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Complexity and Healthcare

Author: Kieran Sweeney

Publisher: Radcliffe Publishing

Published: 2002

Total Pages: 210

ISBN-13: 9781857755596

This book illustrates the relevance of chaos and complexity theory to healthcare organisations, public health, clinical governance and the consultation. It explains the terms and ideas at the heart of complexity, the unfamiliar science behind it, and how it applies to the real world. In healthcare, the NHS is a complex adaptive system. So are hospitals, general practices, diseases and patients. The book describes how insights from complexity can help us better understand how organisations, patients or disease develop over time, in an often unpredictable manner. Contributors set out the benefits of applying complexity to their own particular areas of healthcare. Complexity and Healthcare will be of special interest to clinicians and managers in primary and secondary care, researchers and academics, and in particular, general practitioners and public health professionals.

Understanding and Managing the Complexity of Healthcare

Author: William B. Rouse

Publisher: MIT Press

Published: 2014-07-03

Total Pages: 297

ISBN-13: 0262027518

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An argument that understanding healthcare delivery as a complex adaptive system will help us design a system that yields better health outcomes. Breakthroughs in medical science, innovations in medical technologies, and improvements in clinical practices occur today at an increasingly rapid rate. Yet because of a fragmented healthcare delivery system, many Americans are unable to benefit from these developments. How can we design a system that can provide high-quality, affordable healthcare for everyone? In this book, William Rouse and Nicoleta Serban introduce concepts, principles, models, and methods for understanding, and improving, healthcare delivery. Approaching the topic from the perspectives of engineering and statistics, they argue that understanding healthcare delivery as a complex adaptive system will help us design a system that is more efficient, effective, and equitable. The authors use multilevel simulation models as a quantitative tool for evaluating alternate ways of organizing healthcare delivery. They employ this approach, for example, in their discussions of affordability, a prevention and wellness program, chronic disease management, and primary care accessibility for children in the Medicaid program. They also consider possible benefits from a range of technologies, including electronic health records and telemedicine; data mining as an alternative to randomized trials; conceptual and analytical methodologies that address the complexity of the healthcare system; and how these principles, models, and methods can enable transformational change.

Handbook of Systems and Complexity in Health

Author: Joachim P Sturmberg

Publisher: Springer Science & Business Media

Published: 2013-01-09

Total Pages: 941

ISBN-13: 1461449987

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This book is an introduction to health care as a complex adaptive system, a system that feeds back on itself. The first section introduces systems and complexity theory from a science, historical, epistemological, and technical perspective, describing the principles and mathematics. Subsequent sections build on the health applications of systems science theory, from human physiology to medical decision making, population health and health services research. The aim of the book is to introduce and expand on important population health issues from a systems and complexity perspective, highlight current research developments and their implications for health care delivery, consider their ethical implications, and to suggest directions for and potential pitfalls in the future.

Complexity Leadership

Author: Diana M Crowell

Publisher: F.A. Davis

Published: 2020-01-07

Total Pages: 272

ISBN-13: 0803699077

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Lead effectively in today's complex health systems! As hospitals and healthcare organizations strive to meet standards to achieve status in the Magnet Hospital Recognition Program and address the issues in the Institute of Medicine’s Nursing Work Force Issues Initiative, they must be able to respond in ways that embrace rapid change. The 3rd Edition of this groundbreaking text addresses the leadership roles advanced practice nurses can assume in this new environment. It defines the concept of complexity and teaches the leadership skills that are best suited for complex adaptive systems, while also enabling you to build the self-awareness you need to learn new ways to lead. Case studies help you apply your new skills and prepare for your advanced practice roles.

Complex Systems in Medicine

Author: David C. Aron

Publisher: Springer Nature

Published: 2019-08-30

Total Pages: 255

ISBN-13: 3030245934

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This unique title explores complex systems in clinical medicine and the subsequent implementation of that knowledge into practice. Written conversationally and as a reflection on the journey of learning about complex systems, the book explores how knowledge of these systems can be applied to four key roles in academic medicine: clinical practice, education, research, and administration. Further, this title emphasizes how gaining an understanding of complex systems can greatly help a physician deal with the many challenges found in academic medicine. Unlike other books on complexity in medicine, which tend to focus on only one aspect of the management of patients, Complex Systems in Medicine deals with the multifaceted roles of a physician. The approach in this book is uniquely qualitative rather than mathematical, and is written to make it not only of interest to physicians, trainees, and allied health providers, but also to make it more accessible to a non-medical audience. The inclusion of personal anecdotes by the author provides concrete examples of the application of knowledge of complex systems in academic medicine. A first-of-its-kind contribution to the literature, Complex Systems in Medicine: A Hedgehog’s Tale of Complexity in Clinical Practice, Research, Education, and Management is not only a novel reference for medical professionals, it is an accessible tool for the non-medical audience hoping to learn more about complex systems and their direct relevance to medicine, a field that deals with the infinite variety of humans and their ills. It illustrates the consequences of the interactive elements of patient care that make medicine both a science and an art.

Complexity and Healthcare Organization

Author: David Kernick

Publisher: CRC Press

Published: 2018-04-19

Total Pages: 426

ISBN-13: 1315344866

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Statistics and evidence-based medicine are assessed in most postgraduate and undergraduate medical examinations and degrees in health sciences. All clinicians have to acquire skills in this area. This book aims to provide a brief overview of basic medical statistics and the numerical aspects of evidence-based medicine to give realistic worked examples to illustrate the interpretation of studies relevant to clinical practice and to allow examination practice. It aims to cover all major topics covered in the undergraduate and postgraduate examinations. Each chapter begins with an overview and summary of the main points followed by worked examples and exercises with full answers. It will be ideal for all postgraduate medical examination candidates. Other clincians and undergraduate students in medicine and health sciences will also find it useful.

Rethinking Causality, Complexity and Evidence for the Unique Patient

Author: Rani Lill Anjum

Publisher: Springer Nature

Published: 2020-06-02

Total Pages: 252

ISBN-13: 3030412393

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This open access book is a unique resource for health professionals who are interested in understanding the philosophical foundations of their daily practice. It provides tools for untangling the motivations and rationality behind the way medicine and healthcare is studied, evaluated and practiced. In particular, it illustrates the impact that thinking about causation, complexity and evidence has on the clinical encounter. The book shows how medicine is grounded in philosophical assumptions that could at least be challenged. By engaging with ideas that have shaped the medical profession, clinicians are empowered to actively take part in setting the premises for their own practice and knowledge development. Written in an engaging and accessible style, with contributions from experienced clinicians, this book presents a new philosophical framework that takes causal complexity, individual variation and medical uniqueness as default expectations for health and illness.

Complex Systems and Population Health

Author: Yorghos Apostolopoulos

Publisher: Oxford University Press

Published: 2020-05-29

Total Pages: 336

ISBN-13: 0190880767

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Currently, population health science is an integral part of global academic curricula. For over a century, the principles of the reductionist paradigm have guided population health curricula, training, research, and action. Researchers continue to draw upon these principles when theorizing, conceptualizing, designing studies, analyzing, and devising interventions to tackle complex population health problems. However, unresolved impasses in addressing pressing population health challenges have catalyzed calls for the integration of complex-systems-science-grounded approaches into population health science. Mounting evidence denotes that a complex systems paradigm can bring about dramatic, multipronged changes for education and training, and lead to innovative research, interventions, and policies. Despite the large and untapped promise of complex systems, the haphazard knowledge base from which academics, researchers, students, policymakers, and practitioners can draw has slowed their integration into the population health sciences. This volume fulfils this growing need by providing the knowledge base necessary to introduce a holistic complex systems paradigm in population health science. As such, it is the first comprehensive book in population health science that meaningfully integrates complex systems theory, methodology, modeling, computational simulation, and real-world applications, while incorporating current population health theoretical, methodological and analytical perspectives. It is intended as a programmatic primer across a broad spectrum of population health stakeholders: from university professors and graduate students, to researchers, policymakers, and practitioners.

Putting Systems and Complexity Sciences Into Practice

Author: Joachim P. Sturmberg

Publisher: Springer

Published: 2018-04-10

Total Pages: 244

ISBN-13: 3319736361

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This idea-packed resource takes systems and complexity sciences out of blue-sky territory and into the concrete world of contemporary healthcare practice. Beginning with a new reframing of health and illness, its chapters redesign traditional disease-centered models of care into modern, health-centered—and patient-centered—health service systems. The approaches shown here combine innovation and common sense to recognize and attend to patients’ needs across areas including health education and training, information accessibility, health service organization and delivery, and disease in individual context. The variety of solutions applied to this wide spectrum of issues shows the suitability of systems, complexity, and adaptive thinking to the ongoing objectives of making health services more responsive, effective, and equitable. Highlights of the coverage: Healthy smoker: an oxymoron? Maybe, but it is more complicated than that Transforming monitoring and improving care with variability-derived clinical decision support Linking Gulf War illness to genome instability, somatic evolution, and complex adaptive systems Complexity of knowledge in primary care: understanding the discipline’s requisite knowledge: a bibliometric study New ways of knowing and researching: integrating complexity into a translational health sciences program Understanding the emergency department ecosystem using agent-based modelling Putting Systems and Complexity Sciences into Practice is an inspiring idea book that sill interest health policymakers, health financiers, organizational leaders, healthcare administrators, clinicians, researchers, students, and interested lay readers.

Textbook of Patient Safety and Clinical Risk Management

Author: Liam Donaldson

Publisher: Springer Nature

Published: 2020-12-14

Total Pages: 496

ISBN-13: 3030594033

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Implementing safety practices in healthcare saves lives and improves the quality of care: it is therefore vital to apply good clinical practices, such as the WHO surgical checklist, to adopt the most appropriate measures for the prevention of assistance-related risks, and to identify the potential ones using tools such as reporting & learning systems. The culture of safety in the care environment and of human factors influencing it should be developed from the beginning of medical studies and in the first years of professional practice, in order to have the maximum impact on clinicians' and nurses' behavior. Medical errors tend to vary with the level of proficiency and experience, and this must be taken into account in adverse events prevention. Human factors assume a decisive importance in resilient organizations, and an understanding of risk control and containment is fundamental for all medical and surgical specialties. This open access book offers recommendations and examples of how to improve patient safety by changing practices, introducing organizational and technological innovations, and creating effective, patient-centered, timely, efficient, and equitable care systems, in order to spread the quality and patient safety culture among the new generation of healthcare professionals, and is intended for residents and young professionals in different clinical specialties.