Modelling interactions between procedures and resilience skills. (April 2018)

• Record Type: Journal Article
• Authors: Wachs, Priscila; Saurin, Tarcisio Abreu
• Is Part Of: Applied ergonomics. Volume 68(2018)
• Page Start: 328
• Page End: 337
• Publication Date: 2018-04
• Subjects: Procedures -- Resilience skills -- Resources for action -- Preparation and administration of medications; Human engineering -- Periodicals; 620.82
• DOI: 10.1016/j.apergo.2017.12.013
• Languages: English
• ISSNs: 0003-6870

Abstract

Abstract: Although work in complex socio-technical systems needs support from several "resources for action", the interactions between these are not usually managed systematically. This study introduces a six-step framework for analyzing the interactions between two key resources for action, namely the use of standardized operating procedures and resilience skills (RSs). The main steps for applying the framework involve: (i) a content analysis of the procedure, which allows for the identification of underspecified rules and situations that could be emphasized in scenario-based training focused on developing RSs; and (ii) the identification of factors that set the stage for the emergence of RSs, which could be accounted for by procedures and the broader work system design. An application of the framework is presented in the preparation and administration of intravenous medications in an emergency department. Data collection involved 98 h of observations, 14 interviews, and document analysis. Based on this field study, a model of the interactions between procedures and RSs is proposed as well as the lessons learned from applying the framework are discussed. Highlights: A framework for modelling interactions between procedures and resilience skills is presented. A "resources for action" (RfA) perspective of procedures and resilience skills is used. An application of the framework in healthcare is presented Lessons learned are discussed.