CUED Publications database

A systems approach to healthcare: from thinking to -practice.

Clarkson, J and Dean, J and Ward, J and Komashie, A and Bashford, T (2018) A systems approach to healthcare: from thinking to -practice. Future Healthc J, 5. pp. 151-155. ISSN 2514-6645

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Medicine is increasingly complex, involving a highly connected system of people, resources, processes, and institutions. Attempts to improve care involve disruptions to this system, with the potential for wide-ranging consequences, both positive and negative. Despite this, many improvement methodologies are poorly equipped to manage either complexity or risk - instead focusing on discrete interventions whose effects are narrowly monitored. Engineers have long understood that complex problems require a systems view, and that attempts to make things better can themselves introduce new risk into a system. Given this, an engineering systems approach may be of significant value to those trying to improve healthcare. Two fundamental questions emerge from such an approach: what can we do better, and what could possibly go wrong? This paper describes the evolution of a systems approach to healthcare, and explores a recently co-developed framework outlining a systems approach based upon a synergy between healthcare and engineering.

Item Type: Article
Uncontrolled Keywords: Systems approach healthcare improvement healthcare systems quality improvement systems engineering
Divisions: Div C > Engineering Design
Depositing User: Cron Job
Date Deposited: 12 Oct 2018 20:12
Last Modified: 09 Sep 2021 01:05
DOI: 10.7861/futurehosp.5-3-151