Title
Resilience is not control: healthcare, crisis management, and ICT
Abstract
Like other high hazard sectors, successful crisis response relies on a well-founded understanding of the work domain and the manner in which operators perceive and deal with obstacles to achieving goals. That understanding is essential to the development of information and communications technology (ICT) that are intended to support operator performance. While crises are uncommon in other high hazard sectors such as nuclear power generation and aviation, acute and ambulatory healthcare work encounters life-and-death crises daily. This makes healthcare a useful living laboratory to develop ICT in order to manage crises. This paper shows how healthcare organizations that continually deal with complex, uncertain, high-tempo operations can serve as a model to develop ICT that supports crisis management. We illustrate the results of using these methods through an example of cognitive systems engineering research that identifies ambulatory care risks to patients. We then describe multiple methods that can be used together to efficiently study complex, high hazard work settings. We conclude with an example of how it can support the development of a cognitive aid for diabetic care to support work in that setting.
Year
DOI
Venue
2011
10.1007/s10111-011-0174-7
Cognition, Technology & Work
Keywords
DocType
Volume
high hazard work setting,crisis management,high hazard sector,diabetic care,ambulatory healthcare work,ambulatory care risk,cognitive systems engineering research,cognitive aid,healthcare organization,work domain,cognitive systems engineering resilience information technology communications technology healthcare,information technology,resilience,communications technology,healthcare
Journal
13
Issue
ISSN
Citations 
3
1435-5566
11
PageRank 
References 
Authors
0.79
7
5
Name
Order
Citations
PageRank
Christopher P. Nemeth19412.40
Robert L. Wears211710.94
Sachin Patel3233.04
Greg Rosen4110.79
Richard I. Cook519037.51