An annotated Bibliography on
Complexity in Health Care
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Introduction The complexity of health care is increasing greatly in the 21st century. Paradox and unpredictability are always existent in complicated systems. Moreover, there are often unknowable things in such systems. Practically, the experience of the enormous complexity results in disillusionment and frustration. Flexible and creative approaches to health care must take the place of the traditional health care complexities. New tools and concepts should be provided to face the challenges of health care. To keep up with the accelerating complexity in health care, we must react to the emergent opportunities and patterns with flexibility. In other words,
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Recently, healthcare activities are characterized among the complex systems. The article attempts to give a definition to the word "complexity". It has a loose meaning, starting from not simple and up to complicated and intractable. Modern trends recommend further research on the study of the environments as well as the complicated and correlated components and sub-components of the complex system of healthcare. The article also describes the decomposability of complex health care systems with a view to make it easy for researches to carry out further studies in this particular field. The article is a good attempt to make the approach of managing, studying and understanding complex health care systems feasible.
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The article succeeds in the description of a suggested approach for the clear understanding of complexity in health care settings. This process depends upon the practical and functional consideration of the relation between the components and sub-components which make up the whole system of health
The health care environment is constantly changing, new systems arise every day with terminology of
The Checklist Manifesto by Dr. Atul Gawande explains how checklists have become a critical tool in managing complex situations in major industries such as finance, construction and medicine and its profound implications on them. He begins by differentiating between the two causes of human failures: 1. ignorance which he defines as the things we still don’t know and therefore cannot do despite advances in science and knowledge and 2. ineptitude which he defines as our failure to properly apply the knowledge we have. He then follows how the knowledge we have amassed over the years, with the help of medical breakthroughs achieved made medicine, and healthcare into a complex system. A system so complex it has overburdened us and made us prone to
Complexity science is the study of complex adaptive systems (CASs) and the relationships that occur within them. CASs are a function of what has previously occurred, what is currently occurring, and are open to energy and information from the environment all around them (Chaffee & McNeill, 2007). The boundaries that define theses systems are fuzzy; each individual is their own CAS that is influenced by a multitude of other CASs, all of which may belong to increasingly larger CASs. The health care system is a CAS in and of itself that is made of a multitude of smaller CASs – hospitals, floors, units, and individuals. There are a many characteristics that help to make up and define what a CAS is. Understanding these
The health care sector is impacted by numerous changes and challenges, such as increasing need for health care provision, changing demands from patients or rapidly evolving technologies. In the context of evolving technologies, the developments occur not only in the actual provision of the medical act, but also at the level of the complementary operations, such as health care information management.
On August 13, 2011, 7 people were killed and 58 were injured during a stage collapse at the Indiana State Fair in Indianapolis (Crandall, Parnell, & Spillan, 2013). The crisis occurred just prior to the start of a concert by performing country artist Sugarland. Concert goers, approximately 12,000 of them, were assembled outside awaiting the start of the concert (Crandall, et al., 2013). Around 30 minutes prior to the scheduled start of the concert, officials at the state fair were made aware of a potential severe storm with estimated winds at 60 miles per hour (mph) approaching the concert area (Crandall, et al., 2013). According to Crandall, et al. (2013), the concert officials requested for a delay in the concert, however, the band managers
Medical care will only become more complex (Lyckholm, et. al, 2001). Therefore, the need for continued education amongst each other and healthcare organizations is important in limiting issues that may affect standards of care.
Mountain Man Brewing (MMB) has been successful with only one beer, Mountain Man Lager, but consumption has decreased. The decrease in sales for this beer has caused a decrease in profits, since it is their only product. Mountain Man needs to consider a change in their positioning strategy to increase sales and profits to keep the business successful.
This paper will cover four key concepts from complexity theory that will be introduced as relevance to nursing. These include: unpredictable dynamic systems; the whole is greater than the sum of its parts; fuzzy and permeable boundaries;
In modern health care system, the intensity and complexity of work that it involves need a system that is well organized, have some control and is people centered. In Australia for instance, the current health care system need to incorporate some aspect of sociology in an attempt to achieve its goals. One such aspect is power in the system. Additionally, it is prudent to note how the hierarchy is essential in the Australian healthcare system. Additionally, it is important to discuss how power and hierarchy are intrinsic in health care system in Australia.
A complexity science view implies that essential managerial strategies for high-performing health care organizations include meaningful conversations, enhanced relationships, and a learning culture. These three dimensions informed our approach to studying huddles. New theories where explored how and why huddles have been useful in health care organizations.
The rapid, relentless evolution of the health care system brings with it the need to
The weaknesses of the article show the audience that there is still work to do in our health care industry, because the healthcare industry is
people with complex health care issues in terms of quality, cost and access to care (Agency for
According to Butts and Rich (2015), complexity science is a knowledge founded on physics and mathematics that operates using basic principles to elucidate the connection between variables. Butts and Rich add that complexity science is a developing field of interest that is catching the attention of scholars from different disciplines because it provides a different viewpoint on various phenomena of interest. According to Sturmberg and Martin (2009), although there has been an ongoing push for application of complexity science in health care, this is not an attempt to eradicate the reductionistic view. Complexity science only aims to fabricate a new and more comprehensive understanding of the world by unifying both the holistic and reductionist viewpoint (Sturmberg & Martin, 2009).
Prior to the boom of the craft beer industry, if one wanted to imbibe in a nitrogen-infused beer, the choices were limited. The most popular drink of choice was that “black stuff” originating from St. James’ Gate Brewery in Dublin.