The first joint conference of the 11th Biennial Symposium of the Resilience Engineering Association and the 14th Annual Resilient Health Care Society Meeting (presentations)
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The presentation slides will be posted soon…
The first joint conference of the 11th Biennial Symposium of the Resilience Engineering Association and the 14th Annual Resilient Health Care Society Meeting
| Monday – October 20th | ||
| Time | Activity – Room Vestena | |
| 12:00 – 13:30 | Registration | |
| 13:30 – 14:00 | Opening of the Joint Symposium and Resilience in Practice Seminar | |
| 14:00 – 14:40 Session Chair: Tarcisio Saurin |
Keynote: Floods in the State of Rio Grande do Sul in 2024: Examining the past and preparing for the future – Joel Goldenfum |
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| 14:40 – 15:50 Session chair: Axel Ros |
Industry Testimonies – 10 min for each speaker, followed by discussion Resilience Engineering in Practice: A case study from line clearance – Lay Resilihealth Project – Restructuring Ernesto Dornelles Hospital Operations with Resilience Engineering – Trancoso et al Computer-Aided Resiliencing: A case study of using WAI-WAD Analysis module – Chuang et al A Learning Journey Toward More Resilient Systems: The Case of a Brazilian Oil and Gas Company – Ceni de Almeida et al |
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| 15:50 – 16:20 | Coffee-break | |
| 16:20 – 17:30 Session chair: Ivonne Herrera |
Industry Testimonies – 10 min for each speaker, followed by discussion From Risk to Resilience: RBM-Care – A Resilience-Based Model of Care for Safer, Stronger Residential Support – Gonzalez Optimizing Operational Procedures: Insights from FRAM and SCTA in Construction and Assembly – Hilgert et al Mayo Clinic: Resilience Engineering and the Design of Built Environments – Blocker Organizational Resilience and Just Culture: Conditions for Learning from Incidents – Cardoso et al |
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| 18:00 – 20:00 | Cocktail | |
| Tuesday – October 21st | ||
| Time | Activity – Room Vestena | Activity – Room Montana |
| 09:00 – 09:25 Session chair: Takeru Abe and Harumi Kitamura |
Selected Paper for extended presentation: AI, meet RE. RE, meet AI! – Rayo et al | |
| 09:25 – 09:50 Session chair: Takeru Abe and Harumi Kitamura |
Selected Paper for extended presentation: RE-based Debriefing: Enhancing Learning and System Improvement in Healthcare Simulation – Patterson et al | |
| 09:50 – 10:20 Session chair: Tarcisio Saurin |
Keynote: The fifth paradox of safety – Erik Hollnagel (online) | |
| 10:20 – 10:30 Session chair: Tarcisio Saurin |
Navigating the FRAM: the latest book on the Functional Resonance Analysis Method – Riccardo Patriarca (online) | |
| 10:30 – 11:00 | Coffee-break | |
| 11:00 – 12:00 | Workshop 1: Resilience engineering in the mining sector – Rigoletto et al | Workshop 2: Resilience in public health – Jatobá et al |
| 12:00 – 13:15 | Lunch | |
| 13:15-13:45 Session chair: Inger Bergerod |
Lightning talks – 3 min for each speaker Organizational Capacities for Transformational Resilience: Lessons from Health and Non-Health Organizations – Pfaff et al The Developing S4R toolbox for healthcare leaders: – a co-creation of different knowledges – Fagerdal et al Resilient Capacities in a Hospital Emergency Unit: Assessing Safety Culture Maturity – Nunes et al Strengthening Maintenance Resilience in 3D Printing: A FRAM-Based System Analysis – Kieckbusch et al From Compliance to Contribution: Cross-Sector Insights for Healthcare Resilience – Barker Learning from those who know better – Menezes et al Human Energy: Human Factors for Organizational Transformation – Bruno et al |
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| 13:45-14:10 Session chair: Eder Henriqson |
Selected Paper for extended presentation: Resilience and brittleness of critical infrastructures during the 2024 floods in Southern Brazil – Marion et al |
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| 14:10-14:35 Session chair: Eder Henriqson |
Selected Paper for extended presentation: Support for Resilient Performance in Healthcare: Capacity to Outmaneuver the Ungraceful – Liao et al |
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| 14:35-15:00 Session chair: Eder Henriqson |
Selected Paper for extended presentation: Supporting, rather than constraining, variation in hospital Emergency Departments provides better care for diverse, underserved patient populations – Clay-Williams et al |
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| 15:00-15:30 | Coffee-break + posters (30 min of interactions in front of the posters) | |
| 15:30-16:30 | Workshop 3: Paths for developing and learning resilience skills – Rigoletto et al | Workshop 4: Support4Resilience: Collaborative tools assisting leaders in strengthening resilience and mental wellbeing – Birte et al |
| 17:00-18:00 | Cultural activity – traditional gaucho dancing | |
| Wednesday – October 22nd | ||
| Time | Activity – Room Vestena (REA) | Activity – Room Montana (RHCS) |
| 09:00 – 10:10 | Oral session 1 – REA – Measuring Resilient Peformance Session chair: Guido Carim Junior |
Oral session 2 – RHCS – Informal work and coordination Session chair: Mary Patterson |
| Beyond Traditional Safety Metrics: A Combined Approach to Organizational Resilience in High-Risk Industries – Sell et al | Informal leaders among medical residents at hospitals: leadership styles and contributions to team resilience – Ferreira et al | |
| Resilience Engineering as an emerging perspective for safety indicators in high-risk industries: new trends from the literature – Ilhanez et al | Coordination Demands Underpinning Adaptive Capacity: A Sterile Processing Case Study – Hegde et al | |
| Resilience Capabilities and Complex Projects Management – Neves et al | Supporting resilience in informal caregivers – Kamran et al | |
| Measuring adaptive capacity: opportunities, challenges and future directions – Farrow | How Two Different Reporting Systems Affect Patient Safety Culture in a Postanaesthesia Care Unit: A Multimethod Study – Deilkas et al | |
| Supporting Adaptive Capacity through video monitoring – Thude et al | Adaptation and alignment by middle managers in home care services – Odberg et al | |
| 10:10 – 10:30 | Coffee-break | |
| 10:30 – 11:00 | Oral session 3 – REA – Systems thinking and risk management Session chair: Paulo Victor Carvalho |
Oral session 4 – RHCS – Learning and resilient healthcare Session chair: Holger Pfaff |
| ICL’s Journey to Resilience – Ribeiro | Patient Safety Learning Labs: a model for resilience research? – Deutsch et al | |
| Integrated Risk Management in Ammonia Refrigeration Systems: HAZOP and FRAM methodologies – Vicari et al | Learning from workarounds in barcode medication administration: a Safety-II perspective – Cossul et al | |
| 11:00 – 12:00 | Oral session 5 – REA – Resilience in Aviation Session chair: Arie Adriaensen |
Workshop 5: Resilient healthcare in a changing climate – Ros et al |
| Resilience Analysis in the Maintenance of Brazilian Agricultural Aircraft: An Application of the FRAM Method – Silva Junior et al | ||
| Moving Airport Emergency Response from Robustness to Resilience: Insights from Phuket – Suntithummaytee et al | ||
| Charting the flight path of pilot performance – Mizzi et al | ||
| 12:00 – 13:00 | Lunch | |
| 13:00 – 13:45 | Oral session 6 – REA – Learning from Normal Work Session chair: Priscila Wachs |
Oral session 7 – RHCS – Adaptive capacity in healthcare Session chair: Carl Hosley |
| Learning from normal work in complex organizations – Borges et al | Adaptive Capacities and Stress Management in Home Care Services – Sogstad et al | |
| Weak Signals for Resilience: A Systematic Literature Review – Ferzola et al | Resilience at the Outpatient Clinic Front Desk: an resilience ergonomic-based analysis – Duca | |
| Learning from Normal Work: Case Study in Midstream Control Room – Marques et al | Modelling and Simulation of Work-As-Done and Work-As-Imagined for Assessing Hospital Disaster Resilience – Kanno et al | |
| 13:45 – 14:45 | Oral session 8 – REA – FRAM Session chair: Pedro Ferreira |
Oral session 9 – RHCS – Disaster management Session chair: Tarcisio Saurin |
| Process Safety Analysis with FRAM – Loss of Containment in Pipelines between Terminal and Refinery – França et al | Hospital Resilience to Extreme Weather Events: Lessons from the 2024 Flood in Rio Grande do Sul – Ferreira et al | |
| Enhancing Resilience in Height Work: A Safety II Approach Using FRAM in Distribution Center – Santiago et al | Extreme weather event: Learning gained by nurses and nursing students from the 2024 floods in Rio Grande do Sul, Brazil – Schneider et al | |
| Modeling the Work Resilience of CHWs in Brazil and the UK: A Knowledge Engineering and Management Approach Using the FRAM Method – Souza et al | Climate Resilience: Choosing by Advantages for Sustainable Lighting Solutions in Healthcare – Keorapetse et al | |
| Beyond the qualitative approach: a review of the integration between quantitative techniques and the Functional Resonance Analysis Method – dos Santos et al | Interdependency-driven Learning from Past Floods for Healthcare Resilience: A Conceptual Framework – Ghazali et al | |
| 14:45 – 15:15 | Coffee-break | |
| 15:15 – 16:00 | Oral session 10 – REA – Digital Technologies and Resilience Session chair: Angela Weber Righi |
Oral session 11 – RHCS – Complexity thinking applied to resilient healthcare Session chair: Ellen Deutsch |
| Envisioning future resilient AI-enabled Flight Information Service – Woltjer et al | Emergency mental health care in a public health system: patient flow as imagined and as done – Tocchetto et al | |
| The support of digital technologies for resilient performance during the 2024 floods in Rio Grande do Sul – Ransolin et al | Collective Preparedness as Organisational Resilience: Facing the ‘D-Challenges’ in Complex Adaptive Health – Pfaff et al | |
| Gap between WAI and WAD and its implications to technology design – Trierveiler et al | Applying Systems Thinking Across Healthcare Improvement and Harm Review: Practical application of the Systems Engineering Initiative in Patient Safety (SEIPS) – Turner et al | |
| 17:20 | Shuttle departs from Tri Hotel to Gramado | |
| 18:00 – 19:15 | Free time in Downtown Gramado | |
| 19:30 – 22:00 | Dinner at Nonno Mio (Av. Borges de Medeiros, 2070, Centro, Gramado) | |
| *Oral sessions: 10 min for each speaker, followed by discussion | ||
| Thursday – October 23rd | ||
| Time | Activity – Room Vestena | |
| 09:30 – 10:45 Session chair: Mike Rayo |
Oral session 12 – Crisis Management and Preparedness | |
| Anticipating Risk of Saturation in Crisis Management Context: A Case Study – Trancoso et al | ||
| Empowering Citizen Knowledge for Resilient Preparedness Planning – Herrera et al | ||
| System Resilience in Surgical Services During the COVID-19 Pandemic – Liao et al | ||
| Operationalizing resilience engineering for natural hazard triggered technological (Natech) events – Herrera et al | ||
| Bed management in a large hospital during the COVID-19 pandemic: a perspective from capacities for resilience – Tavares et al | ||
| 10:45 – 11:15 | Coffee-break | |
| 11:15 – 12:00 Session chair: Carlos Formoso |
Oral session 13 – Resilience in Construction | |
| ASocio-technical Systems Complexity in Civil Construction: An Attribute-Based Analysis of Building Projects – Costella et al | ||
| A Leveraging ICT and connecting silos to create a networking platform that promotes DEI – Kitamura et al | ||
| 12:00 – 12:45 Session chair: Rodrigo Arcuri |
Oral session 14 – Culture, Drift and Decision-Making | |
| Building a Culture of Psychological Safety in Complex Sociotechnical Systems – Costa et al | ||
| Organizational Drift and Rediscovering Resilience – Cardoso et al | ||
| Integrating Resilience Engineering and Naturalistic Decision-Making – von Buren et al | ||
| 12:45 – 13:45 | Lunch | |
| 13:45 – 14:40 Session chair: Sheuwen Chuang |
Oral session 15 – Resilient healthcare at the micro level | |
| The dynamic characteristics of verbal interactions among surgical team members during robot-assisted esophageal surgery – Nakajima et al | ||
| Toward resilient follow-up of post-cancer older adults to prevent ageism – Bergerød et al | ||
| FRAM as a tool for improvement in fall prevention process: a case of adult hospitalized patients – de Quadros et al | ||
| A Mixed-Methods FRAM study of Patient Transfers from Emergency – Safi et al | ||
| 14:40 – 15:25 Session chair: Eder Henriqson |
Oral session 16 – Resilience engineering and enhanced human outcomes | |
| Human factors journey at Petrobras – Damascena et al | ||
| Systems thinking applied to real-world accident investigation: a case study comparing findings from AcciMap – Barbosa et al | ||
| Cultivating human flourishing: The nexus between digital humanism and resilience engineering – Herrera et al | ||
| 15:25 -16:00 | Young Talents Program – A Talented Perspective on RE from the 2025 Young Talents – Adriaensen | |
| 16:00 – 16:30 | Coffee-break | |
| 16:30 – 17:30 Session chair: Elizabeth Lay |
Oral session 17 – Graceful Extensibility in Action | |
| Overcoming ENRYO fosters graceful extensibility: an analysis of team performance in Rapid Response System – Abe et al | ||
| Operationalizing Theory of Graceful Extensibility: Joint Activity Design Heuristics for Resilient Performance in Human-Machine Systems – Jalaeian et al | ||
| Application of Temporal Dynamic Model and Graceful Extensibility theory – Study of Hemodialysis Center Responding to Covid-19 Pandemic – Chen et al | ||
| Why has RE failed – so far – to convert industrial safety managers? – Paries | ||
| 19:00 | No scheduled activities** | |
| *Oral sessions: 10 min for each speaker, followed by discussion | ||
| Friday – October 24th | ||
| Time | Activity – Room Vestena | |
| 09:00 – 09:25 Session chair: Robyn Clay-Williams |
Selected Paper for extended presentation: Applying Resilient Healthcare to safety improvement: embedded research within an English maternity service – Ruth Baxter | |
| 09:25 – 09:50 Session chair: Robyn Clay-Williams |
Selected Paper for extended presentation: A Methodological Study on Integrating Practitioner Heuristics into Disaster Recovery Simulation for Water Distribution Networks – Tada et al | |
| 09:50 – 10:30 Session chair: Robyn Clay-Williams |
Keynote: Innovation for resilience – Ivonne Herrera | |
| 10:30 – 11:00 | Coffee-break | |
| 11:00 – 12:30 | Workshop 6: Linking perspectives to support resilience across countries – Bergerød et al | |
| 12:30 – 12:45 | Closing | |
| 12:45 – 13:45 | Lunch | |
| 14:00 | Caracol Falls visit | |

