RESILIÊNCIA HOSPITALAR NA RESPOSTA À PANDEMIA DE COVID-19: INVESTIGANDO AS ADAPTAÇÕES DE UM HOSPITAL NO RIO DE JANEIRO
HOSPITAL RESILIENCE IN RESPONDING TO THE COVID-19 PANDEMIC: INVESTIGATING THE ADAPTATIONS OF A HOSPITAL IN RIO DE JANEIRO
RESILIENCIA HOSPITALARIA EN RESPUESTA A LA PANDEMIA DE COVID-19: INVESTIGANDO LAS ADAPTACIONES DE UN HOSPITAL EN RÍO DE JANEIRO
Edson Tavares, Luiza dos Santos, Lúcio Abreu, Luciana Zorzanelo, Rodrigo Arcuri
Resumo
A Resiliência em Saúde (RHC) descreve a capacidade de um sistema de saúde ajustar seu funcionamento antes, durante ou após eventos e, assim, sustentar as operações necessárias de forma a assegurar o cuidado aos pacientes. A recente pandemia de COVID-19 desafiou os sistemas de saúde de todo o mundo, demandando grande adaptabilidade de gestores e trabalhadores da linha de frente. Este artigo descreve e discute sob uma perspectiva da Engenharia de Resiliência como uma unidade hospitalar privada do Estado do Rio de Janeiro ajustou seus processos ordinários, com base no trabalho real, para corresponder às condições de trabalho impostas pela pandemia, tendo como foco: Gerenciamento de Leitos, Recursos Humanos (Reorganização, segurança e saúde mental), Insumos e Infraestrutura.
Palavras-chave
Abstract
Health Resilience (RHC) describes the ability of a health system to adjust its functioning before, during or after events and, thus, sustain the necessary operations to ensure patient care. The recent COVID-19 pandemic has challenged healthcare systems around the world, demanding great adaptability from managers and frontline workers. This article describes and discusses from a Resilience Engineering perspective how a private hospital unit in the State of Rio de Janeiro adjusted its ordinary processes, based on real work, to correspond to the working conditions imposed by the pandemic, focusing on: Beds, Human Resources (Reorganization, safety and mental health), Supplies and Infrastructure.
Translated version DOI: https://doi.org/10.4322/rae.v17n2.e202316.en
Keywords
Resumen
La resiliencia sanitaria (HCR) describe la capacidad de un sistema de salud para ajustar su funcionamiento antes, durante o después de los eventos y, por lo tanto, mantener las operaciones necesarias para garantizar la atención del paciente. La reciente pandemia de COVID-19 ha puesto a prueba los sistemas de salud de todo el mundo, exigiendo una gran adaptabilidad por parte de los directivos y los trabajadores de primera línea. Este artículo describe y discute, desde la perspectiva de la Ingeniería de la Resiliencia, cómo una unidad hospitalaria privada del Estado de Río de Janeiro ajustó sus procesos ordinarios, basados en el trabajo real, para corresponder a las condiciones de trabajo impuestas por la pandemia, centrándose en: Gestión de camas, Recursos Humanos (Reorganización, seguridad y salud mental), Insumos e Infraestructura.
DOI de la versión traducida: https://doi.org/10.4322/rae.v17n2.e202316.es
Palabras clave
Referências
Ambrose, J. W., Layne, D. M., Catchpole, K., et al. (2021). A Qualitative Protocol to Examine Resilience Culture in Healthcare Teams during COVID-19. Healthcare, 9(9), 1168. https://doi.org/10.3390/healthcare9091168
Bartman, T., Merandi, J., Maa, T., et al. (2021). Developing Tools to Enhance the Adaptive Capacity (Safety II) of Health Care Providers at a Children’s Hospital. The Joint Commission Journal on Quality and Patient Safety, 47(8), 526–532. https://doi.org/10.1016/j.jcjq.2021.03.006
Braithwaite, J., Clay-Williams, R., Nugus, P., et al. (2013). Health care as a complex adaptive system. In E. Hollnagel, J. Braithwaite, & R. L. Wears (Eds.), Ashgate Studies in Resilience Engineering. Ashgate.
Braithwaite, J., Hollnagel, E. (2018). Coming of age. In E. Hollnagel, J. Braithwaite, & R. L. Wears (Eds.), Delivering Resilient Health Care. Routledge. https://doi.org/10.4324/9780429469695
Cavalcante, J. R., Cardoso-dos-Santos, A. C., Bremm, J. M., et al. (2020). COVID-19 no Brasil: evolução da epidemia até a semana epidemiológica 20 de 2020. Epidemiologia e Serviços de Saúde, 29(4). https://doi.org/10.5123/S1679-49742020000400010
Carman, E.-M., Evans, L., Miles, G. (2021). Learning About Healthcare Resilience from the Initial Response to the COVID-19 Pandemic – A Physiotherapy Case Study. In Proceedings of the 18th International Conference on Human-Computer Interaction. Springer. https://doi.org/10.1007/978-3-030-74611-7_72
Hollnagel, E. (2017). Can we ever imagine how work is done. CAN WE EVER IMAGINE HOW WORK IS DONE?
Hollnagel, E., Braithwaite, J. (2018). Making it happen – from research to practice. In E. Hollnagel, J. Braithwaite, & R. L. Wears (Eds.), Delivering Resilient Health Care. Routledge. https://doi.org/10.4324/9780429469695
Hollnagel, E., Braithwaite, J., Wears, R. L. (2013). Resilient Health Care. Ashgate.
Khalil, M., Mataria, A., Ravaghi, H. (2022). Building resilient hospitals in the Eastern Mediterranean Region: lessons from the COVID-19 pandemic. BMJ Global Health, 7(Suppl 3), e008754. https://doi.org/10.1136/bmjgh-2022-008754
Marczyk, C. E. S., Saurin, T. A., Bulhões, I. R., et al. (2023). Slack in the infrastructure of intensive care units: resilience management in the post-pandemic era. BMC Health Services Research, 23(1), 579. https://doi.org/10.1186/s12913-023-09495-4
Mohtady Ali, H., Desha, C., Ranse, J., et al. (2021). Planning and assessment approaches towards disaster resilient hospitals: A systematic literature review. International Journal of Disaster Risk Reduction, 61, 102319. https://doi.org/10.1016/j.ijdrr.2021.102319
Mohtady Ali, H., Ranse, J., Roiko, A., et al. (2022). Investigating Organizational Learning and Adaptations for Improved Disaster Response Towards “Resilient Hospitals:” An Integrative Literature Review. Prehospital and Disaster Medicine, 37(5), 665–673. https://doi.org/10.1017/S1049023X2200108X
Munasinghe, N. L., Matsui, K. (2019). Examining disaster preparedness at Matara District General Hospital in Sri Lanka. International Journal of Disaster Risk Reduction, 40, 101154. https://doi.org/10.1016/j.ijdrr.2019.101154
Woods, D. D. (2018). The theory of graceful extensibility: basic rules that govern adaptive systems. Environment Systems and Decisions, 38(4), 433–457. https://doi.org/10.1007/s10669-018-9708-3
