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Abstract :
[en] Mismanaging a hospital’s operations during any adverse events can lead not only to financial losses but also to a non-financial impact, such as patient neglect, higher casualty rates, and personnel burnout.
To minimize such losses, hospital decision-makers evaluate resilience. Resilience is the hospital’s capacity to prepare, resist, absorb, and quickly recover from adverse events. This study examines quantitative resilience indicators and their application to hospitals following adverse events.
Despite the evident benefit of quantitative resilience frameworks, extant works that examine hospitals and hospital units fail to incorporate contextually relevant requirements. Incorporating hospital requirements in resilience frameworks ensures meaningful results to decision-makers, alignment of resilience goals and indicators, integrity, and fair comparison.
Hence, we propose a novel hospital resilience framework and indicator to better assist decision-makers in accurately evaluating resilience, understanding possible bottlenecks during adverse events, and assessing whether a policy could enhance or hinder a hospital’s adverse event performance. To demonstrate the applicability of the proposed framework and indicator, we present a real-life case study focusing on a surgical ward and its adjacent units. The case study examines system performance under three adverse events: a demand surge, a supply shock, and a combination of both scenarios.
