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2 Spread in Health Care
Pages 5-7

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From page 5...
... He likened the problem to walking through a forest in circles: Getting out of the forest would be much easier if all the paths could be viewed from above. Previous attempts to spread improvements in health care have not revolutionized the system, perhaps because they have suffered from walking in circles by repeatedly using the same types of interventions.
From page 6...
... Professional organizations -- the term Mintzberg uses to describe health care, law firms, and other such entities -- coordinate naturally through professional standards such as education and regulation, at the heart of which is 1A complex adaptive system is a collection of individual agents that have the freedom to act in ways that are not always predictable and whose actions are interconnected such that one agent's actions changes the context for other agents (IOM, 2001)
From page 7...
... Improvement in health care spreads much slower in comparison to other industries. Perhaps this is because the coordination strategies that work in other industries do not necessarily apply in health care.


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