Application of resilience engineering in emergent health care services

The demand for emergent medical care has been affected seriously by season changes and unexpected events. In addition, it is common that massive amount of patients and exceptional cases i.e. violent events, arguments appeared in emergency room unexpectedly. Consequently, emergency department faces the challenges in allocation of manpower and beds toward safety of working environment. This created obsession between patients and their families, and stresses on medical staff.. Moreover, this raised tension between patients, their families and hospital staff. As a result, this increases mortality rate, disability rate, days of hospitalization, overused medical treatments, and violence events. In the long term, it not only develops difficulty to the increase of manpower in emergent medical care, but also seriously affects patient safety. In pursuit of safety, the exploration of system resilience is recently a growing trend globally.. Based on the concept of performance variability and unavoidable interruptions in a system, a system is resilient if it can adjust its functioning during changes and disturbances, and thereby sustain operations under both expected and unexpected conditions. In order to be resilient, the organization has four basic abilities, including learn, respond, monitor, and anticipate so that the system can be sustain. The implementation of resilience e engineering either its theory or methodology has demonstrated some success in industries and environmental changes. Many experts in health care argued that the application of resilience engineering theory and methods toward safety in health care should be promoted. The international researches in health care of using resilience engineering is increasing widely and profoundly. The project has three objectives, firstly, it collects and analysis of literature related to the application of resilience engineering in patient safety; secondly, implementing resilience engineering in emergency department and developing a resilient engineering model for it used in locally; finally, the study will provide suggestions for government policy making in order to improve health care quality and patient safety in ED.