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A case study of resilience in inpatient diabetes care

This chapter helps the health care professionals to use the Concepts for Applying Resilience Engineering (CARE) model to, from a Resilience Engineering perspective, what happens in the clinical micro-system of inpatient diabetes care, and how Ross et al. The CARE model provides a framework for studying how organisational resilience is manifest in health care, how it contributes to outcomes and how it might be strengthened. The model provided a theoretical framework to guide this study of resilience in the inpatient diabetes care process. It contains various implicit hypotheses about resilience mechanisms and was used to direct attention to misalignments between demand and capacity, adjustments to these, and how these link to outcomes, both acceptable and unacceptable. Applying such a model requires that researchers gain an understanding of everyday clinical work, which in turn presupposes qualitative or case study methods to gain familiarity with the environment.