Understanding And Managing The Complexity Of Healthcare

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Understanding and Managing the Complexity of Healthcare

William B. Rouse,Nicoleta Serban
Understanding and Managing the Complexity of Healthcare Book PDF

Author : William B. Rouse,Nicoleta Serban
Publisher : MIT Press
Page : 297 pages
File Size : 42,6 Mb
Release : 2014-07-03
Category : Medical
ISBN : 9780262027519

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Understanding and Managing the Complexity of Healthcare by William B. Rouse,Nicoleta Serban Pdf

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.

Textbook of Patient Safety and Clinical Risk Management

Liam Donaldson,Walter Ricciardi,Susan Sheridan,Riccardo Tartaglia
Textbook of Patient Safety and Clinical Risk Management Book PDF

Author : Liam Donaldson,Walter Ricciardi,Susan Sheridan,Riccardo Tartaglia
Publisher : Springer Nature
Page : 496 pages
File Size : 43,7 Mb
Release : 2020-12-14
Category : Medical
ISBN : 9783030594039

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Textbook of Patient Safety and Clinical Risk Management by Liam Donaldson,Walter Ricciardi,Susan Sheridan,Riccardo Tartaglia Pdf

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.

Managing Complexity in Healthcare

Lesley Kuhn,Kieran Le Plastrier
Managing Complexity in Healthcare Book PDF

Author : Lesley Kuhn,Kieran Le Plastrier
Publisher : Taylor & Francis
Page : 115 pages
File Size : 43,8 Mb
Release : 2022-05-24
Category : Business & Economics
ISBN : 9781000630084

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Managing Complexity in Healthcare by Lesley Kuhn,Kieran Le Plastrier Pdf

Managing Complexity in Healthcare introduces the ComEntEth (Complex Entropic Ethical) model as an integrated bio-medical and philosophical approach to understanding how people get things done in healthcare. Drawing on the complexity sciences, studies of entropy in living organisms and the ethics of Emmanuel Levinas, healthcare is theorised as energetic relational exchanges between people as entropic and ethical entities that unfold around a central attractor: Reduction in elevated entropy or suffering in patients. Living entities are engaged in a continuous struggle against the tendency to produce entropy. From the cellular to the collective of human endeavours, the tendency of complex systems is to disorder and decay. Yet in the micro-activity of healthcare enterprise, people resist this tendency by expending energy to create order and sustain life. Making sense of how this miraculous work is made possible is the foundation of this book. Through practical examples – from analysis of practitioner burnout, rural and remote healthcare, the functioning of emergency departments, to government, social and institutional responses to the COVID-19 pandemic – this new integral philosophy provides practitioners, managers, policy designers, and scholars an effective way to understand the dynamics of daily processes and practices that link the micro of everyday interactions with the macro-trends of healthcare.

Complexity and Healthcare

Kieran Sweeney,Frances Griffiths
Complexity and Healthcare Book PDF

Author : Kieran Sweeney,Frances Griffiths
Publisher : Radcliffe Publishing
Page : 210 pages
File Size : 47,7 Mb
Release : 2002
Category : Chaotic behavior in systems
ISBN : 1857755596

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Complexity and Healthcare by Kieran Sweeney,Frances Griffiths Pdf

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.

Engineering a Learning Healthcare System

National Academy of Engineering,Institute of Medicine
Engineering a Learning Healthcare System Book PDF

Author : National Academy of Engineering,Institute of Medicine
Publisher : National Academies Press
Page : 340 pages
File Size : 47,8 Mb
Release : 2011-06-14
Category : Medical
ISBN : 9780309224772

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Engineering a Learning Healthcare System by National Academy of Engineering,Institute of Medicine Pdf

Improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system-one that increasingly is more effective, more efficient, safer, and higher quality-is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the Institute of Medicine's Roundtable on Value and Science-Driven Health Care and the National Academy of Engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. Building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system.

Handbook of Systems and Complexity in Health

Joachim P Sturmberg,Carmel Martin
Handbook of Systems and Complexity in Health Book PDF

Author : Joachim P Sturmberg,Carmel Martin
Publisher : Springer Science & Business Media
Page : 941 pages
File Size : 52,8 Mb
Release : 2013-01-09
Category : Medical
ISBN : 9781461449980

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Handbook of Systems and Complexity in Health by Joachim P Sturmberg,Carmel Martin Pdf

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 Science in Healthcare

Jeffrey Braithwaite,Kate Churruca,Louise A. Ellis,Janet c Long,Robyn Clay-Williams,Nikki Damen,Jessica Herkes,Chiara Pomare,Kristiana Ludlow
Complexity Science in Healthcare Book PDF

Author : Jeffrey Braithwaite,Kate Churruca,Louise A. Ellis,Janet c Long,Robyn Clay-Williams,Nikki Damen,Jessica Herkes,Chiara Pomare,Kristiana Ludlow
Publisher : NCELTR
Page : 129 pages
File Size : 48,9 Mb
Release : 2017-08
Category : Health services accessibility
ISBN : 1741384567

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Complexity Science in Healthcare by Jeffrey Braithwaite,Kate Churruca,Louise A. Ellis,Janet c Long,Robyn Clay-Williams,Nikki Damen,Jessica Herkes,Chiara Pomare,Kristiana Ludlow Pdf

"Many people believe that healthcare is the example par excellence of a complex adaptive system (CAS). It has a daunting range of diverse stakeholders (citizens, taxpayers, politicians, policymakers, providers, managers, clinicians, patients and patient groups), spans the public and private sectors and delivers care across many settings and through varied types of organisations (public health settings, community centres, hospitals, aged-care facilities, and family or general practices, for example). The individuals delivering care, and the groups, teams, networks, bodies and organisations through which they provide services, interact in intricate configurations, longitudinally. Said that way, certain consequences arise. The system, of necessity, will be adapting to circumstances over time, behaviours won't necessarily be predictable, the sum of the parts will be greater and different from the individual elements making up the system, and the inputs and outputs will not match because relationships within the system are not straightforward-they are non-linear. The complexity science approach to understanding, acting on, and researching health systems is becoming increasingly popular. It is therefore timely to release an analysis of complexity and its characteristics, and apply them to healthcare."--Website.

Understanding Health Care Management

Seth B. Goldsmith
Understanding Health Care Management Book PDF

Author : Seth B. Goldsmith
Publisher : Jones & Bartlett Publishers
Page : 354 pages
File Size : 47,8 Mb
Release : 2014
Category : Business & Economics
ISBN : 9781449632106

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Understanding Health Care Management by Seth B. Goldsmith Pdf

This collection of case studies is designed for use in both undergraduate and graduate courses in health care administration. With contributions from a range of experts including present and former CEOs, consultants, public health officials, systems executives, departmental managers, architects, planners and entrepreneurs, this robust classroom resource brings together practical, real world examples of issues and topics that are critical to understanding the complex field of health care management.

Healthcare Technology Management Systems

Luis Vilcahuamán,Rossana Rivas
Healthcare Technology Management Systems Book PDF

Author : Luis Vilcahuamán,Rossana Rivas
Publisher : Academic Press
Page : 204 pages
File Size : 50,9 Mb
Release : 2017-07-17
Category : Technology & Engineering
ISBN : 9780128115602

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Healthcare Technology Management Systems by Luis Vilcahuamán,Rossana Rivas Pdf

Healthcare Technology Management Systems provides a model for implementing an effective healthcare technology management (HTM) system in hospitals and healthcare provider settings, as well as promoting a new analysis of hospital organization for decision-making regarding technology. Despite healthcare complexity and challenges, current models of management and organization of technology in hospitals still has evolved over those established 40-50 years ago, according to totally different circumstances and technologies available now. The current health context based on new technologies demands working with an updated model of management and organization, which requires a re-engineering perspective to achieve appropriate levels of clinical effectiveness, efficiency, safety and quality. Healthcare Technology Management Systems presents best practices for implementing procedures for effective technology management focused on human resources, as well as aspects related to liability, and the appropriate procedures for implementation. Presents a new model for hospital organization for Clinical Engineers and administrators to implement Healthcare Technology Management (HTM) Understand how to implement Healthcare Technology Management (HTM) and Health Technology Assessment (HTA) within all types of organizations, including Human Resource impact, Technology Policy and Regulations, Health Technology Planning (HTP) and Acquisition, as well as Asset and Risk Management Transfer of knowledge from applied research in CE, HTM, HTP and HTA, from award-winning authors who are active in international health organizations such as the World Health Organization (WHO), Pan American Health Organization (PAHO), American College of Clinical Engineering (ACCE) and International Federation for Medical and Biological Engineering (IFMBE)

Evidence-Based Medicine and the Changing Nature of Health Care

Institute of Medicine,LeighAnne M. Olsen,Elizabeth G. Nabel,J. Michael McGinnis,Mark B. McClellan
Evidence Based Medicine and the Changing Nature of Health Care Book PDF

Author : Institute of Medicine,LeighAnne M. Olsen,Elizabeth G. Nabel,J. Michael McGinnis,Mark B. McClellan
Publisher : National Academies Press
Page : 202 pages
File Size : 49,9 Mb
Release : 2008-09-06
Category : Medical
ISBN : 9780309113694

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Evidence-Based Medicine and the Changing Nature of Health Care by Institute of Medicine,LeighAnne M. Olsen,Elizabeth G. Nabel,J. Michael McGinnis,Mark B. McClellan Pdf

Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.

Complexity and Healthcare Organization

David Kernick
Complexity and Healthcare Organization Book PDF

Author : David Kernick
Publisher : CRC Press
Page : 426 pages
File Size : 48,9 Mb
Release : 2018-04-19
Category : Medical
ISBN : 9781315344867

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Complexity and Healthcare Organization by David Kernick Pdf

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.

Making Healthcare Care

Hugo Letiche
Making Healthcare Care Book PDF

Author : Hugo Letiche
Publisher : IAP
Page : 301 pages
File Size : 55,6 Mb
Release : 2008-10-01
Category : Business & Economics
ISBN : 9781607529064

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Making Healthcare Care by Hugo Letiche Pdf

In this volume, Hugo Letiche tackles the all-important question, is there “care” in healthcare? If, as Klaus Krippendorff(2006) argues, “meaning is a structured space, a network of expected senses, a set of possibilities…[that] emerges in the use of language,” then within the healthcare systems of today, the meaning of “care” has been defined to be the eradication of a problem. We must recognize that patients do not wish to regarded merely as a problem requiring eradication. Letiche is opposed to the very idea that complexity reduction can address the humanity of each individual healthcare situation. He argues that, through narratives and through complexity based social theory, the complexity of each individual situation must be transcended through mindful listening and engaged dialogue. Letiche suggests that in the absence of such mindfulness, the lack of time for true listening, and the inability of providers and systems to allow for patients and family to engage in dialogue lies both the roots of the problem and the potential for its solution. If complexity theory has a role in the analysis understanding and betterment of social systems, then approaches such as the one Letiche undertakes herein will become essential tools of the trade.

Managing Health Services

Goodwin, Nick,Gruen, Reinhold,Iles, Valerie
Managing Health Services Book PDF

Author : Goodwin, Nick,Gruen, Reinhold,Iles, Valerie
Publisher : McGraw-Hill Education (UK)
Page : 245 pages
File Size : 49,6 Mb
Release : 2005-12-01
Category : Medical
ISBN : 9780335218523

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Managing Health Services by Goodwin, Nick,Gruen, Reinhold,Iles, Valerie Pdf

Health care systems are highly complex and dynamic. Different systems around the world vary in the way services are managed yet, regardless of these differences, the need for effective managers and managerial leaders is essential in allowing organizations or professionals to achieve specific goals. This book provides an understanding of the concepts of management, managerial leadership and governance within health care systems. It provides a thorough introduction to, and conceptual framework for, the analysis of health systems management and goes on to examine fundamental management tasks, including: Managing income and finances Managing people Managing strategy and change Managing results

Health Professions Education

Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit
Health Professions Education Book PDF

Author : Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit
Publisher : National Academies Press
Page : 191 pages
File Size : 53,5 Mb
Release : 2003-07-01
Category : Medical
ISBN : 9780309133197

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Health Professions Education by Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit Pdf

The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

Managing Modern Healthcare

Mike Bresnen,Damian Hodgson,Simon Bailey,Paula Hyde,John Hassard
Managing Modern Healthcare Book PDF

Author : Mike Bresnen,Damian Hodgson,Simon Bailey,Paula Hyde,John Hassard
Publisher : Routledge
Page : 209 pages
File Size : 46,5 Mb
Release : 2017-02-10
Category : Business & Economics
ISBN : 9781317331247

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Managing Modern Healthcare by Mike Bresnen,Damian Hodgson,Simon Bailey,Paula Hyde,John Hassard Pdf

Until now, research has given us only a limited understanding of how managers actually make sense of and apply management knowledge; how networks of interaction amongst managers help or hinder processes of knowledge diffusion and the sharing of best practice; and how these processes are all influenced both by the organisations in which managers act and by the professional communities of practice they belong to. Managing Modern Healthcare fills these important gaps in our understanding by drawing upon an in-depth study of management networks and practice in three healthcare organisations in the UK. It draws from the primary research a number of important and grounded lessons about how management networks develop and influence the spread of management knowledge and practice; how management training and development relates to the needs of managers facing challenging conditions; and how those conditions are themselves shaping the nature of management in healthcare. This book reveals how managers in practice are responding to the many contemporary challenges facing healthcare (and the NHS in particular) and how they are able or not to effectively exploit sources of knowledge, learning and best practice through the networks of practice they engage in to improve healthcare delivery and healthcare organisational performance. Managing Modern Healthcare makes a number of important theoretical contributions as well as practical recommendations. The theoretical and empirical contributions the book makes relate to wider work on networks and networking, management knowledge, situated learning/communities of practice, professionalization/professional identity and healthcare management more generally. The practical contribution comes in the form of recommendations for healthcare management practitioners and policy makers that are intended to impact upon and help enhance healthcare management delivery and performance.