Building clinical and organizational resilience to reconcile safety threats, tensions and trade-offs: insights from theory and evidence.

Lianne Jeffs, Deborah Tregunno, Kathleen MacMillan, Sherry Espin

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)

Abstract

Healthcare delivery settings are complex adaptive and tightly coupled, interrelated systems. Within the larger healthcare system, a key subsystem is the "clinical microsystem" level. It is at this level that clinicians are faced with high levels of uncertainty in their daily work - uncertainty that impacts the quality and safety of care that patients receive. The first aim of this paper is to enhance healthcare leaders' understanding of what is currently known about safety threats and strategies to manage the inherent tensions and trade-offs that occur in everyday practice. The second aim is to inform strategies that build clinical and organizational resilience through a multi-level framework derived from the collective theoretical and empirical work. Together, this information can strengthen safety practices throughout healthcare organizations.

Original languageEnglish
Pages (from-to)75-80
Number of pages6
JournalHealthcare quarterly (Toronto, Ont.)
Volume12 Spec No Patient
Publication statusPublished - 2009

ASJC Scopus Subject Areas

  • General Medicine

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