Resilience and precarious success

Title

Resilience and precarious success

Creator

Patterson M D; Wears R L

Publisher

Reliability Engineering & System Safety

Date

2015
2015-09

Description

This paper presents an empirical case study to illustrate, corroborate, and perhaps extend some key generalizations about resilient performance in complex adaptive systems. The setting is a pediatric hematology/oncology pharmacy, a complex system embedded in the larger complex of the hospital, which provides chemotherapy and other high risk medications to children with cancer, sickle cell disease and autoimmune disorders. Recently the demands placed on this system have dramatically intensified while the resources allocated to the system have remained static. We describe the adaptations of this system in response to this additional stress. In addition, we discuss the risks associated with miscalibration about the system's adaptive capacity, and the tradeoff between the need to invest in adaptive capacity (to sustain performance when the system is stressed) versus the need to invest in efficient production (to sustain performance under normal circumstances and economic pressures). (C) 2015 Elsevier Ltd. All rights reserved.

Subject

Adaptive capacity; chemotherapy; Engineering; Habituation; Health care; hospitals; Miscalibration; Operations Research & Management Science; performance; Resilience

Format

Journal Article

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Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

45-53

Volume

141

Citation

Patterson M D; Wears R L, “Resilience and precarious success,” NEOMED Bibliography Database, accessed December 5, 2021, https://neomed.omeka.net/items/show/6741.

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