RHCN Meeting August 15-17

As usual, the format of the meeting was long discussions punctuated by short presentations – continuing the practice from the previous meetings and hopefully establishing a pattern to be continued.

Sunday August 14

The purpose of the workshop was to coordinate and support the development and application of the Resilience Assessment Grid (RAG) in healthcare. The following short presentations were made:

• Hollnagel: Overview of the RAG
• Alders: A reflective process for analysing organisational resilience to improve the quality of care
• Selga: Preliminary plan for RAG activities Skåne University Hospital
• Hunte: Engineering resilience in an urban emergency department, Part 2
• Clay-Williams:
• Ros: Resilience engineering in practice. To evaluate and improve the potential for resilience at a pediatric ward

Monday August 15

• Hollnagel and von Plessen: Welcome and intro.
• Braithwaite: RHCN at five: How have we done so far?
• Sheps & Wears: Practical Resilience: Misapplication of an Important Concept.
• Hounsgaard: What do adjustments look like and how can they trigger functional resonance in a complex socio-technical system?
• Brezicka et al.: FRAM of two complex systems in health-care processes: fetal monitoring at a maternity unit and outpatient care of patients with affective psychiatric disorder.
• Horsley & Zijdel: Changing the context: the challenge of resilient healthcare and regulation.
• Anderson et al.: Resilience Engineering as a quality improvement method: Insights from a research programme.
• Deutsch, Fairbanks & Patterson: Safety II: Actuated.

Workshop: Towards a movement

• Johnson, Lane & Clay-Williams: Towards a Resilient Health Care Network.
• Robson: Untangling Conflict in Healthcare.
• Zhuravsky: Creating Resilience in Health Care Organizations. Role of Shared Leadership in Realigning a Gap between Work as Imagined and Work as Done.
• Axelsson: Resilience and FRAM – practical examples in different educations.

Tuesday August 16

• Løfquist: Resilient leadership: Exploring the most appropriate leadership style for resilient organizations within the health care sector. Paper
• Hedge, Jackson: Characterising the Resilience of Operating Room Floor Managers.
• Sujan, Rahman: The role of trust in facilitating resilient health care.
• Dieckmann, Clemmensen & Lahlou: How the medication room really dispenses the medication. Paper
• Hunte & Wears: The primacy of practice in resilience engineering.
• Wears & Morrison: What underlies resilience in emergency departments?
• Canfield: The Resilient Patient: you don’t know the half of it!
• Back et al.: Improving the adaptive capacity of elderly care pathways in a large NHS hospital.

Wednesday August 17

• Hollnagel: The RAG collaboration -report from the workshop Sunday August 14.
• Nakajima, Nakajima & Tokunaga: Identifying patterns in collective and individual behaviour of clinicians and patients: three case studies on patient safety, polypharmacy, and diabetes treatment.
• Clay-Williams et al.: Resilience in acute health care: implementation of an ICU intervention – Part 2.
• Hybinette & Ekstedt: An ordinary Sunday – Managing for adaptation in uncertain work settings; graphing adaptive sequences to reveal work as done.
• Saurin, Basso & Soliman: A framework for the assessment of slack: a study of a maternity.
• Questions for the RHC Lab (feedback from participants).
• Summary of group discussions.
• Wears: Where do we go from here?
• Hunte: Next stop Vancouver

Programme Committee

• Professor Jeffrey Braithwaite (Australia)
• Dr. Göran Henriks (Sweden)
• Professor Erik Hollnagel (Denmark)
• Dr. Rob Robson (Canada)
• Professor Robert Wears (USA)