Hospital safety and complexity
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Hospitals are complex systems.1 Efforts to improve hospital safety have met with only limited success.2 Application of the science of complex systems and networks may help.3 4
Retrospective investigation of major adverse events commonly shows pre-existing malfunction. Pattern dynamics3 4 is the prospective evaluation of relevant processes enabling threshold …
[1] Peter J Pronovost,et al. Is quality of care improving in the UK? , 2011, BMJ : British Medical Journal.
[2] P. Plsek,et al. The challenge of complexity in health care , 2001, BMJ : British Medical Journal.
[3] B. Bell,et al. Is the National Health Service at the Edge of Chaos? , 2001, Journal of the Royal Society of Medicine.
[4] E. Ostrom. A General Framework for Analyzing Sustainability of Social-Ecological Systems , 2009, Science.