Table 3 Instances of resilience in the surgical unit relocation
From: Relocation of hospital facilities: guidelines for resilient performance
Code | Instances of resilience (R) | Principles |
|---|---|---|
R1 | The relocation project committee had members from 50 hospital units, accounting for diverse perspectives | 6 |
R2 | The committee met weekly and adjusted plans according to the changing circumstances | 3 |
R3 | Committee members had substitutes that made sure the discussions and action plans would continue despite their absence in some meetings | 4 |
R4 | Several units moved in before the surgical unit, making it possible to learn from their experiences | 7 |
R5 | The suspension of elective surgeries released resources to support the relocation | 4, 5 |
R6 | The day surgery unit served as a partial replacement during the relocation | 4, 5 |
R7 | Employees from the surgical unit and interacting areas received training related to the relocation itself and changes in work organization at the new facilities | 7 |
R8 | Relocation schedules and plans made it easier to detect delays and incomplete tasks | 2 |
R9 | New patient flows were modelled and discussed with healthcare professionals, highlighting interactions between hospital units | 1 |
R10 | The composition of surgical trays was revised in light of the needs of the new facility, updating them and guiding the acquisition of new instruments | 3 |
R11 | Committee members representing each hospital unit acted as champions to implement action plans in their areas, keeping workers informed about impacts on processes, promoting engagement, and preparing employees for the new facilities | 2, 6 |
R12 | All hospital units were informed of the key deadlines for all stages, before, during, and after the move | 2 |
R13 | Infrastructure, equipment, and technological resources were tested before the relocation | 4 |
R14 | Maps of the new facilities, room numbers, workflows and evacuation routes were communicated to all areas of the hospital and displayed at the new facilities through visual aids such as posters | 1, 2, 3, 5 |
R15 | Extra resources were made available during the relocation, including beds, blood, refrigerators, and staff | 4, 5 |
R16 | The transport of patients, materials, furniture, and equipment to the new facility occurred gradually over several weeks, planning for specific routing at less busy times to reduce disruptions and safety hazards | 1, 3, 4, 6 |