efficiency, organizational; quality improvement; time factors; nonlinear dynamics
In discussing an article investigating the causes for delay of first-case operating room start times included in this issue of the Journal of Patient-Centered Research and Reviews, the editor uses elements of complexity science and chaos theory to explain that such stubborn problems rarely stem from one of a few isolated causes. Taking a whole systems approach that utilizes flexibility, cross training, enhanced communication, common sense and perhaps mathematical models is suggested to effect positive change.
Baumgardner DJ. Complexity and chaos in surgical start times. J Patient Cent Res Rev. 2016;3:121-2. doi: 10.17294/2330-0698.1361