Applied Systems Thinking for Health Systems Research

A Methodological Handbook

Author: Don De Savigny

Publisher: N.A

ISBN: 9780335261321

Category: Medical care

Page: 247

View: 1508

Patient safety in health systems has become more and more important as a theme in health research, and so it is not surprising to see a growing interest in applying systems thinking to healthcare. However there is a difficulty, health systems are very complex and constantly adapting to respond to core drivers and fit needs. How do you apply systems thinking in this situation, and what methods are available? National health authorities, international donors and research practitioners need to know the “how-to” of conducting health systems research from a systems thinking perspective. This book will fill this gap and provide a range of tools that give clear guidance of ways to carry out systems thinking in health, with real-world examples. These methodologies include: System dynamics and causal loops ; Network analysis ; Outcome mapping ; Soft systems methodology.

Systems Thinking for Health Systems Strengthening

Author: Don De Savigny,Taghreed Adam,World Health Organization

Publisher: World Health Organization

ISBN: 9241563893

Category: Education

Page: 107

View: 8470

This report investigates how systems thinking can deepen the conceptual and practical underpinnings of system strengthening initiatives. This Flagship Report from the Alliance for Health Policy and Systems Research makes the case for systems thinking in an easily accessible form for a broad interdisciplinary audience, including health system stewards, programme implementers, researchers, evaluators and funding partners. It presents: What systems thinking is, and what it means for the health system; A health systems case illustration that demonstrates the "Ten Steps to Systems Thinking" - practical guidance in applying the systems perspective; The challenges and opportunities to applying systems thinking in real-world settings; An agenda for expanding the use of systems thinking for health systems strengthening.

Systems Thinking For Social Change

A Practical Guide to Solving Complex Problems, Avoiding Unintended Consequences, and Achieving Lasting Results

Author: David Peter Stroh

Publisher: Chelsea Green Publishing

ISBN: 1603585818

Category: Business & Economics

Page: 264

View: 1510

Donors, leaders of nonprofits, and public policy makers usually have the best of intentions to serve society and improve social conditions. But often their solutions fall far short of what they want to accomplish and what is truly needed. Moreover, the answers they propose and fund often produce the opposite of what they want over time. We end up with temporary shelters that increase homelessness, drug busts that increase drug-related crime, or food aid that increases starvation. How do these unintended consequences come about and how can we avoid them? By applying conventional thinking to complex social problems, we often perpetuate the very problems we try so hard to solve, but it is possible to think differently, and get different results. Systems Thinking for Social Change enables readers to contribute more effectively to society by helping them understand what systems thinking is and why it is so important in their work. It also gives concrete guidance on how to incorporate systems thinking in problem solving, decision making, and strategic planning without becoming a technical expert. Systems thinking leader David Stroh walks readers through techniques he has used to help people improve their efforts to end homelessness, improve public health, strengthen education, design a system for early childhood development, protect child welfare, develop rural economies, facilitate the reentry of formerly incarcerated people into society, resolve identity-based conflicts, and more. The result is a highly readable, effective guide to understanding systems and using that knowledge to get the results you want.

Applied Systems Theory

Author: Rob Dekkers

Publisher: Springer

ISBN: 3319575260

Category: Technology & Engineering

Page: 315

View: 4264

Offering an up-to-date account of systems theories and its applications, this book provides a different way of resolving problems and addressing challenges in a swift and practical way, without losing overview and grip on the details. From this perspective, it offers a different way of thinking in order to incorporate different perspectives and to consider multiple aspects of any given problem. Drawing examples from a wide range of disciplines, it also presents worked cases to illustrate the principles. The multidisciplinary perspective and the formal approach to modelling of systems and processes of ‘Applied Systems Theory’ makes it suitable for managers, engineers, students, researchers, academics and professionals from a wide range of disciplines; they can use this ‘toolbox’ for describing, analysing and designing biological, engineering and organisational systems as well as getting a better understanding of societal problems. This revised, updated and expanded second edition includes coverage of abductive reasoning, the relevance of systems theories for research methods and a new chapter about problem analysis and solving based on systems theories.

Engineering a Safer World

Systems Thinking Applied to Safety

Author: Nancy G. Leveson

Publisher: MIT Press

ISBN: 0262297302

Category: Science

Page: 560

View: 8394

Engineering has experienced a technological revolution, but the basic engineering techniques applied in safety and reliability engineering, created in a simpler, analog world, have changed very little over the years. In this groundbreaking book, Nancy Leveson proposes a new approach to safety -- more suited to today's complex, sociotechnical, software-intensive world -- based on modern systems thinking and systems theory. Revisiting and updating ideas pioneered by 1950s aerospace engineers in their System Safety concept, and testing her new model extensively on real-world examples, Leveson has created a new approach to safety that is more effective, less expensive, and easier to use than current techniques.Arguing that traditional models of causality are inadequate, Leveson presents a new, extended model of causation (Systems-Theoretic Accident Model and Processes, or STAMP), then then shows how the new model can be used to create techniques for system safety engineering, including accident analysis, hazard analysis, system design, safety in operations, and management of safety-critical systems. She applies the new techniques to real-world events including the friendly-fire loss of a U.S. Blackhawk helicopter in the first Gulf War; the Vioxx recall; the U.S. Navy SUBSAFE program; and the bacterial contamination of a public water supply in a Canadian town. Leveson's approach is relevant even beyond safety engineering, offering techniques for "reengineering" any large sociotechnical system to improve safety and manage risk.

An Introduction to General Systems Thinking

Author: Gerald M. Weinberg

Publisher: Dorset House Publishing Company, Incorporated

ISBN: 9780932633491

Category: Technology & Engineering

Page: 279

View: 568

Sharpen Your Thinking with Weinberg's Systems Thinking Classic For more than twenty-five years, An Introduction to General Systems Thinking has been hailed as an innovative introduction to systems theory, with applications in computer science and beyond. Used in university courses and professional seminars all over the world, the text has proven its ability to open minds and sharpen thinking. Originally published in 1975 and reprinted more than twenty times over a quarter century--and now available for the first time from Dorset House Publishing--the text uses clear writing and basic algebraic principles to explore new approaches to projects, products, organizations, and virtually any kind of system. Scientists, engineers, organization leaders, managers, doctors, students, and thinkers of all disciplines can use this book to dispel the mental fog that clouds problem-solving. As author Gerald M. Weinberg writes in the new preface to the Silver Anniversary Edition, "I haven't changed my conviction that most people don't think nearly as well as they could had they been taught some principles of thinking." Now an award-winning author of nearly forty books spanning the entire software development life cycle, Weinberg had already acquired extensive experience as a programmer, manager, university professor, and consultant when this book was originally published. With helpful illustrations, numerous end-of-chapter exercises, and an appendix on a mathematical notation used in problem-solving, An Introduction to General Systems Thinking may be your most powerful tool in working with problems, systems, and solutions.

Engineering a Learning Healthcare System:

A Look at the Future: Workshop Summary

Author: Institute of Medicine,National Academy of Engineering

Publisher: National Academies Press

ISBN: 0309120640

Category: Medical

Page: 340

View: 3648

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.

Systemic Intervention

Philosophy, Methodology, and Practice

Author: Gerald Midgley

Publisher: Springer Science & Business Media

ISBN: 1461542014

Category: Social Science

Page: 447

View: 9892

This book aims to rethink systemic intervention to enhance its relevance for supporting social change in the 21st century. It offers a new systems philosophy and methodology, focusing upon the fundamental importance of exploring value and boundary judgements as part of the intervention process. It includes four detailed examples of the practice of systemic intervention.

Thinking, Fast and Slow

Author: Daniel Kahneman

Publisher: Farrar, Straus and Giroux

ISBN: 1429969350

Category: Psychology

Page: 512

View: 2472

Major New York Times bestseller Winner of the National Academy of Sciences Best Book Award in 2012 Selected by the New York Times Book Review as one of the ten best books of 2011 A Globe and Mail Best Books of the Year 2011 Title One of The Economist's 2011 Books of the Year One of The Wall Street Journal's Best Nonfiction Books of the Year 2011 2013 Presidential Medal of Freedom Recipient Kahneman's work with Amos Tversky is the subject of Michael Lewis's The Undoing Project: A Friendship That Changed Our Minds In the international bestseller, Thinking, Fast and Slow, Daniel Kahneman, the renowned psychologist and winner of the Nobel Prize in Economics, takes us on a groundbreaking tour of the mind and explains the two systems that drive the way we think. System 1 is fast, intuitive, and emotional; System 2 is slower, more deliberative, and more logical. The impact of overconfidence on corporate strategies, the difficulties of predicting what will make us happy in the future, the profound effect of cognitive biases on everything from playing the stock market to planning our next vacation—each of these can be understood only by knowing how the two systems shape our judgments and decisions. Engaging the reader in a lively conversation about how we think, Kahneman reveals where we can and cannot trust our intuitions and how we can tap into the benefits of slow thinking. He offers practical and enlightening insights into how choices are made in both our business and our personal lives—and how we can use different techniques to guard against the mental glitches that often get us into trouble. Winner of the National Academy of Sciences Best Book Award and the Los Angeles Times Book Prize and selected by The New York Times Book Review as one of the ten best books of 2011, Thinking, Fast and Slow is destined to be a classic.

Design for Care

Innovating Healthcare Experience

Author: Peter Jones

Publisher: Rosenfeld Media

ISBN: 1933820136

Category: Medical

Page: 376

View: 8020

The world of healthcare is constantly evolving, ever increasing in complexity, costs, and stakeholders, and presenting huge challenges to policy making, decision making and system design. In Design for Care, we'll show how service and information designers can work with practice professionals and patients/advocates to make a positive difference in healthcare.

Implementation Research in Health

A Practical Guide

Author: David H. Peters,Nhan T. Tran,Taghreed Adam

Publisher: World Health Organization

ISBN: 9241506210

Category: Medical

Page: 67

View: 4401

Interest in implementation research is growing, largely in recognition of the contribution it can make to maximizing the beneficial impact of health interventions. As a relatively new and, until recently, rather neglected field within the health sector, implementation research is something of an unknown quantity for many. There is therefore a need for greater clarity about what exactly implementation research is, and what it can offer. This Guide is designed to provide that clarity. Intended to support those conducting implementation research, those with responsibility for implementing programs, and those who have an interest in both, the Guide provides an introduction to basic implementation research concepts and language, briefly outlines what it involves, and describes the many opportunities that it presents. The main aim of the Guide is to boost implementation research capacity as well as demand for implementation research that is aligned with need, and that is of particular relevance to health systems in low- and middle-income countries (LMICs). Research on implementation requires the engagement of diverse stakeholders and multiple disciplines in order to address the complex implementation challenges they face. For this reason, the Guide is intended for a variety of actors who contribute to and/or are impacted by implementation research. This includes the decision-makers responsible for designing policies and managing programs whose decisions shape implementation and scale-up processes, as well as the practitioners and front-line workers who ultimately implement these decisions along with researchers from different disciplines who bring expertise in systematically collecting and analyzing information to inform implementation questions. The opening chapters (1-4) make the case for why implementation research is important to decision-making. They offer a workable definition of implementation research and illustrate the relevance of research to problems that are often considered to be simply administrative and provide examples of how such problems can be framed as implementation research questions. The early chapters also deal with the conduct of implementation research, emphasizing the importance of collaboration and discussing the role of implementers in the planning and designing of studies, the collection and analysis of data, as well as in the dissemination and use of results. The second half of the Guide (5-7) detail the various methods and study designs that can be used to carry out implementation research, and, using examples, illustrates the application of quantitative, qualitative, and mixed-method designs to answer complex questions related to implementation and scale-up. It offers guidance on conceptualizing an implementation research study from the identification of the problem, development of research questions, identification of implementation outcomes and variables, as well as the selection of the study design and methods while also addressing important questions of rigor.

Systems Thinking

Coping with 21st Century Problems

Author: John Boardman,Brian Sauser

Publisher: CRC Press

ISBN: 9781420054927

Category: Technology & Engineering

Page: 240

View: 3753

By examining the links and interactions between elements of a system, systems thinking is becoming increasingly relevant when dealing with global challenges, from terrorism to energy to healthcare. Addressing these seemingly intractable systems problems in our society, Systems Thinking: Coping with 21st Century Problems focuses on the inherent opportunities and difficulties of a systems approach. Taking an engineering systems view toward systems thinking, the authors place a high value on the thinking process and the things applied to this process. In the hopes of initiating critical thinking and encouraging a systems response to problems, the book provides pragmatic mechanisms to understand and address co-evolving systems problems and solutions. It uses several contemporary and complex societal issues, such as the Iraq war, the Google phenomenon, and the C2 Constellation, to illustrate the concepts, methods, and tools of a system as well as the meaning of togetherness in a system. The text also interweaves the meanings of complexity, paradox, and system to promote the improvement of difficult situations. Featuring a holistic, nonlinear way of looking at systems, this book helps readers better organize and structure their thinking of systems in order to solve complex, real-world problems.

Thinking in Systems

A Primer

Author: Donella Meadows

Publisher: Chelsea Green Publishing

ISBN: 9781603581486

Category: Science

Page: 240

View: 3765

In the years following her role as the lead author of the international bestseller, Limits to Growth—the first book to show the consequences of unchecked growth on a finite planet— Donella Meadows remained a pioneer of environmental and social analysis until her untimely death in 2001. Thinking in Systems, is a concise and crucial book offering insight for problem solving on scales ranging from the personal to the global. Edited by the Sustainability Institute’s Diana Wright, this essential primer brings systems thinking out of the realm of computers and equations and into the tangible world, showing readers how to develop the systems-thinking skills that thought leaders across the globe consider critical for 21st-century life. Some of the biggest problems facing the world—war, hunger, poverty, and environmental degradation—are essentially system failures. They cannot be solved by fixing one piece in isolation from the others, because even seemingly minor details have enormous power to undermine the best efforts of too-narrow thinking. While readers will learn the conceptual tools and methods of systems thinking, the heart of the book is grander than methodology. Donella Meadows was known as much for nurturing positive outcomes as she was for delving into the science behind global dilemmas. She reminds readers to pay attention to what is important, not just what is quantifiable, to stay humble, and to stay a learner. In a world growing ever more complicated, crowded, and interdependent, Thinking in Systems helps readers avoid confusion and helplessness, the first step toward finding proactive and effective solutions.

Beyond Alignment

Applying Systems Thinking in Architecting Enterprises

Author: John Gotze,Anders Jensen-Waud

Publisher: N.A

ISBN: 9781848901162

Category: Computers

Page: 482

View: 7204

"... A comprehensive collection about how enterprises can apply systems thinking in their enterprise architecture practice, for business transformation and for strategic execution. The book's contributors find that systems thinking is a valuable way of thinking about the viable enterprise and how to architect it" -- Back cover.

Novick & Morrow's Public Health Administration

Author: Leiyu Shi,James A. Johnson,Professor Johns Hopkins Bloomberg School of Public Health Baltimore Maryland Director Johns Hopkins Primary Care Policy Center Leiyu Shi

Publisher: Jones & Bartlett Publishers

ISBN: 1449657427

Category: Education

Page: 800

View: 2719

Under the direction of new lead editors, Leiyu Shi and James A. Johnson, the new Third Edition of Public Health Administration: Principles for Population-Based Management examines the many events, advances, and challenges in the United States and the world since the publication of the prior edition of the book.With contributions from experts in areas ranging from workforce to community-based prevention to emergency preparedness, this timely and thorough revision offers detailed, comprehensive coverage of current, relevant issues for students as well as practicing public health administrators. This edition also addresses new perspectives of evidence-based public health, systems thinking, accountable care organizations, social entrepreneurship, integrated information management, disaster preparedness and response, and social media.New to this Edition:* New team of seasoned co-editors, Leiyu Shi and James A. Johnson.* Streamlined chapters with new chapter objectives and discussion questions to enhance the classroom experience for students. * New chapters on public health policy, social determinants of health, public health systems research, social marketing, social entrepreneurship for public health, and global health.* New student Navigate Companion Website with interactive learning materials to engage students in learning.Instructor Resources: Instructor Manual, PowerPoint, Test BankStudent Resources: Companion Website

Systems Analysis Approach for Complex Global Challenges

Author: Priscilla Mensah,David Katerere,Sepo Hachigonta,Andreas Roodt

Publisher: Springer

ISBN: 3319714864

Category: Technology & Engineering

Page: 332

View: 6610

This book, which contains a collection of review articles as well as focus on evidence-based policy making, will serve as a valuable resource not just for all postgraduate students conducting research using systems analysis thinking but also for policy makers. To our knowledge, a book of this nature which also has a strong African focus is currently not available. The book examines environmental and socio-economic risks with the aim of providing an analytical foundation for the management and governance of natural resources, disasters, addressing climate change, and easing the technological and ecological transitions to sustainability. It provides scientific and strategic analysis to better understand the dynamics of future energy transitions, their main driving forces, enabling factors, barriers, as well as their consequences for the social, economic and environmental dimensions of human wellbeing. Science-based policy advice is achieved through an integrated assessment and modeling of how to simultaneously address the major energy policy challenges in the areas of environment (climate change and air pollution), energy poverty (or access to affordable and clean energy for the poor), energy security and reliability. It also aims to improve our understanding of ecosystems and their management in today’s changing world—in particular, the current state of ecosystems, and their ecological thresholds and buffering capacities. It provides support for policy makers in developing rational, realistic and science-based regional, national and global strategies for the production of fuel, food and fibre that sustain ecosystem services and safeguard food security. Finally, it addresses the human development dimension of global change based on comprehensive studies on the changing size and composition of human populations around the world by analyzing both their impacts and the differential vulnerabilities by age, gender and level of education.

Healthcare Technology Management Systems

Towards a New Organizational Model for Health Services

Author: Luis Vilcahuamán,Rossana Rivas

Publisher: Academic Press

ISBN: 0128115602

Category: Technology & Engineering

Page: 204

View: 2361

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)

Health Systems Improvement Across the Globe

Success Stories from 60 Countries

Author: Jeffrey Braithwaite,Russell Mannion,Yukihiro Matsuyama,Paul Shekelle,Stuart Whittaker,Samir Al-Adawi

Publisher: CRC Press

ISBN: 1317123271

Category: Technology & Engineering

Page: 606

View: 5666

Following on from 2015’s Healthcare Reform, Quality and Safety: Perspectives, Participants, Partnerships and Prospects in 30 Countries, this book encompasses a global perspective on healthcare while shifting the focus from reform to showcasing success stories of healthcare systems worldwide. It provides explanations of why various facets of healthcare systems work well in different contexts and offers the reader alternative models for consideration. The book features contributions from 60 countries, going much further than the common practice of focusing on affluent Western nations, to provide a comprehensive exploration of the success of healthcare systems globally. The majority of literature on health-sector improvement attempts to address the problems within systems, relating the errors that can and do occur, for example, and offering solutions and preventative strategies. This book of country case studies will approach the enhancement of health systems, patient safety and the quality of care in a new and innovative way, comprehensively surveying and synthesizing the success stories of healthcare systems around the world, utilizing Hollnagel’s Safety-II approach to acknowledge the importance of exploring what goes right, what works well, and why it works. These success stories may include reference to macro, meso or micro levels of healthcare systems, various sectors (e.g., aged care, acute care or primary care), or specific programs or projects. Health System Improvement Across the Globe: Success Stories from 60 Countries is unprecedented in terms of both reach and positive emphasis, and as such will be instrumental in changing ways of thinking about and guiding health-sector improvement.

Innovative Care for Chronic Conditions

Building Blocks for Action : Global Report

Author: Sheri Pruitt

Publisher: World Health Organization

ISBN: 9241590173

Category: Law

Page: 112

View: 8003

The dramatic increase in chronic conditions, including noncommunicable diseases, mental disorders, and certain communicable diseases such as HIV/AIDS demands creative action. The WHO created this document to alert decision-makers throughout the world about these important changes in global health, and to present health care solutions for managing this rising burden.