Abstract
Patient care, particularly care for acute patients, relies on improving healthcare’s ability to anticipate surprising challenges and develop greater flexibility, making it easier to adapt when challenges occur. Use of simulation can expand the understanding of performance limits, safety margins, what happens when margins are violated, and how to change based on the understanding that comes from such efforts. Simulation affords the opportunity to explore how things actually work, as well as new possibilities and options to organize and perform work. In this way, simulation makes it possible to examine and understand healthcare performance variability and adaptability. This chapter describes how simulation can be used to analyze and design healthcare systems that promote resilient performance. It includes an example of usability assessment (which is a form of simulation) to develop a new healthcare decision support system. It also shows how that system contributes to resilient performance in the Burn Intensive Care Unit (ICU), which cares for patients afflicted with chemical, mechanical or electrical burns or burn-like diseases of the skin such as toxic epidermal necrolysis (TEN).
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Nemeth, C., Hunte, G. (2021). Foresight: How Simulation Can Promote Resilient Performance. In: Deutsch, E.S., Perry, S.J., Gurnaney, H.G. (eds) Comprehensive Healthcare Simulation: Improving Healthcare Systems. Comprehensive Healthcare Simulation. Springer, Cham. https://doi.org/10.1007/978-3-030-72973-8_5
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