Knowledge Elicitation for Resilience Engineering in Health Care

2015 ◽  
Vol 59 (1) ◽  
pp. 175-179 ◽  
Author(s):  
Sudeep Hegde ◽  
A. Zach Hettinger ◽  
Rollin J. Fairbanks ◽  
John Wreathall ◽  
Robert L. Wears ◽  
...  
Keyword(s):  
Health Care ◽  
Knowledge Elicitation ◽  
Resilience Engineering

Knowledge Elicitation to Understand Resilience: A Method and Findings From a Health Care Case Study

2019 ◽  
Vol 14 (1) ◽  
pp. 75-95 ◽  
Author(s):  
Sudeep Hegde ◽  
Aaron Z. Hettinger ◽  
Rollin J. Fairbanks ◽  
John Wreathall ◽  
Seth A. Krevat ◽  
...  
Keyword(s):  
Health Care ◽  
Traditional Approach ◽  
Approaches To Learning ◽  
Knowledge Elicitation ◽  
Care Providers ◽  
The Everyday ◽  
Everyday Work ◽  
The Individual ◽  
Different Levels

Resilience engineering (RE) has ushered new approaches to learning about work in complex sociotechnical systems. In terms of improving safety, RE marks a shift from the traditional approach of retrospectively investigating adverse events, toward learning proactively about patterns in everyday work, including how things go well. This study applied the RE framework to the health care domain, by developing and implementing a new knowledge-elicitation protocol to learn about how frontline care providers achieve safe and effective patient care in their everyday work. Eighteen participants, including physicians, nurses, residents, and clinical leaders from a range of specialties, were interviewed using the new protocol. Qualitative analysis of the data revealed multiple themes and patterns which underlie resilient functioning of individuals, teams, and the organization as a whole. Further, a Resilience Mapping Framework (RMF) was developed based on major thematic categories to systematically represent and map various resilient capabilities—monitoring, anticipating, responding, and learning—across different levels of system scale, from the individual to the organizational. This study demonstrates new methods to identify and represent resilience not just during salient and critical “events,” but across the continuum of situations, from the everyday “normal” functioning to the critical.

Resilience and Resilience Engineering in Health Care

2014 ◽  
Vol 40 (8) ◽  
pp. 376-383 ◽  
Author(s):  
Rollin J. Fairbanks ◽  
Robert L. Wears ◽  
David D. Woods ◽  
Erik Hollnagel ◽  
Paul Plsek ◽  
...  
Keyword(s):  
Health Care ◽  
Resilience Engineering

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

A Tribute to the Late William J. Curran

1996 ◽  
Vol 24 (3) ◽  
pp. 274-275
Author(s):  
O. Lawrence ◽  
J.D. Gostin
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
United Nations ◽  
Mental Health Care ◽  
Harvard University ◽  
Legal Medicine ◽  
General Assembly ◽  
International Institute ◽  
University Professor

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.

Health care reform and oral medicine

1994 ◽  
Vol 58 (4) ◽  
pp. 319-324 ◽  
Author(s):  
WT Williams
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
Oral Medicine

Older Americans' access to oral health care

1988 ◽  
Vol 52 (11) ◽  
pp. 637-642 ◽  
Author(s):  
TA Dolan ◽  
CR Corey ◽  
HE Freeman
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Oral Health Care ◽  
Older Americans
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