id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-026347-rqlrt3ke	Lloyd-Smith, McKenzie	The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event	2020-05-18		.txt	text/plain	3687	251	42	The global healthcare sector is currently in the midst of the COVID-19 pandemic, a 'low-chance, high-impact' event which will require healthcare systems, and the organisations within them, to maintain organisational resilience in order to respond effectively. By drawing on the case of Christchurch Hospital's response to a major earthquake, this paper demonstrates the vital role that improvisation can play within a clinical setting, when responding to a low-chance, high-impact event. 2 This ability to creatively respond within uncertain conditions makes improvisation during a low-chance, high-impact event not only possible, but critically important for a resilient organisational response. 22 By creating a shared understanding of the unfolding situation and facilitating communication throughout the response, Christchurch Hospital's leadership enabled frontline staff to coordinate under novel circumstances, 21 allowing individuals to improvise solutions to problems and understand how their actions and decisions were embedded within a larger operation.	./cache/cord-026347-rqlrt3ke.txt	./txt/cord-026347-rqlrt3ke.txt