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Rudy Garns

Rudy Garns's Public Library

  • The current care systems cannot do the job. Trying harder will not work. Changing systems of care will.

  • The health care system as currently structured does not, as a whole, make the best use of its resources.

  • At no time in the history of medicine has the growth in knowledge and technologies been so profound.
  • At no time in the history of medicine has the growth in knowledge and technologies been so profound.
  • Research on the quality of care reveals

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  • None of us would likely think that the delivery of health care is simple, but it isn’t complicated either – it’s complex. We fall into the trap of thinking the delivery of care as a linear process – if we construct our systems of delivery as A, and utilize processes B, that we should get outcome C somewhat predictably.
  • he difference is those people… they introduce social factors into the processes and structures of health care delivery, along with emotional states and varying levels of competence and performance – all of which can have an incredibly unpredictable impact on results. This is compounded by inefficient information sharing, and decisions being made, at times, distant from the action.
  • away from hierarchical, to more heterarchical structures

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  • characterize healthcare activities in terms of complex systems theory
  • We propose a theoretical lens for understanding and studying complexity in healthcare systems based on degrees of interrelatedness of system components.
  • degrees of interrelatedness of system components

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  • This paper argues for three principal theses: first, to invoke complexity, to refer to complex systems, is to proffer a form of explanation; second, in the context of the social sciences, the form of explanation that complexity represents belongs to a family of explanations which the recent theoretical literature associates with social mechanisms; and, third, complexity explanations refer to a specific type of social mechanism, whose features differentiate it from the other members of the family.
  • to invoke complexity, to refer to complex systems, is to proffer a form of explanation
  • Concepts in complexity are frequently psychologised: a theory which excludes intentionality is transformed into a theory of motivation and shared decision making.

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  • descriptive and evaluative paragraph
  • inform the reader of the relevance, accuracy, and quality of the sources cited.
  • Annotations are descriptive and critical; they expose the author's point of view, clarity and appropriateness of expression, and authority.

  • select a number of different sources related to a particular topic and to summarize and evaluate the findings. For example, a nursing student who is studying techniques for IV insertion in pediatric patients may select the 15 most recent articles on the topic and analyze these articles to determine trends or best practices.

  • Complexity theory emerged from the mathematically based science of physics, particularly quantum physics in which “relationship is the key determiner of everything” (Wheatley, 1999, p.11). Studying the properties of complex systems and applying these ideas to nursing helps us to think differently about our profession.  We will appreciate the vast web of interconnections that is the systemic nature of life and see how this resonates with our holistic nursing principles and the lived experience of nurses.

  • developing interventions to improve care that acknowledges the uniqueness of primary care practices and encourages flexibility in the form of intervention implementation, while maintaining fidelity to its essential functions.
  • A working knowledge of the principles of complexity theory and their application to primary care practice, especially within large health care systems such as VHA, offers a way to make sense of occurrences in everyday practice that may otherwise seem paradoxic.

  • how organizations or firms adapt to their environments and how they cope with conditions of uncertainty.
  • treats organizations and firms as collections of strategies and structures.
  • dynamic networks of interactions, and their relationships are not aggregations of the individual static entities. They are adaptive; in that the individual and collective behavior mutate and self-organize corresponding to a change-initiating micro-event or collection of events.

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Sep 05, 15

Do you have interdisciplinarity anxiety? New @PalCommsOA article highlights the hidden difficulties:

  • To begin, we first need to understand how humans make moral decisions through their unique capacity to learn and to obey social and moral norms. Then we can examine how robots might also be able to learn, understand, and abide by such norms.
  • The simplest form of machine morality has been around for a while: the safety and protective features of artifacts
  • people make a set of fundamental assumptions about the people they interact with.3 They assume that others have mental states (such as sensations, emotions, desires, and beliefs), that they make choices based on those mental states, and that such choices guide their behavior.

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  • Determining how a robot should act and behave in a variety of situations is a design challenge for researchers aiming to build robots that make a useful and positive addition to society.
  • Ultimately, the answer to the question “What should a robot do?”, like the question of what a human should do, depends on whom you ask and what cultural, religious, and other beliefs have shaped their values.
  • When the robot was delivering urgent mail – regardless of whether the person was in a wheelchair, carrying heavy objects, or inside or outside the elevator – the most appropriate action chosen for the robot was to engage in dialogue with the person, and the least appropriate behavior was to take no action at all. When the robot was on a non-urgent delivery task, respondents wanted the robot to yield to the person, regardless of who they were, and refusing to yield was considered the least appropriate option.


  • In “The Teenage Brain: A Neuroscientist’s Survival Guide to Raising Adolescents and Young Adults” (HarperCollins), written with Amy Ellis Nutt, she offers a parenting guide laced with the latest MRI studies. By her account, adolescents suffer from the cerebral equivalent of defective spark plugs

  • gives students broad exposure to the full range of topics and issues in contemporary bioethics,
    • Bioethicists reflect on clinical practice, medical research, the relationship of medicine to society, and changes in health care practice and policy. They may consider and advise on crucial social and individual concerns such as:

      •   informed consent in research and treatment
      •   confidentiality and the doctor-patient relationship
      •   cultural and religious diversity among patients and practitioners
      •   suffering, death and dying
      •   experimentation and new technologies in health care and science
      •   reproductive technologies
      •   access to and allocation of medical resources
      •   intellectual property
      •   regulatory affairs
  • designed to combine bioethics with another discipline or with professional practice.

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  • Learning to be interdisciplinary during graduate school, in my experience, feels a lot like this initial encounter between Watson and Holmes. As an aspiring cultural historian with a home base in a history department, I’ve also found an interdisciplinary hub that allows me to seek coursework and mentoring in theatre and performance history.
Aug 21, 15

"Employers value a four-year college degree, many of them more than ever."

  • adaptability, communication skills, and the ability to solve complex problems.
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