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
C2 - 31411159
AN - SCOPUS:85071189718
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 -