{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T07:28:50Z","timestamp":1787124530325,"version":"build-2736575974"},"reference-count":10,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Planning &amp;amp; Management"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Research before and during COVID\u201019 has framed health\u2010system resilience as the capacity to absorb shocks, adapt, transform and learn while sustaining essential functions. Building on this broader literature, including Meredith et\u00a0al.'s account of local public\u2010health adaptation under political and resource constraints, we propose a worker\u2010patient safety loop from a Taiwan psychiatric hospital perspective: workforce strain can weaken safety\u2010critical care; near misses, adverse events and continuity failures should trigger reporting, organisational learning and corrective action; and the resulting changes should protect workers, patients and care continuity. The loop can be monitored through indicators of workforce wellbeing and safety, safety\u2010event learning, and continuity across settings, supported by digital incident, staffing and handoff systems with safeguards for privacy and data quality. Informed by professional experience and published evidence, this conceptual framework applies to acute shocks and continuing operational pressures. Its proposed domains require prospective empirical validation before they can be treated as established measures of hospital resilience.<\/jats:p>","DOI":"10.1002\/hpm.70130","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T07:17:48Z","timestamp":1787123868000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Healthcare Resilience Should Include the Worker\u2010Patient Safety Loop: A Taiwan Psychiatric Hospital Perspective"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7383-7309","authenticated-orcid":false,"given":"Lien\u2010Chung","family":"Wei","sequence":"first","affiliation":[{"name":"Department of Addiction Psychiatry Taoyuan Psychiatric Center Ministry of Health and Welfare  Taoyuan Taiwan"},{"name":"Department of Health Industry Management Kainan University  Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8125-4306","authenticated-orcid":false,"given":"Chun\u2010Hung","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of General Psychiatry Taoyuan Psychiatric Center Ministry of Health and Welfare  Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(15)60755\u20103"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.15171\/ijhpm.2017.36"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.15171\/ijhpm.2018.06"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41591\u2010021\u201001381\u2010y"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/hpm.70062"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0159015"},{"key":"e_1_2_4_8_1","unstructured":"Executive Yuan Taiwan (Republic of China) Whole\u2010Of\u2010Society Mental Health Resilience https:\/\/english.ey.gov.tw\/News3\/9E5540D592A5FECD\/b154444f\u2010873d\u20104155\u2010a65d\u2010a25253fe9a1e."},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs\u20102015\u2010004732"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201400178"},{"key":"e_1_2_4_11_1","volume-title":"Building Health Systems Resilience for Universal Health Coverage and Health Security During the COVID\u201019 Pandemic and Beyond: WHO Position Paper","author":"World Health Organization","year":"2021"}],"container-title":["The International Journal of Health Planning and Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hpm.70130","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hpm.70130","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hpm.70130","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T07:17:50Z","timestamp":1787123870000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hpm.70130"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,19]]},"references-count":10,"alternative-id":["10.1002\/hpm.70130"],"URL":"https:\/\/doi.org\/10.1002\/hpm.70130","archive":["Portico"],"relation":{},"ISSN":["0749-6753","1099-1751"],"issn-type":[{"value":"0749-6753","type":"print"},{"value":"1099-1751","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,19]]},"assertion":[{"value":"2026-06-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"hpm.70130"}}