TY - JOUR
T1 - Building clinical and organizational resilience to reconcile safety threats, tensions and trade-offs
T2 - insights from theory and evidence.
AU - Jeffs, Lianne
AU - Tregunno, Deborah
AU - MacMillan, Kathleen
AU - Espin, Sherry
PY - 2009
Y1 - 2009
N2 - 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.
AB - 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.
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M3 - Article
C2 - 19667780
AN - SCOPUS:79956342979
SN - 1710-2774
VL - 12 Spec No Patient
SP - 75
EP - 80
JO - Healthcare quarterly (Toronto, Ont.)
JF - Healthcare quarterly (Toronto, Ont.)
ER -