Using workarounds to examine characteristics of resilience in action

Deborah Debono, Robyn Clay-Williams, Natalie Taylor, David Greenfield, Deborah Black, Jeffrey Braithwaite

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

Abstract

Health care organisations (Jordon et al., 2010; Sittig and Singh, 2010) and the profession of nursing (Chaffee and McNeill, 2007) have been characterised as complex adaptive systems (Braithwaite et al., 2013), with uneven and undulating demands and barriers to delivering care. Every day across the world millions of clinicians deliver safe patient care. They do this within complex systems that use traditional approaches to patient safety, approaches that apply linear type solutions to a complex adaptive system, in an attempt to constrain and avoid variability. These solutions often include policies, rules, regulations and technology developed to enforce standardisation of clinical practice. An ability to adapt, predict, adjust and compensate for system barriers and shortcomings are characteristics of experienced and resilient employees (Tucker and Edmondson, 2003; Hollnagel, Braithwaite and Wears, 2013c; Wears, Hollnagel and Braithwaite, 2015a; Braithwaite, Wears and Hollnagel, 2017).
LanguageEnglish
Title of host publicationDelivering resilient health care
EditorsErik Hollnagel, Jeffrey Braithwaite, Robert Wears
Place of PublicationAbingdon, UK
PublisherRoutledge, Taylor and Francis Group
Chapter5
Pages44-55
Number of pages12
Volume4
ISBN (Electronic)9780429891533, 9780429469695
ISBN (Print)9781138602250, 9781138602243
Publication statusPublished - 2019

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Patient Safety
Patient Care
Nursing
Organizations
Technology
Delivery of Health Care

Cite this

Debono, D., Clay-Williams, R., Taylor, N., Greenfield, D., Black, D., & Braithwaite, J. (2019). Using workarounds to examine characteristics of resilience in action. In E. Hollnagel, J. Braithwaite, & R. Wears (Eds.), Delivering resilient health care (Vol. 4, pp. 44-55). Abingdon, UK: Routledge, Taylor and Francis Group.
Debono, Deborah ; Clay-Williams, Robyn ; Taylor, Natalie ; Greenfield, David ; Black, Deborah ; Braithwaite, Jeffrey. / Using workarounds to examine characteristics of resilience in action. Delivering resilient health care. editor / Erik Hollnagel ; Jeffrey Braithwaite ; Robert Wears. Vol. 4 Abingdon, UK : Routledge, Taylor and Francis Group, 2019. pp. 44-55
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Debono, D, Clay-Williams, R, Taylor, N, Greenfield, D, Black, D & Braithwaite, J 2019, Using workarounds to examine characteristics of resilience in action. in E Hollnagel, J Braithwaite & R Wears (eds), Delivering resilient health care. vol. 4, Routledge, Taylor and Francis Group, Abingdon, UK, pp. 44-55.

Using workarounds to examine characteristics of resilience in action. / Debono, Deborah; Clay-Williams, Robyn; Taylor, Natalie; Greenfield, David; Black, Deborah; Braithwaite, Jeffrey.

Delivering resilient health care. ed. / Erik Hollnagel; Jeffrey Braithwaite; Robert Wears. Vol. 4 Abingdon, UK : Routledge, Taylor and Francis Group, 2019. p. 44-55.

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

TY - CHAP

T1 - Using workarounds to examine characteristics of resilience in action

AU - Debono, Deborah

AU - Clay-Williams, Robyn

AU - Taylor, Natalie

AU - Greenfield, David

AU - Black, Deborah

AU - Braithwaite, Jeffrey

PY - 2019

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N2 - Health care organisations (Jordon et al., 2010; Sittig and Singh, 2010) and the profession of nursing (Chaffee and McNeill, 2007) have been characterised as complex adaptive systems (Braithwaite et al., 2013), with uneven and undulating demands and barriers to delivering care. Every day across the world millions of clinicians deliver safe patient care. They do this within complex systems that use traditional approaches to patient safety, approaches that apply linear type solutions to a complex adaptive system, in an attempt to constrain and avoid variability. These solutions often include policies, rules, regulations and technology developed to enforce standardisation of clinical practice. An ability to adapt, predict, adjust and compensate for system barriers and shortcomings are characteristics of experienced and resilient employees (Tucker and Edmondson, 2003; Hollnagel, Braithwaite and Wears, 2013c; Wears, Hollnagel and Braithwaite, 2015a; Braithwaite, Wears and Hollnagel, 2017).

AB - Health care organisations (Jordon et al., 2010; Sittig and Singh, 2010) and the profession of nursing (Chaffee and McNeill, 2007) have been characterised as complex adaptive systems (Braithwaite et al., 2013), with uneven and undulating demands and barriers to delivering care. Every day across the world millions of clinicians deliver safe patient care. They do this within complex systems that use traditional approaches to patient safety, approaches that apply linear type solutions to a complex adaptive system, in an attempt to constrain and avoid variability. These solutions often include policies, rules, regulations and technology developed to enforce standardisation of clinical practice. An ability to adapt, predict, adjust and compensate for system barriers and shortcomings are characteristics of experienced and resilient employees (Tucker and Edmondson, 2003; Hollnagel, Braithwaite and Wears, 2013c; Wears, Hollnagel and Braithwaite, 2015a; Braithwaite, Wears and Hollnagel, 2017).

M3 - Chapter

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SN - 9781138602243

VL - 4

SP - 44

EP - 55

BT - Delivering resilient health care

A2 - Hollnagel, Erik

A2 - Braithwaite, Jeffrey

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Debono D, Clay-Williams R, Taylor N, Greenfield D, Black D, Braithwaite J. Using workarounds to examine characteristics of resilience in action. In Hollnagel E, Braithwaite J, Wears R, editors, Delivering resilient health care. Vol. 4. Abingdon, UK: Routledge, Taylor and Francis Group. 2019. p. 44-55