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 proceedingChapterpeer-review

8 Citations (Scopus)


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).
Original languageEnglish
Title of host publicationDelivering resilient health care
EditorsErik Hollnagel, Jeffrey Braithwaite, Robert Wears
Place of PublicationAbingdon, UK
PublisherRoutledge, Taylor and Francis Group
Number of pages12
ISBN (Electronic)9780429891533, 9780429469695
ISBN (Print)9781138602250, 9781138602243
Publication statusPublished - 2019


Dive into the research topics of 'Using workarounds to examine characteristics of resilience in action'. Together they form a unique fingerprint.

Cite this