Case Story

Advancing the Safety and Quality of Care in the Emergency Department Over Time: A Story with Three Acts

By Nancy Shendell-Falik, Amy Doran, and Bernard J. Mohr

Complexity, Emergence and Appreciative Inquiry—Its Role In Complex Adaptive Systems

Improvement strategies within healthcare tend to be fragmented and linear—with some efforts focusing primarily on technology only, others focusing on patient care, others on cost reduction, and still others focusing on caregiver relationships. And in a fairly stable, structured environment, where the same simple processes and procedures are repeated over and over again, and where “we can know and predict in great detail what each of the parts will do in response to a given stimulus” it may ...

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