Title: A paradigm shift to enhance patient safety in healthcare, a resilience engineering approach: scoping review of available evidence

Authors: Riccardo Patriarca; Giulio Di Gravio; Francesco Costantino; Massimo Tronci; Andrea Severoni; Annarita Vernile; Federico Bilotta

Addresses: Department of Mechanical and Aerospace Engineering, University of Rome 'La Sapienza', Via Eudossiana, 18-00184 Rome, Italy ' Department of Mechanical and Aerospace Engineering, University of Rome 'La Sapienza', Via Eudossiana, 18-00184 Rome, Italy ' Department of Mechanical and Aerospace Engineering, University of Rome 'La Sapienza', Via Eudossiana, 18-00184 Rome, Italy ' Department of Mechanical and Aerospace Engineering, University of Rome 'La Sapienza', Via Eudossiana, 18-00184 Rome, Italy ' Department of Anesthesiology, Critical Care and Pain Medicine, Sapienza University of Rome, Italy ' Department of Anesthesiology, Critical Care and Pain Medicine, Sapienza University of Rome, Italy ' Department of Anesthesiology, Critical Care and Pain Medicine, Sapienza University of Rome, Italy

Abstract: This review analyses the contributions about resilience engineering as an emerging topic in healthcare literature. Owing to the cross-disciplinarity of the theme, this review takes into account PubMed and Scopus databases through March 2017 as well as other not-indexed papers from the Resilience Engineering Association (REA) symposia and other books in the field. After removing duplicates and screening full-texts, we analysed 63 studies that were categorised into four groups that describe the current research state of resilience engineering in healthcare. This scoping review demonstrates the relevance of resilience in complex healthcare activities, exploring the potential benefits to engineer it. The theoretical background and the preliminary applications confirm the potential of this paradigm shift for safety management to cope with current and future healthcare system needs.

Keywords: patient safety; healthcare management; healthcare engineering; safety management; risk management; resilience engineering; resilience; resilient IT; complexity management; complexity; safety culture; safety differently; safety-II; socio-technical system; scoping review.

DOI: 10.1504/IJHTM.2017.10009752

International Journal of Healthcare Technology and Management, 2017 Vol.16 No.3/4, pp.319 - 343

Received: 17 Feb 2017
Accepted: 15 Sep 2017

Published online: 21 Dec 2017 *

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