Complexity and Chaos in Surgical Start Times

Abstract

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.

Keywords

• organizational; quality improvement; time factors; nonlinear dynamics
• organizational efficiency
• quality improvement
• time factors
• nonlinear dynamics