Oliver Wendell Holmes (OWH) was a Supreme Court Justice who once said something so profound, that few people at the time, including himself, really understood the depth of the sentiment. There are a few slightly different versions, quoted in various places, but I think this one best captures the sentiment. He also said a few... Continue Reading →
Spacetime Traversing Existential Liminal Swing
This wonderful swirling mass of tiny Starlings is called a murmuration. Apart from being mesmerisingly beautiful or terrifying - depending on whether or not you’re an Alfred Hitchcock fan - the phenomenon has been studied by lots of different sorts of people. You’d probably assume they were Ornithologists, some Biologists maybe, but Physicists, Mathematicians, Cryptographers,... Continue Reading →
Unscheduled Cappuccino, a Blue Boris and a Proper Doris
For more years than I care to mention, I've been embroiled in a long term programme of work exploring flows in healthcare. In simple terms, how the work and the patients move around the system. For the past two years it's gone onto the back burner. Actually the instruction from the then hopeless Leaderist, was... Continue Reading →
Frequilibrium and the myth of patient safety…
Who designed the roof currently over your head? There's several tonnes of it, dangling there. Who built the roof and how qualified or experienced were they? There are all sorts of designs, materials and ways of putting it together. How likely are you to survive that bloody big thing landing on your head? To be... Continue Reading →
From Deductive to Inductive to Abductive …?
Three ways of thinking that it's definitely worth getting your head around. Not the best descriptions of each I've ever read, but conveniently, all three on one Wikipedia page: Deductive reasoning (deduction) allows deriving b from a only where b is a formal logical consequence of a. In other words, deduction derives the consequences of... Continue Reading →
10 Great Resources for Systems Thinking and Complexity in Health
An absolutely excellent resource for anyone with a penchant for mashing up some systems theory, healthcare and “how to work in a way that is more congruent with the people and communities you are actually a small part of”. That last bit is mine.
I certainly wouldn’t put my own contributions in the same category as those giant shoulders listed in the blog, however, if you’d like to see what some of the ideas look like, when you sneak them into practice in one small corner of the world, take a look here:
Systems Thinking for Capacity in Health
We believe the following ten resources to be great systems thinking and complexity in health resources for health professionals in all fields seeking to apply these ideas to their work.
1. No list of systems thinking resources would be complete without includingSystems thinking for Health Systems Strengthening by the Alliance for Health Systems Research and WHO Geneva. This is the third in a series of flagship reports by the Alliance for Health Systems Research and has had a widespread, and increasing influence. This Report provides a realistic understanding of effective approaches to strengthening systems, especially in low-income countries and global health initiatives. The report also outlines simple steps to take when seeking to apply the often-elusive systems thinking. The ten steps it gives to applying systems thinking to a health system are (1) convene stakeholders, (2) collectively brainstorm, (3) conceptualize effects (4) adapt and redesign, (5) determine…
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Complexity and Public Health
I'm just stretching the WordPress muscles a few times to get used to it, so I thought that it would be best for me to set the tone ... Philosophically Speaking! We are taught that to make a decision we must gather all of the available evidence and then rationally and objectively calculate the correct... Continue Reading →