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Resilient Health Care: A Determinant
Robyn CLAY-WILLIAMSa,1 and Jeffrey BRAITHWAITE a
a Macquarie University, Sydney Australia
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.
Keywords. Resilient Health Care, Patient Safety, Complex Adaptive System,
Safety-I, Safety-II
Learning objectives
After reading this chapter the reader will:
1. Understand the background to Resilient Health Care (RHC) and its historical
antecedents.
2. Appreciate the main currents and selected underlying concepts in the field,
including Safety-I and Safety-II; and Work-as-Imagined and Work-as-Done.
3. Apply knowledge about RHC to current research-based or practice-based
problems in health informatics.
4. Analyse health informatics problems in a frame that offers a more positive
vision of how safe, effective care can be delivered in complex, dynamic health
settings.
5. Consider normal variation in everyday work when designing or implementing
health informatics systems.
1 Corresponding Author, Robyn Clay-Williams, E-mail: robyn.clay-williams@mq.edu.au
Framework for Understanding Variation in
Everyday Work and Designing Sustainable
Digital Health Systems
Applied Interdisciplinary Theory in Health Informatics
P. Scott et al. (Eds.)
© 2019 The authors and IOS Press.
This article is published online with Open Access by IOS Press and distributed under the terms
of the Creative Commons Attribution Non-Commercial License 4.0 (CC BY-NC 4.0).
doi:10.3233/SHTI190118
134
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Buch Applied Interdisciplinary Theory in Health Informatics - Knowledge Base for Practitioners"
Applied Interdisciplinary Theory in Health Informatics
Knowledge Base for Practitioners
- Titel
- Applied Interdisciplinary Theory in Health Informatics
- Untertitel
- Knowledge Base for Practitioners
- Autoren
- Philip Scott
- Nicolette de Keizer
- Andrew Georgiou
- Verlag
- IOS Press BV
- Ort
- Amsterdam
- Datum
- 2019
- Sprache
- englisch
- Lizenz
- CC BY-NC 4.0
- ISBN
- 978-1-61499-991-1
- Abmessungen
- 16.0 x 24.0 cm
- Seiten
- 242
- Kategorie
- Informatik