Ricerc@Sapienza

Resilient performance is influenced by social interactions of several types, which may be analysed as layers of interwoven networks. The combination of these layers gives rise to a “network of networks”, also known as a multilayer network. This study presents an approach to develop and interpret multilayer networks in light of resilience engineering. Layers correspond to the four abilities of resilient systems: monitor, anticipate, respond, and learn. The proposal is applied in a 34-bed intensive care unit. To map relationships between actors in each layer, a questionnaire was devised and answered by 133 staff members, including doctors, nurses, nurse technicians, and allied health professionals. Two multilayer networks were developed: one considering that actors are 100% available and reliable (work-as-imagined) and another considering suboptimal availability and reliability (work-as-done). The multilayer networks were analysed through actor-centred (Katz centrality, degree deviation, and neighbourhood centrality) and layer-centred metrics (inter-layer correlation, and assortativity correlation). Strengths and weaknesses of social interactions at the ICU are discussed based on the adopted metrics.