Life abruptly becomes chaotic This is much like crossing a threshold into a room where we don't belong The chaotic situation entrains energy and resources, forming a trajectory to cascading failure The HRO accepts this trajectory and members of the HRO engage in events even as they do not know how to bring it to an end This is the liminal period, across the threshold and away from our routines While it appears daunting, if not dangerous, this approach builds on experiences we have had throughout life HRO methods uniquely shape the engagement that moves through and out of a liminal period HRO is a trajectory of engagement that fuses now with the experience of then into simultaneous inquiry and redescription In these states of engagement, the HRO supports using all our mind [ABSTRACT FROM AUTHOR] Copyright of Neonatology Today is the property of Loma Linda Publishing Company and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission However, users may print, download, or email articles for individual use This abstract may be abridged No warranty is given about the accuracy of the copy Users should refer to the original published version of the material for the full abstract (Copyright applies to all Abstracts )

https://neonatologytoday.org/Archive/PDF_paper/NeonatologyToday_2021_3_16_3_87_97.pdf

The Nature of Neonatal Experience during Pandemic COVID-19

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High-Reliability Organizing (HRO) and Abrupt Change from COVID 19: Failure of Scientific Rationality and Classical Logic

Environmental hazards have an unrecognized and unmet influence on operations.  The mistranslation of vertical access and rescue customs and practices, to an environment with uncertain and unrecognizable hazards, can lead to catastrophic failure.  Application of these customs and practices to meet the complex operational constraints and environmental hazards central to high-hazard mission sets, has persisted and confused operational vertical rescue teams.  Improvised approaches, using minimal but readily available equipment, can close gaps between theory and practice and between discrete concepts in a continuously evolving environment.  This paper addresses existing gaps in operational vertical response utilizing a context-specific approach similar to the authors of the original Tactical Combat Casualty Care (TCCC) project published in the 1996 supplement of Military Medicine (Butler FK, 1996).
 
A pragmatic framework is introduced, which has been evolving for the past 10 years within USSOCOM, Federal special operations teams, and municipal special response elements termed Operational Vertical Mobility (OVM).  Operational Vertical Mobility (OVM) creates an adaptable model within high-hazard vertical response in the same manner that TCCC disrupted prehospital tactical medicine (Butler FK Jr, 2007).  Since normative traditional civilian vertical practices do not translate well into the context of a Volatile, Uncertain, Complex, Ambiguous, Threat containing, and Time-compressed (VUCA-T2) environment, OVM reframes vertical response key performance parameters (KPP’s) in opposition to traditional design principles.  OVM promotes creating theories out of practice rather than forcing theories into practice.  In order to appraise the key performance parameters of verticality within a VUCA-T2 environment, a panel of practitioners with expertise across multiple vertical disciplines and specialized units analyzed relevant guidelines, principles, industry recommendations, nonlinear sciences, and high reliability organizational characteristics for successful operational application.

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Will Gambino

Papers

Refining Operational Vertical Mobility