Inspired by: http://change-ability.ca/files/Complex_Adaptive.pdf
In the realm of Pragmatism: Organizations, such as Healthcare are increasingly understood to be Complex Adaptive Systems.
This has ramifications for coming up with proper approaches to solutions when problems arise, for the, “This is the logical problem (discovered in a reductionist fashion) and removal of the problem will provide the solution” can result in unexpectedly detrimental consequences.
For example, Curbside consultations are a common part of medical practice: informal elevator conversations to a specialist from one physician to another as opposed to a formal consultation, which involves billing and liability.
It would seem removal of an informal discussion network would be beneficial to avoid potential problems.
Yet, because these informal networks aren’t tracked, there’s no way to know what the consequences will be to remove something whose depth and breath isn’t know. [ie: it’s not mapped: It’s informal]