Resilient Health Care, Volume 3: Reconciling Work-as-Imagined and Work-as-Done

Resilient Health Care, Volume 3: Reconciling Work-as-Imagined and Work-as-Done


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Product Details

ISBN-13: 9781498780568
Publisher: Taylor & Francis
Publication date: 08/25/2016
Pages: 236
Product dimensions: 6.12(w) x 9.25(h) x (d)

About the Author

Jeffrey Braithwaite, BA, MIR (Hons), MBA, DipLR, PhD, FAIM, FCHSM,

FFPHRCP (UK), FAcSS (UK), is foundation director, Australian Institute

of Health Innovation; director, Centre for Healthcare Resilience and

Implementation Science; and professor of health systems research, Faculty

of Medicine and Health Sciences, Macquarie University, Australia. His

research examines the changing nature of health systems, attracting funding

of more than AU$85 million (€54 million, £42 million). He has contributed

over 600 total publications and presented at international and national

conferences on more than 800 occasions, including 80 keynote addresses.

His research appears in journals such as the British Medical Journal, The Lancet,

Social Science and Medicine, BMJ Quality and Safety and the International Journal

of Quality in Health Care. He has received numerous national and international

awards for his teaching and research. Further details are available at

his Wikipedia entry: He

blogs at


Robert L. Wears, MD, PhD, MS, is an emergency physician, professor of

emergency medicine at the University of Florida and visiting professor in

the Clinical Safety Research Unit at Imperial College London. His further

training includes a master’s degree in computer science, a 1-year research

sabbatical focused on psychology and human factors in safety at the Imperial

College, followed by a PhD in industrial safety from Mines ParisTech (Ecole

Nationale Supérieure des Mines de Paris). He serves on the board of directors

of the Emergency Medicine Patient Safety Foundation, and multiple

editorial boards, including Annals of Emergency Medicine, Human Factors and

Ergonomics, Journal of Patient Safety and International Journal of Risk and Safety

in Medicine. Wears has co-edited three books, Patient Safety in Emergency

Medicine, Resilient Health Care and The Resilience of Everyday Clinical Work, and

he is working on two more. His research interests include technical work

studies, resilience engineering and patient safety as a social movement.

His research papers and commentaries have appeared in JAMA, Annals of

Emergency Medicine, Safety Science, BMJ Quality and Safety, Cognition Technology

and Work, Applied Ergonomics and Reliability Engineering and Safety Science.


Erik Hollnagel, MSc, PhD, is a professor at the Institute of Regional Health

Research, University of Southern Denmark, chief consultant at the Centre

for Quality, Region of Southern Denmark, visiting professor at the Centre for

Healthcare Resilience and Implementation Science, Macquarie University,

Australia, and professor emeritus at the Department of Computer Science,

University of Linköping, Sweden. He has through his career worked at

xii Editors universities, research centres and industries in several countries and with

problems from many domains including nuclear power generation, aerospace

and aviation, software engineering, land-based traffic and health care.

His professional interests include industrial safety, resilience engineering,

patient safety, accident investigation and modelling large-scale sociotechnical

systems. He has published widely and is the author or editor of 22 books,

including five books on resilience engineering, as well as a large number of

papers and book chapters. The latest titles, from Ashgate, are Safety-I and

Safety-II: The Past and Future of Safety Management, Resilient Health Care, The

Resilience of Everyday Clinical Work, FRAM – The Functional Resonance Analysis

Method and Resilience Engineering in Practice: A Guidebook. Hollnagel also

coordinates the Resilient Health Care Net (http://www.resilienthealthcare.

net) and the FRAMily (

Table of Contents




Prologue: Why Do Our Expectations of How Work Should Be Done

Never Correspond Exactly to How Work Is Done?

Part I Problems and Issues

Jeffrey Braithwaite, Robert L. Wears and Erik Hollnagel

1. Towards a Resilient and Lean Health Care

Tarcisio Abreu Saurin, Caroline Brum Rosso and Lacey Colligan

2. The Jack Spratt Problem: The Potential Downside of Lean

Application in Health Care – A Threat to Safety II

Sam Sheps and Karen Cardiff

3. Recovery to Resilience: A Patient Perspective

Carolyn Canfield

4. Is System Resilience Maintained at the Expense of Individual


Anne-Sophie Nyssen and Pierre Bérastégui

5. Challenges in Implementing Resilient Health Care

Sheuwen Chuang and Erik Hollnagel

Part II Applications

Jeffrey Braithwaite, Robert L. Wears and Erik Hollnagel

6. Exploring Ways to Capture and Facilitate Work-as-Done

That Interact with Health Information Technology

Kazue Nakajima, Shinichi Masuda and Shin Nakajima

7. Resilience Work-as-Done in Everyday Clinical Work

Andrew Johnson and Paul Lane

vi Contents

8. Understanding Resilient Clinical Practices in Emergency

Department Ecosystems

Jeffrey Braithwaite, Robyn Clay-Williams, Garth S. Hunte

and Robert L. Wears

9. Reporting and Learning: From Extraordinary to Ordinary

Mark A. Sujan, Simone Pozzi and Carlo Valbonesi

10. Reflections on Resilience: Repertoires and System Features

Richard I. Cook and Mirjam Ekstedt

11. Power and Resilience in Practice: Fitting a ‘Square Peg in

a Round Hole’ in Everyday Clinical Work

Garth S. Hunte and Robert L. Wears

Part III Methods and Solutions

Jeffrey Braithwaite, Robert L. Wears and Erik Hollnagel

12. Modelling Resilience and Researching the Gap between

Work-as-Imagined and Work-as-Done

Janet E. Anderson, Alastair J. Ross and Peter Jaye

13. Simulation: Closing the Gap between Work-as-Imagined

and Work-as-Done

Mary Patterson, Ellen S. Deutsch and Lisa Jacobson

14. Realigning Work-as-Imagined and Work-as-Done:

Can Training Help?

Robyn Clay-Williams and Jeffrey Braithwaite

15. Resilient Procedures: Oxymoron or Innovation?

Robert L. Wears and Garth S. Hunte

16. Conclusion: Pathways Towards Reconciling WAI and WAD

Jeffrey Braithwaite, Robert L. Wears and Erik Hollnagel



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