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This summary is machine-generated.

This study presents a framework to analyze how standardized operating procedures and resilience skills interact in complex systems. It identifies how procedures can support or hinder resilience, offering insights for better system design and training.

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Area of Science:

  • Healthcare Management
  • Human Factors Engineering
  • Organizational Psychology

Background:

  • Complex socio-technical systems require multiple resources for effective functioning.
  • Interactions between these resources, like procedures and skills, are often unmanaged.
  • Standardized operating procedures and resilience skills are key resources for action.

Purpose of the Study:

  • To introduce and apply a six-step framework for analyzing interactions between standardized operating procedures and resilience skills (RSs).
  • To identify how procedures can be optimized to support the development and emergence of RSs.
  • To propose a model of procedure-RS interactions based on empirical data.

Main Methods:

  • Content analysis of standardized operating procedures.
  • Identification of factors influencing the emergence of RSs.
  • Field study involving observations, interviews, and document analysis in an emergency department setting.
  • Application of a six-step framework to analyze procedure-RS interactions.

Main Results:

  • The framework successfully identified underspecified rules in procedures and situations for RS training.
  • Factors influencing RS emergence were identified and linked to procedures and work system design.
  • A model illustrating the interactions between procedures and RSs was developed.
  • Lessons learned from applying the framework were documented.

Conclusions:

  • Systematic analysis of interactions between procedures and RSs is crucial for complex systems.
  • Procedures can be designed to better foster resilience skills.
  • The proposed framework offers a practical approach for improving socio-technical system performance.