ABSTRACT
This chapter presents a case study of how an urban emergency department (ED) began a journey to apply resilience engineering principles in everyday practice. It discusses an iterative and emergent practice-based knowledge generation and translation process in which the generic Resilience Analysis Grid will be adapted, refined and evaluated in an urban ED. Urban EDs are crowded, complex and often brittle high-hazard units where patients are exposed to risk of harm. EDs also epitomise a dynamically inter-active, complex adaptive system that demonstrates considerable resilient capacity. The chapter focuses on embarked on an organisational learning journey using the generic Resilience Analysis Grid as a stimulus for dialogue and action. The iterative and emergent process of engagement and dialogue with a practice community has been generative. The process has been productive in identifying gaps, leading to innovations to facilitate awareness of operational performance, and actions to increase our collective capacity for manoeuvre.
