A Few Observations on the Marvelous Resilience of Bone and Resilience Engineering

Dr. Richard Cook

Adaptive Capacity Labs


Abstract Dramatic and mundane examples of resilience have encouraged a search for resilience engineering. The possibility of deliberately exploiting or enhancing resilience is tantalizing. But what exactly is resilience engineering? There are at least two possible forms: first, engineering that exploits what we know about resilient systems and, second, engineering that shapes resilience itself. Bone is useful example of resilience and both types of resilience engineering. The example shows how resilience and resilience engineering are related and also what resilience engineering in other settings might entail.

Bio Richard Cook is a physician, researcher, and educator. He is a co-author of “Operating at the Sharp End: The Complexity of Human Error”, “Adapting to New Technology in the Operating Room”, A Tale of Two Stories: Contrasting Views of Patient Safety, “Gaps in the Continuity of Care and Progress on Patient Safety”, and “‘Going Solid’: A Model of System Dynamics and Consequences for Patient Safety” as well as numerous book chapters and other writings. He is the recipient of the 1999 Peter Kiewit Memorial Award of The Annenberg Foundation and the 2001 McGovern Medal for Medical Writing of the American Medical Writers Association.

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