Resilience Engineering in Healthcare: A Systematic Literature Review

Abstract

Resilience engineering is a new safety paradigm, which seeks to understand and improve safety in complex socio-technical systems. The domain of healthcare is particularly relevant, as it requires an enormous capacity to adapt and respond to different situations. For this, appropriate methods and tools to the complexity of these processes and systems should be applied. This study aims to identify the methods and tools that have been developed and applied in the healthcare domain within the scope of resilience engineering, as well as the scope of its application, through a systematic literature review. A review of 109 studies published between 2012 and February 2022 was carried out. We searched two academic databases, Web of Science and Scopus. Only studies in English and original peer-reviewed scientific journals that attended to inclusion criteria were included, resulting in a total of 13 publications. The results of the analysed studies showed that the Functional Resonance Analysis Method (FRAM) was the method mostly used. It was also possible to verify that interviews, observations, document analysis and workshops have been used in the development of FRAM models.