Resilient Health Care

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

Robyn Clay-Williams*, Jeffrey Braithwaite

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Citation (Scopus)
40 Downloads (Pure)

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.

Original 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

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

Fingerprint Dive into the research topics of 'Resilient Health Care: a determinant framework for understanding variation in everyday work and designing sustainable digital health systems'. Together they form a unique fingerprint.

  • 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