导航复杂性:模拟干预的概念框架
Anders L Schram1, Tine Brink Henriksen2, Helle Terkildsen Maindal3
1Department of Clinical Medicine, MidtSim, Aarhus University, Hedeager 5, Aarhus, 8200, Denmark. anders.schram@rm.dk.
Advances in simulation (London, England)
|July 6, 2025
概括
基于模拟的培训必须涵盖医疗保健的复杂性. 该框架整合了复杂适应性系统和弹性医疗保健原则,以提高适应性和全系统的弹性,以改善医疗保健结果.
科学领域:
- 医疗保健系统科学 医疗保健系统科学
- 复杂性科学 复杂性科学
- 弹性工程 弹性工程
背景情况:
- 医疗保健系统是复杂的,动态的,相互依赖的,需要模拟干预来反映这种现实.
- 复杂适应性系统 (CAS) 和弹性医疗保健 (RH) 提供了理解和增强医疗保健系统适应性和功能性的框架.
- 将CAS和RH原则集成到模拟设计中,可以提高干预成功率,并促进整个系统的弹性.
研究的目的:
- 为模拟从业者提出一个概念框架,帮助他们设计和提供能够涵盖医疗复杂性的干预措施.
- 将复杂适应系统和弹性医疗保健的原则整合到基于模拟的干预措施中.
- 在医疗保健专业人员和组织中培养一种意识到复杂性的思维方式.
主要方法:
- 一个由三个组成部分构成的概念框架:问题识别,模拟设计和评估策略.
- 跨组织层面 (机构,部门,个人) 应用框架.
- 整合CAS和RH原则以指导模拟设计和评估.
主要成果:
- 模拟干预,当设计的复杂性意识的方法,可以有效地解决多个层面的医疗保健挑战.
- 拟议的框架使医疗保健专业人员和组织能够更好地预测,应对和从系统挑战中恢复.
- 插图说明了框架在各种医疗保健环境中的实际应用和好处.
结论:
- 模拟干预通过促进组织学习和嵌入复杂性和弹性原则来加强医疗保健系统.
- 将模拟重新想象为复杂的,多层次的干预,而不是孤立的事件,对于现实世界的影响至关重要.
- 基于系统的方法使模拟实践与现实环境保持一致,促进适应性和弹性医疗保健提供.
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