Exploring the factors that drive organizational resilience: lessons from healthcare Public Deposited

http://ir.library.oregonstate.edu/concern/graduate_thesis_or_dissertations/jw827h585

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  • In the face of a disruptive event or prolonged period of stress, resilient performance ischaracterized by preventative measures, effective response, and the integration of lessonslearned. In healthcare, resilience significantly affects patient safety. However, currentguidelines for healthcare performance assessment, such as the Triple Aim, do notconsider physician satisfaction and preventative measures against burnout. Consequently,burnout significantly affects healthcare providers' cognitive and emotional capacity. Inaddition, process improvement projects in healthcare often have a negative impact onresilience by over-standardizing processes.This research utilizes Resilience Engineering approaches to evaluate organizational resilience in one emergency department and two primary care case study examples. A qualitative method is applied to gain understanding of characteristics of resilient employees and learning behaviors that impact overall resilience. Frequency of single and double loop learning behaviors are observed and a resilient healthcare system is defined as one in which all organizational actors exhibit double loop learningbehaviors. Results give insights into the relationship between individual and organizationalresilience by adapting resilient systems attributes and capabilities to healthcare settings.A typology based on the dimensions of organizational and individual resilience ispresented, providing a mode for healthcare managers and academic professionals tocharacterize resilience in specific organizations.
  • In the face of a disruptive event or prolonged period of stress
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