Creating Resilient IT: How the Sign-Out Sheet Shows How Clinicians Make Healthcare Work
InformationChristopher Nemeth, MD (bio)
April 20 2007
Healthcare is variable, contingent, complex, evanescent work domain. Systems such as information technology (IT) that are intended to support healthcare are often brittle; unable to adapt in the face of such change. Clinicians have developed subtle and well-tuned ways to match resources to variation in demand volume and quality.
Their initiatives make it possible for healthcare teams to adapt and survive despite challenges…to be resilient. System developers can learn about how healthcare workers perform in such settings, but need appropriate methods to be effective and efficient. The study of cognitive artifacts can reveal meaningful information about the healthcare setting and how clinicians create resilience. Insights from such research are way to develop resilient systems and to improve healthcare safety.