW - Complex Adaptive System

KW - Patient Safety

KW - Resilient Health Care

KW - Safety-I

KW - Safety-II

UR - http://www.scopus.com/inward/record.url?scp=85071189718&partnerID=8YFLogxK

U2 - 10.3233/SHTI190118

DO - 10.3233/SHTI190118

M3 - Chapter

SN - 9781614999904

T3 - Studies in Health Technology and Informatics

SP - 134

EP - 145

BT - Applied interdisciplinary theory in health informatics

A2 - Scott, Philip

A2 - de Keizer, Nicolette

A2 - Georgiou, Andrew

PB - IOS Press

CY - Amsterdam

ER -

Clay-Williams R, Braithwaite J. Resilient Health Care: a determinant framework for understanding variation in everyday work and designing sustainable digital health systems. In Scott P, de Keizer N, Georgiou A, editors, Applied interdisciplinary theory in health informatics: a knowledge base for practitioners. Amsterdam: IOS Press. 2019. p. 134-145. (Studies in Health Technology and Informatics). https://doi.org/10.3233/SHTI190118