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Qual Saf Health Care 18:37-41 doi:10.1136/qshc.2007.023317
  • Original Article

Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems

Table 1 Natural properties and features of complex systems
Properties of complex systems Healthcare manifestations
Natural networks Groups of clinicians who interact professionally to share information, support, consult, refer and jointly manage patients
Natural hubs and scale-free behaviour Opinion leaders in networks who disproportionately influence policies, events or practices
Natural pathways, connectivity and small worlds Communication channels facilitating the rapid dissemination of information via “grapevines” and communities of practice
Natural appeal and stickiness Messages and communications that are convincing and are absorbed among clinical cohorts
Natural propagation and tipping points The point at which a message, idea or practice whose time has come is readily adopted by a critical mass of clinicians
Natural categories and natural mapping The identification of clinically relevant problems grouped as accessible data, to facilitate decision-making and solutions to healthcare problems
Natural interest and self-selection Clinicians with common concerns and complementary expertise voluntarily grouped together to collectively resolve coal-face clinical problems

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