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Systemic Problem Structuring in a Complex Hospital Environment using Viable System Diagnosis – Keeping the Blood Flowing

Author

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  • Maren Berge Vik

    (The Norwegian University of Science and Technology (NTNU))

  • Hanne Finnestrand

    (The Norwegian University of Science and Technology (NTNU))

  • Robert L. Flood

    (The Norwegian University of Science and Technology (NTNU))

Abstract

This article presents the application of the systemic problem structuring approach Viable System Diagnosis (VSD) within the Department of Orthopedic Surgery in a large hospital in Norway. It explains why systemic thinking is relevant to this uniquely complex form of human organization. The department was coping with systemic dysfunction and VSD was chosen because previous applications demonstrated VSD excels at diagnosis of what is causing dysfunction. VSD was employed through a participatory framework that included in the process, among other stakeholders, medics, technologists, managers, administrators and, as far as possible given the sensitive nature of patient information, the patient. VSD guided thinking about what the organization is set up to do and the existing organizational arrangements to achieve that. The outcome was an agenda for debate that guided stakeholder discussions toward ways and means of improving organizational arrangements. The article briefly reviews previous applications of VSD in the hospital sector and other large complex organisations.

Suggested Citation

  • Maren Berge Vik & Hanne Finnestrand & Robert L. Flood, 2022. "Systemic Problem Structuring in a Complex Hospital Environment using Viable System Diagnosis – Keeping the Blood Flowing," Systemic Practice and Action Research, Springer, vol. 35(2), pages 203-226, April.
    • Handle: RePEc:spr:syspar:v:35:y:2022:i:2:d:10.1007_s11213-021-09569-6
    DOI: 10.1007/s11213-021-09569-6
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    1. Smith, Chris M. & Shaw, Duncan, 2019. "The characteristics of problem structuring methods: A literature review," European Journal of Operational Research, Elsevier, vol. 274(2), pages 403-416.
    2. Preece, Gary & Shaw, Duncan & Hayashi, Haruo, 2015. "Application of the Viable System Model to analyse communications structures: A case study of disaster response in Japan," European Journal of Operational Research, Elsevier, vol. 243(1), pages 312-322.
    3. Espinosa, A. & Harnden, R. & Walker, J., 2008. "A complexity approach to sustainability - Stafford Beer revisited," European Journal of Operational Research, Elsevier, vol. 187(2), pages 636-651, June.
    4. Harwood, Stephen A., 2019. "A question of interpretation: The Viable System Model (VSM)," European Journal of Operational Research, Elsevier, vol. 274(3), pages 1198-1201.
    5. Samer Faraj & Yan Xiao, 2006. "Coordination in Fast-Response Organizations," Management Science, INFORMS, vol. 52(8), pages 1155-1169, August.
    6. Espinosa, Angela & Walker, J., 2013. "Complexity management in practice: A Viable System Model intervention in an Irish eco-community," European Journal of Operational Research, Elsevier, vol. 225(1), pages 118-129.
    7. Sahar Saeed Rezk & Shahinaz Gamal, 2020. "An Organizational Cybernetics Framework for Designing a Viable Higher Education System," Systemic Practice and Action Research, Springer, vol. 33(6), pages 703-724, December.
    8. Preece, Gary & Shaw, Duncan & Hayashi, Haruo, 2013. "Using the Viable System Model (VSM) to structure information processing complexity in disaster response," European Journal of Operational Research, Elsevier, vol. 224(1), pages 209-218.
    9. Jan Achterbergh & Dirk Vriens, 2010. "Introducing Organizations as Social Systems Conducting Experiments," Springer Books, in: Organizations, edition 2, chapter 0, pages 1-29, Springer.
    10. Julio César Puche-Regaliza & Alfredo Jiménez & Pablo Arranz-Val, 2020. "Diagnosis of Software Projects Based on the Viable System Model," Systemic Practice and Action Research, Springer, vol. 33(2), pages 215-236, April.
    11. Espinosa, A. & Duque, C., 2018. "Complexity management and multi-scale governance: A case study in an Amazonian indigenous association," European Journal of Operational Research, Elsevier, vol. 268(3), pages 1006-1020.
    12. Guillaume Lamé & Oualid Jouini & Julie Stal-Le Cardinal, 2017. "Combining the Viable System Model and Kotter’s 8 Steps for Multidepartment Integration in Hospitals," Post-Print hal-01519593, HAL.
    13. Juan E. Núñez-Ríos & Jacqueline Y. Sánchez-García & Ricardo Tejeida-Padilla, 2020. "Human Capital Management in Tourism SMEs from a Cyber-Systemic Approach," Systemic Practice and Action Research, Springer, vol. 33(5), pages 527-559, October.
    14. Nora Mouhib & Slimane Bah & Abdelaziz Berrado, 2019. "Viable system function and construction design methodology," Systems Research and Behavioral Science, Wiley Blackwell, vol. 36(6), pages 808-820, November.
    15. Tavella, Elena & Papadopoulos, Thanos, 2017. "Applying OR to problem situations within community organisations: A case in a Danish non-profit, member-driven food cooperative," European Journal of Operational Research, Elsevier, vol. 258(2), pages 726-742.
    16. Angela Espinosa & Jon Walker, 2011. "A Complexity Approach to Sustainability:Theory and Application," World Scientific Books, World Scientific Publishing Co. Pte. Ltd., number p699, January.
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    2. Wenjing Xu & Seyyed Ahmad Edalatpanah & Ali Sorourkhah, 2023. "Solving the Problem of Reducing the Audiences’ Favor toward an Educational Institution by Using a Combination of Hard and Soft Operations Research Approaches," Mathematics, MDPI, vol. 11(18), pages 1-21, September.
    3. Emmanuel D. Adamides & Konstantinos Georgousoglou & Yannis Mouzakitis, 2023. "Designing a Flexible and Adaptive Municipal Waste Management Organisation Using the Viable System Model," Sustainability, MDPI, vol. 15(18), pages 1-24, September.

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