Abstract
As healthcare strives to improve its reliability, we seek to inform healthcare systems with perspectives beyond prescription and compliance. This paper describes states of Readiness for gauging preparedness at different structural levels to facilitate strategic planning toward continuous improvement. Healthcare systems of all sizes and complexities can utilize the concept of Readiness to prioritize preparation required to anticipate change and adapt to variability associated with delivery of safe and effective healthcare by building on approaches experienced by the author in designing, training for, and conducting complex Space operations.
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References
Curtis, B., Hefley, B., Sally Miller, S.: People capability maturity model (P-CMM) version 2.0. No. CMU/SEI-2009-TR-003. Carnegie-Mellon University Software Engineering Institute, Pittsburgh (2009)
Hirshorn, S.R., Voss, L.D., Bromley, L.K.: NASA systems engineering handbook (2017)
Boin, A., Schulman, P.: Assessing NASA’s safety culture: the limits and possibilities of high-reliability theory. Public Adm. Rev. 68(6), 1050–1062 (2008)
Conklin, T.: Pre-accident Investigations: An Introduction to Organizational Safety. CRC Press, Boca Raton (2012)
Hollnagel, E.: Is safety a subject for science? Saf. Sci. 67, 21–24 (2014)
Dekker, S.: The Field Guide to Understanding Human Error, p. 25. Ashgate Publishing, Ltd., Farnham (2006)
Fairbanks, R.J., Wears, R.L., Woods, D.D., Hollnagel, E., Plsek, P., Cook, R.I.: Resilience and resilience engineering in health care. Jt Comm. J. Qual. Patient Saf. 40(8), 376–383 (2014)
Weick, K.E., Kathleen, M.S.: Managing the Unexpected—Assuring High Performance in an Age of Complexity. Jossey-Bass, San Francisco (2001)
Litaker, D., Tomolo, A., Liberatore, V., Stange, K.C., Aron, D.: Using complexity theory to build interventions that improve health care delivery in primary care. J. Gen. Intern. Med. 21(2), S30 (2006)
Acknowledgments
We would like to thank everybody at the Veterans Health Administration National Center for Patient Safety for their commitment to patient safety. There were no relevant financial relationships or any source of support in the forms of grants, equipment, or drugs. The authors declare no conflict of interest. The opinions expressed in this article are those of the authors and do not necessarily represent those of the Department of Veterans Affairs.
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Bagian, T.M., Fuller, H.J.A., Arnold, T. (2020). Systems Engineering for Healing Healthcare: The Journey from Compliance to Resilience. In: Kalra, J., Lightner, N. (eds) Advances in Human Factors and Ergonomics in Healthcare and Medical Devices. AHFE 2020. Advances in Intelligent Systems and Computing, vol 1205. Springer, Cham. https://doi.org/10.1007/978-3-030-50838-8_8
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DOI: https://doi.org/10.1007/978-3-030-50838-8_8
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