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The Management Complexity of Hospital Psychiatric Ward: A “Small World” Approach

  • Pier Luca BandinelliEmail author
  • Alvaro Busetti
Chapter
Part of the Contemporary Systems Thinking book series (CST)

Abstract

Unlike other hospital departments whose internal processes can be considered either a linear or “waterfall” system, the psychiatric one should be considered a highly complex nonlinear system, since each patient must be managed across many different dimensions on top of the clinical one, to manage which different organizational/procedural problems have to be considered which are hardly manageable in a synchronized and coordinated way. Moreover, the turnover of most of the personnel frequently disrupts even the continuity of the single process. Therefore, the complexity and the variability both of the system and the interactions between people involved with different roles on the different aspects of the management of the same patient defines the psychiatric department as an intrinsically complex (as opposed to complicated) system hard to linearize and to manage following a traditional, i.e. mechanistic, approach. It is therefore proposed to analyze the operations of the department as a closed social network of the “small world” type.

References

  1. Barabási, A.-L. (2002). Linked: The new science of networks. Cambridge, MA: Perseus.Google Scholar
  2. Buchanan, M. (2002). Small world: Uncovering nature’s hidden networks. London, New York: Weidenfeld & Nicolson.Google Scholar
  3. Cohen, T., Blatter, B., Almeida, C., Shortliffe, E., & Patel, V. L. ( 2006). Distributed cognition in the psychiatric emergency department: A cognitive blueprint of a collaboration in context. Artificial Intelligence in Medicine, 37(2), 73–83.CrossRefGoogle Scholar
  4. Cross, R., & Parker, A. (2004). The hidden power of social networks: Understanding how work really gets done in organizations. Boston, MA: Harvard Business School Press.Google Scholar
  5. Cross, R., Parker, A., Prusak, L., & Borgatti, S. P. (2001). Knowing what we know: Supporting knowledge creation and sharing in social networks. Organizational Dynamics, 30(2), 100–120.CrossRefGoogle Scholar
  6. Hunter, S. D. (2015). Combining theoretical perspectives on the organizational structure-performance relationship. Journal of Organization Design, 4(2), 24–37. http://www.jorgdesign.net/jod/article/view/16781 MathSciNetCrossRefGoogle Scholar
  7. Nason, R. (2017). It’s not complicated: The art and science of complexity in business. Toronto: University of Toronto Press.CrossRefGoogle Scholar
  8. Rodhes, L. A. (1995). Emptying beds. The work of an emergency psychiatric unit. Berkeley, Los Angeles: University of California Press.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Dipartimento di Salute Mentale ASL Roma 1, Servizio Psichiatrico Diagnosi e Cura (SPDC)Presidio Ospedaliero San Filippo NeriRomaItaly
  2. 2.Freelance Consultant in “Social Enterprise” SectorRomeItaly

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