How Can Simulation Support Resilience in a Digital Age?

This chapter explores the potentials for organisational resilience stemming from digitalised simulations. The point of departure is experiences with the case of endovascular aneurysm repair (EVAR), in which established health care professions (surgeons and radiologists) develop new patterns of collaboration through simulations based on digital re-presentations of the patient. The analytical focus is on digital re-presentations, situated as boundary objects that may mitigate potentially harmful power tensions that may hinder the development of new, cross-disciplinary practices. On the other side, digital re-presentations may also create a hyper-reality, possibly conveying new vulnerabilities, e.g., joint blind spots due to lack of articulation work needed to reveal them. The experiences from the healthcare domain are projected towards a focus on potential use of digital simulation in context of critical infrastructures in which professional roles are less historically/traditionally established, but in which there is an urgent need to build coherence and collaborative practices between IT/OT, safety/security professionals due to continuous (disruptive) digitalisation and imminent cyber threats.