Advancing Resilient Performance PDF
Preview Advancing Resilient Performance
Christopher P. Nemeth Erik Hollnagel Eds. Advancing Resilient Performance Advancing Resilient Performance Christopher P. Nemeth • Erik Hollnagel Editors Advancing Resilient Performance Editors Christopher P. Nemeth Erik Hollnagel Applied Research Associates, Inc Macquarie University Albuquerque, NM, USA Sydney, Australia ISBN 978-3-030-74688-9 ISBN 978-3-030-74689-6 (eBook) https://doi.org/10.1007/978-3-030-74689-6 © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland To the frontline workers who daily anticipate what may be needed and create the resilient performance this text advocates. Contents From Resilience Engineering to Resilient Performance . . . . . . . . . . . . . . . 1 Erik Hollnagel and Christopher P. Nemeth Development of Resilience Engineering on Worksites . . . . . . . . . . . . . . . . . 11 Akinori Komatsubara Fatigue Risk Management System as a Practical Approach to Improve Resilience in 24/7 Operations . . . . . . . . . . . . . . . . . . 27 Pierre Bérastégui and Anne-Sophie Nyssen Using the Resilience Assessment Grid to Analyse and Improve Organisational Resilience of a Hospital Ward . . . . . . . . . . . . 41 Matthew Alders, Anne Marie Rafferty, and Janet E. Anderson Learning from Everyday Work: Making Organisations Safer by Supporting Staff in Sharing Lessons About Their Everyday Trade-offs and Adaptations . . . . . . . . . . . . . . . . . . . . . . . . 55 Mark Sujan Reflections on the Experience of Introducing a New Learning Tool in Hospital Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . 71 Sudeep Hegde and Cullen D. Jackson Resilient Performance in Aviation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85 Meredith Carroll and Shem Malmquist Assessing the Impacts of Ship Automation Using the Functional Resonance Analysis Method . . . . . . . . . . . . . . . . . . . 97 Pedro Ferreira and Gesa Praetorius A Methodological Framework for Assessing and Improving the Capacity to Respond to the Diversity of Situations That May Arise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115 Eric Rigaud vii viii Contents Addressing Structural Secrecy as a Way of Nurturing Resilient Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133 Alexander Cedergren and Henrik Hassel The Second Step: Surprise Is Inevitable. Now What? . . . . . . . . . . . . . . . . . 145 Beth Lay and Asher Balkin Quo Vadis? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157 Erik Hollnagel and Christopher P. Nemeth Contributors Matthew Alders King’s College London, London, UK Janet E. Anderson King’s College London, London, UK Asher Balkin The Ohio State University, Columbus, OH, USA Pierre Bérastégui University of Liège, Liège, Belgium Meredith Carroll Florida Institute of Technology, Melbourne, FL, USA Alexander Cedergren Lund University, Lund, Sweden Pedro Ferreira CENTEC – University of Lisbon, Lisbon, Portugal Erik Hollnagel Macquarie University, Sydney, Australia Henrik Hassel Lund University, Lund, Sweden Sudeep Hegde Clemson University, Clemson, South Carolina, United States Cullen D. Jackson Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA Akinori Komatsubara Waseda University, Tokyo, Japan Beth Lay Lewis Tree Service, West Henrietta, NY, USA Shem Malmquist Florida Institute of Technology, Melbourne, FL, USA Christopher P. Nemeth Applied Research Associates, Inc, Albuquerque, NM, USA Anne-Sophie Nyssen University of Liège, Liège, Belgium Gesa Praetorius Linnaeus University, University of South-Eastern Norway, Notodden, Norway Anne Marie Rafferty King’s College London, London, UK Eric Rigaud MINES Paris Tech, PSL-Research University, CRC, Paris, France Mark Sujan Human Factors Everywhere, Ltd., Woking, London, UK ix About the Editors Erik Hollnagel is visiting professorial fellow, Macquarie University (Australia); and visiting fellow, Institute for Advanced Study, Technische Universität München (Germany). He is also professor emeritus from Linköping University (Sweden), Ecole des Mines de Paris (France), and the University of Southern Denmark. Erik has throughout his career worked at universities, research centers, and with indus- tries in many countries and with problems from a variety of domains and industries. He has published widely and is the author/editor of 26 books, including 6 books on resilient healthcare, as well as a large number of papers and book chapters. Christopher P. Nemeth conducts human performance research and development in high-hazard sectors as a Principal Scientist with Applied Research Associates, a 1500-member US science and engineering consulting firm. His 26-year academic career has included 7 years in the Department of Anesthesia and Critical Care at the University of Chicago Medical Center, and adjunct positions with Northwestern University’s McCormick College of Engineering and Applied Sciences, and Illinois Institute of Technology. He has served as a committee member of the National Academy of Sciences, is author/editor of five books, and is widely published in technical journals. xi List of Abbreviations AMU Acute Medical Unit FAA Federal Aviation Administration FPS Fatigue Proofing Strategies FRAM Functional Resonance Analysis Method FRS Fatigue Reduction Strategies HOS Hours of Service HSIB Healthcare Safety Investigation Branch LFI Learning from Incidents NASA National Aeronautics and Space Administration NHS National Health Service NRLS National Reporting and Learning System NTSB National Transportation Safety Board PRIMO Proactive Risk Monitoring QoWL Quality of Work Life RAG Resilience Assessment Grid RE Resilience Engineering SOP Standard Operation Procedures WaI Work as Imagined WaD Work as Done xiii
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