Understanding the complexity of redesigning care around the clinical microsystem

Quality and Safety in Health Care

Volumn 15, Issue SUPPL. 1, 2006, Pages

  Barach, P ^a   Johnson, J K ^b  

^a UNIVERSITY OF MIAMI   (United States)

^b UNIVERSITY OF CHICAGO   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EXPERIMENTAL STUDY; HEALTH CARE DELIVERY; HEALTH CARE FACILITY; HEALTH CARE ORGANIZATION; HEALTH CARE SYSTEM; MEDICAL ASSESSMENT; MEDICAL EDUCATION; MEDICAL PRACTICE; OUTCOME ASSESSMENT; REVIEW; SOCIETY; THORAX SURGERY; VERBAL BEHAVIOR;

DELIVERY OF HEALTH CARE; EFFICIENCY, ORGANIZATIONAL; HEALTH SERVICES NEEDS AND DEMAND; HUMANS; INTERPROFESSIONAL RELATIONS; MODELS, ORGANIZATIONAL; ORGANIZATIONAL INNOVATION; PATIENT CARE PLANNING; PATIENT-CENTERED CARE; PLANNING TECHNIQUES; PROCESS ASSESSMENT (HEALTH CARE); UNITED STATES;

EID: 33845788111     PISSN: 14753898     EISSN: None     Source Type: Journal    
DOI: 10.1136/qshc.2005.015859     Document Type: Review

References (38)

1. Institute of Medicine. To err is human: building a safer health system. Washington, DC: National Academy Press, 1999.
2. Deming WE. Out of the crisis. Cambridge: Massachusetts Institute of Technology Center for Advanced Engineering Study, 1986.
3. Senge P. The fifth discipline. New York: Doubleday, 1990.
4. Wheatley M. Leadership and the new science: learning about organization from an orderly universe. San Francisco: Berrett-Koehler, 1992.
5. Quinn JB. The intelligent enterprise. New York: Free Press, 1992.
6. Nelson EC, Batalden PB, Huber TP, et al. Microsystems in health care: Part 1. Learning from high-performing front-line clinical units. Jt Comm J Qual Saf 2002;28:472-93.
7. Nelson EC, Batalden PB, Homa K, et al. Microsystems in health care: Part 2. Creating a rich information environment. Jt Comm J Qual Saf 2003;29:5-15.
8. Godfrey MM, Nelson EC, Wasson JH, et al. Microsystems in health care: Part 3. Planning patient-centered services. Jt Comm J Qual Saf 2003;29:159-70.
9. Wasson JH, Godfrey MM, Nelson EC, et al. Microsystems in health care: Part 4. Planning patient-centered care. Jt Comm J Qual Saf 2003;29:227-37.
10. Batalden PB, Nelson EC, Mohr JJ, et al. Microsystems in health care: Part 5. How leaders are leading. Jt Comm J Qual Saf 2003;29:297-308.
11. Mohr J, Barach P, Cravero JP, et al. Microsystems in health care: Part 6. Designing patient safety into the microsystem. Jt Comm J Qual Saf 2003;29:401-8.
12. Kosnik L, Espinosa J. Microsystems in health care: Part 7. The microsystem as a platform for merging strategic planning and operations. Jt Comm J Qual Saf 2003;29:452-9.
13. Huber T, Godfrey MM, Nelson EC, et al. Microsystems in health care: Part 8. Developing people and improving worklife: what front-line staff told us, Jt Comm J Qual Saf 2003;29:512-22.
14. Batalden P, Nelson EC, Edwards WH, et al. Microsystems in health care: Part 9. Developing small clinical units to attain peak performance. Jt Comm J Qual Saf 2003;29:575-85.
15. Donaldson MS, Mohr JJ. Improvement and innovation in health care microsystems, A technical report for the Institute of Medicine Committee on the Quality of Health Care in America. Princeton: Robert Wood Johnson Foundation, 2000.
16. Mohr J. Forming, operating, and improving microsystems of care. Hanover: Center for the Evaluative Clinical Sciences, Dartmouth College, 2000:250.
17. Plsek PE, Greenhalgh T. Complexity science: the challenge of complexity in health care. BMJ 2001;323:625-8.
18. Plsek PE, Wilson T. Complexity, leadership, and management in healthcare organisations. BMJ 2001;323:746-9.
19. Batalden PB, Mohr JJ, Nelson EC, et al. Continually improving the health and value of health care for a population of patients: the panel management process. Qual Manag Health Care 1997;5:41-51.
20. Nelson EC, Batalden PB, Mohr JJ, et al. Building a quality future. Front Health Serv Manage 1998;15:3-32.
21. Mohr JJ, Batalden PB. Improving safety on the front lines: the role of clinical microsystems. Qual Saf Health Care 2002;11:45-50.
22. Bertalanffy LV. General system theory: foundations, development, applications. New York: George Braziller, 1968.
23. Spector J, Davidsen P. Cognitive complexity in decision making and policy formulation: a system dynamics perspective. 4th International Conference on Competency Based Management 2000.
24. Sterman JD. Business dynamics world. New York: McGraw-Hill, 2000.
25. Dörner D. The logic of failure: why things go wrong and what we can do to make them right. New York: Metropolitan Books, 1996.
26. Sterman J. Modeling managerial behavior: misperceptions of feedback in a dynamic decision making experiment. Manage Sci 1989;35:321-39.
27. Forrester JW. Principles of systems. Portland, OR: Productivity Press, 1990.
28. Sterman J. Learning in and about complex systems. System Dynamics Rev 1994;10:291-330.
29. Richmond B. Systems thinking: critical thinking for the 1990s and beyond. System Dynamics Rev 1993;9:113-34.
30. Barlas Y. System dynamics: systemic feedback modeling for policy analysis. In: Knowledge for sustainable development: an insight into the encyclopedia of life support systems. Oxford, UK: UNESCO Publishing, 2002:1131-75.
31. Donabedian A. Evaluating the quality of medical care. Milbank Q 1966;44:166-203.
32. Weinstein J, Brown PW, Hanscom B, et al. Designing an ambulatory clinical practice for outcomes improvement: from vision to reality: The Spine Center at Dartmouth-Hitchcock, Year One. Qual Manag Health Care 2000;8:1-20.
33. Batalden P, Mohr J. Building a knowledge of health care as a system. Qual Manag Health Care 1997;5:1-12.
34. Galvan C, Bache E, Mohr J, et al. A human factors approach to understanding patient safety in pediatric surgery. Prog Pediatr Cardiol 2005;20:13-20.
35. Tekian A, McGuire C, McGagnie W, eds. Innovative simulations for assessing professional competence: from paper and pencil to virtual reality Chicago: University of Illinois, 1999.
36. Steuffert S, Satish U, Barach P. Improving medical care. The use of simulation technology. Simul Gaming 2001;34:164-71.
37. Wilson KA, Burke CS, Priest HA, et al. Promoting health care safety through training high reliability teams. Qual Saf Health Care 2005;14:303-9
38. Gaba D. The future vision of simulation in health care. Qual Saf Health Care 2004;13(Suppl I):i2-10.