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https://www.readbyqxmd.com/read/28171803/reforming-the-road-freight-transportation-system-using-systems-thinking-an-investigation-of-coronial-inquests-in-australia
#1
Sharon Newnam, Natassia Goode, Paul Salmon, Mark Stevenson
Road freight transport is considered to be one of the most dangerous industries in Australia, accounting for over 30% of all work fatalities. Whilst system reform (i.e., change to policy and practice) is needed, it is not clear what this reform should be, or what approaches should be used to drive it. This article argues that road freight transportation reform should be underpinned by a systems thinking approach. Efforts to understand crash causation should be focused beyond the driver and identify contributing factors at other levels with the road freight system...
February 4, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28166428/design-of-experiments-doe-in-pharmaceutical-development
#2
Stavros N Politis, Paolo Colombo, Gaia Colombo, Dimitrios M Rekkas
At the beginning of the 20(th) century, Sir Ronald Fisher introduced the concept of applying statistical analysis during the planning stages of research rather than at the end of experimentation. When statistical thinking is applied from the design phase, it enables to build quality into the product, by adopting Deming's profound knowledge approach, comprising system thinking, variation understanding, theory of knowledge and psychology. The pharmaceutical industry was late in adopting these paradigms, compared to other sectors...
February 6, 2017: Drug Development and Industrial Pharmacy
https://www.readbyqxmd.com/read/28165274/applying-a-family-systems-lens-to-proxy-decision-making-in-clinical-practice-and-research
#3
John S Rolland, Linda L Emanuel, Alexia M Torke
When patients are incapacitated and face serious illness, family members must make medical decisions for the patient. Medical decision sciences give only modest attention to the relationships among patients and their family members, including impact that these relationships have on the decision-making process. A review of the literature reveals little effort to systematically apply a theoretical framework to the role of family interactions in proxy decision making. A family systems perspective can provide a useful lens through which to understand the dynamics of proxy decision making...
February 6, 2017: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/28119331/the-practice-entrepreneur-an-australian-case-study-of-a-systems-thinking-inspired-health-promotion-initiative
#4
A Joyce, C Green, G Carey, E Malbon
The potential of systems science concepts to inform approaches for addressing complex public health problems, such as obesity prevention, has been attracting significant attention over the last decade. Despite its recent popularity, there are very few studies examining the application of systems science concepts, termed systems thinking, in practice and whether (if at all) it influences the implementation of health promotion in real world settings and in what ways. Healthy Together Victoria (HTV) was based on a systems thinking approach to address obesity prevention alongside other chronic health problems and was implemented across 14 local government areas...
January 23, 2017: Health Promotion International
https://www.readbyqxmd.com/read/28115576/soil-transmitted-helminthiasis-and-schistosomiasis-in-children-of-poor-families-in-leyte-philippines-lessons-for-disease-prevention-and-control
#5
Harvy Joy Liwanag, Jhanna Uy, Ramil Bataller, Janis Ruth Gatchalian, Betty De La Calzada, Justine Alessandra Uy, Manuel Dayrit
OBJECTIVE:  Neglected tropical diseases (NTDs) continue to be a public health problem in the Philippines. We assessed the association of soil-transmitted helminthiasis (STH) and schistosomiasis with selected health-related and socioeconomic variables in four villages in Leyte, Philippines. METHODS:  Stool specimens from 418 adults and 533 of their children from 209 families were examined through the Kato-Katz technique. RESULTS:  STH and schistosomiasis were present in 64...
January 23, 2017: Journal of Tropical Pediatrics
https://www.readbyqxmd.com/read/28113165/controlling-seizures-through-chemogenetics-a-new-technique-may-provide-a-more-precise-way-of-targeting-faulty-circuitry-in-the-brain
#6
Michele Solis
Electricity is the currency of our nervous systems. Thinking and planning, walking and talking, eating and sleeping-all our mental and physical activities are driven by electrical signals moving through the brain. This electrical traffic ebbs and flows in consistent patterns across different brain regions, carrying information from one neuron to the next.
September 2016: IEEE Pulse
https://www.readbyqxmd.com/read/28062516/systems-thinking-in-public-health-a-bibliographic-contribution-to-a-meta-narrative-review
#7
Saad Chughtai, Karl Blanchet
BACKGROUND: Research across the formal, natural and social sciences has greatly expanded our knowledge about complex systems in recent decades, informing a broadly inclusive, cross-disciplinary conceptual framework referred to as Systems Thinking (ST). Its use in public health is rapidly increasing, although there remains a poor understanding of how these ideas have been imported, adapted and elaborated by public health research networks worldwide. METHOD: This review employed a mixed methods approach to narrate the development of ST in public health...
January 6, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28047831/we-f-brc-00-keynote-address-learning-from-medical-errors-a-partnership-for-progress
#8
Michael Herman, Jean Moran
: Leilani Schweitzer understands medical error as few others do: through the death of her child. Faced with this profound loss, she has made a choice. Instead of pursing action through the courts she works with healthcare community to understand why mistakes happen and what can be done to respond to them in a meaningful way. In this keynote address for the TG100 Certificate Course on Risk Analysis, she will share her story and the lessons that have emerged. She will highlight the importance of investigating and understanding errors, as well as the role of leadership in accomplishing this...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047175/we-f-brc-01-keynote-address-learning-from-medical-errors-a-partnership-for-progress
#9
L Schweitzer
: Leilani Schweitzer understands medical error as few others do: through the death of her child. Faced with this profound loss, she has made a choice. Instead of pursing action through the courts she works with healthcare community to understand why mistakes happen and what can be done to respond to them in a meaningful way. In this keynote address for the TG100 Certificate Course on Risk Analysis, she will share her story and the lessons that have emerged. She will highlight the importance of investigating and understanding errors, as well as the role of leadership in accomplishing this...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28028815/metabolic-systems-biology-a-brief-primer
#10
REVIEW
Lindsay M Edwards
In the early to mid 20(th) Century, reductionism as a concept in biology was challenged by key thinkers, including Ludwig Von Bertalanffy. He proposed that living organisms were specific examples of complex systems and, as such, they should display characteristics including hierarchical organisation and emergent behaviour. Yet the true study of complete biological systems (for example, metabolism) was not possible until technological advances that occurred 60 years later. Technology now exists that permits the measurement of complete levels of the biological hierarchy, for example the genome and transcriptome...
December 28, 2016: Journal of Physiology
https://www.readbyqxmd.com/read/28025324/defining-pharmaceutical-systems-strengthening-concepts-to-enable-measurement
#11
REVIEW
Tamara Hafner, Helena Walkowiak, David Lee, Francis Aboagye-Nyame
: Pharmaceutical products are indispensable for improving health outcomes. An extensive body of work on access to and use of medicines has resulted in an assortment of tools measuring various elements of pharmaceutical systems. Until now however, there has been little attempt to conceptualize a pharmaceutical system as an entity and define its strengthening in a way that allows for measuring systems strengthening. The narrow focus of available tools limits their value in ascertaining which interventions result in stronger, more resilient systems...
December 26, 2016: Health Policy and Planning
https://www.readbyqxmd.com/read/28000925/a-concept-analysis-of-systems-thinking
#12
Ann M Stalter, Janet M Phillips, Jeanne S Ruggiero, Debra L Scardaville, Deborah Merriam, Mary A Dolansky, Karen A Goldschmidt, Carol M Wiggs, Sherri Winegardner
PURPOSE: This concept analysis, written by the National Quality and Safety Education for Nurses (QSEN) RN-BSN Task Force, defines systems thinking in relation to healthcare delivery. METHODS: A review of the literature was conducted using five databases with the keywords "systems thinking" as well as "nursing education," "nursing curriculum," "online," "capstone," "practicum," "RN-BSN/RN to BSN," "healthcare organizations," "hospitals," and "clinical agencies." Only articles that focused on systems thinking in health care were used...
December 21, 2016: Nursing Forum
https://www.readbyqxmd.com/read/27997662/creating-local-learning-health-systems-think-globally-act-locally
#13
William E Smoyer, Peter J Embi, Susan Moffatt-Bruce
No abstract text is available yet for this article.
December 20, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27833398/intersections-of-critical-systems-thinking-and-community-based-participatory-research-a-learning-organization-example-with-the-autistic-community
#14
Dora M Raymaker
Critical systems thinking (CST) and community based participatory research (CBPR) are distinct approaches to inquiry which share a primary commitment to holism and human emancipation, as well as common grounding in critical theory and emancipatory and pragmatic philosophy. This paper explores their intersections and complements on a historical, philosophical, and theoretical level, and then proposes a hybrid approach achieved by applying CBPR's principles and considerations for operationalizing emancipatory practice to traditional systems thinking frameworks and practices...
October 2016: Systemic Practice and Action Research
https://www.readbyqxmd.com/read/27825622/extending-systems-thinking-in-planning-and-evaluation-using-group-concept-mapping-and-system-dynamics-to-tackle-complex-problems
#15
Kristen Hassmiller Lich, Jennifer Brown Urban, Leah Frerichs, Gaurav Dave
Group concept mapping (GCM) has been successfully employed in program planning and evaluation for over 25 years. The broader set of systems thinking methodologies (of which GCM is one), have only recently found their way into the field. We present an overview of systems thinking emerging from a system dynamics (SD) perspective, and illustrate the potential synergy between GCM and SD. As with GCM, participatory processes are frequently employed when building SD models; however, it can be challenging to engage a large and diverse group of stakeholders in the iterative cycles of divergent thinking and consensus building required, while maintaining a broad perspective on the issue being studied...
February 2017: Evaluation and Program Planning
https://www.readbyqxmd.com/read/27807082/how-do-community-health-committees-contribute-to-capacity-building-for-maternal-and-child-health-a-realist-evaluation-protocol
#16
Brynne Gilmore, Eilish McAuliffe, Fiona Larkan, Magnus Conteh, Nicola Dunne, Michele Gaudrault, Henry Mollel, Nazarius Mbona Tumwesigye, Frédérique Vallières
INTRODUCTION: The proposed research is part of ongoing operations research within World Vision's Access: Infant and Maternal Health Programme. This study aims to identify key context features and underlying mechanisms through which community health committees build community capacity within the field of maternal and child health. This may help to improve programme implementation by providing contextually informed and explanatory findings for how community health committees work, what works best and for whom do they work for best for...
November 2, 2016: BMJ Open
https://www.readbyqxmd.com/read/27781570/quantum-ergonomics-shifting-the-paradigm-of-the-systems-agenda
#17
Guy H Walker, Paul M Salmon, Melissa Bedinger, Neville A Stanton
A paradigm is an accepted world view. If we do not continually question our paradigm then wider trends and movements will overtake the discipline leaving it ill adapted to future challenges. This Special Issue is an opportunity to keep systems thinking at the forefront of ergonomics theory and practice. Systems thinking prompts us to ask whether ergonomics, as a discipline, has been too timid? Too preoccupied with the resolution of immediate problems with industrial-age methods when, approaching fast, are developments which could render these operating assumptions an irrelevance...
October 26, 2016: Ergonomics
https://www.readbyqxmd.com/read/27757231/emergency-department-crowding-in-singapore-insights-from-a-systems-thinking-approach
#18
Lukas K Schoenenberger, Steffen Bayer, John P Ansah, David B Matchar, Rajagopal L Mohanavalli, Sean Sw Lam, Marcus Eh Ong
OBJECTIVES: Emergency Department crowding is a serious and international health care problem that seems to be resistant to most well intended but often reductionist policy approaches. In this study, we examine Emergency Department crowding in Singapore from a systems thinking perspective using causal loop diagramming to visualize the systemic structure underlying this complex phenomenon. Furthermore, we evaluate the relative impact of three different policies in reducing Emergency Department crowding in Singapore: introduction of geriatric emergency medicine, expansion of emergency medicine training, and implementation of enhanced primary care...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27749433/a-systems-approach-to-improving-care-for-all-bereaved-families
#19
Mimi Jenko, Nancy M Short
Bereavement services for families are an established part of hospice and palliative care. However, patients also die in the acute care and long-term care environments. Often, hospice is not involved, creating a potential gap in care. This article recounts a journey to improve care for all families of deceased patients, despite the presence or absence of hospice. A palliative care clinical nurse specialist led a quality improvement team, which used a systems thinking approach to develop and implement a downloadable bereavement booklet for families...
November 2016: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/27679794/one-health-core-competency-domains
#20
Rebekah Frankson, William Hueston, Kira Christian, Debra Olson, Mary Lee, Linda Valeri, Raymond Hyatt, Joseph Annelli, Carol Rubin
The emergence of complex global challenges at the convergence of human, animal, and environmental health has catalyzed a movement supporting "One Health" approaches. Despite recognition of the importance of One Health approaches to address these complex challenges, little effort has been directed at identifying the seminal knowledge, skills, and attitudes necessary for individuals to successfully contribute to One Health efforts. Between 2008 and 2011, three groups independently embarked on separate initiatives to identify core competencies for professionals involved with One Health approaches...
2016: Frontiers in Public Health
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