Resilient health care.: (The resilience of everyday clinical work) - Volume 2,

Health systems everywhere are expected to meet increasing public and political demands for accessible, high-quality care.

Policy-makers, managers, and clinicians use their best efforts to improve efficiency, safety, quality, and economic viability.

One solution has been to mimic approaches that have been shown to work in other domains, such as quality management, lean production, and high reliability.

In the enthusiasm for such solutions, scant attention has been paid to the fact that health care as a multifaceted system differs significantly from most traditional industries.

Solutions based on linear thinking in engineered systems do not work well in complicated, multi-stakeholder non-engineered systems, of which health care is a leading example.