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Discussion Paper: "Surprise, Surprise, Surprise! A Complexity Science View Of The Unexpected"

1313 words - 5 pages

IntroductionTraditionally it has been thought that "surprises can and should be avoided with more knowledge, better planning, and / or better systems design". While some surprises can be avoided as a result of the above mentioned measures, the authors argue that surprise is inherent in complex systems and thus cannot be avoided entirely. Furthermore, since surprises are a natural part of complex adaptive systems, they should be embraced as possible avenues of opportunity for creativity, learning and growth.Since we have yet to develop a foundation for this class on which to base this discussion, I will attempt to relate the topics addressed in the reading to material covered in other classes and personal life experiences.Surprises in the Traditional ViewThe article begins by defining the traditional view of surprise as a threat that should be avoided. In a traditional organization, managers "feel a strong need to dominate, control, arrange, program, and organize disarray until it is tamed". This vantage point can lead to a rigid system that is unable to recognize and respond to the positive opportunities presented in the form of surprises. Organizations with a traditional view of surprise may present the following characteristics: Focus on returning to the "previous state" rather than expanding beyond defined boundaries Focus on each individual doing his/her job so that mistakes will be avoidedWe have all been exposed to this kind of organizational tactic...just do your job and everything will be fine. However, this ideal does not embolden us when an unknown situation arises, and in fact may limit our ability to respond to a new situation. Strong need to predict / control the future through past and present data collection and analysisIf the future is not what we expected, our data / analysis must have been wrong. Regulated environment based on rules / laws that attempt to "control / eliminate" surprise situations Defensive mindset resulting in questions like "How can we fix this?" and "How can we keep this from happening again?"Although health care systems are complex adaptive systems according to McDaniel, et al, the physician practices for which I have worked have not been managed in a manner that is consistent with CAS ideals (discussed below). Instead, these offices have been managed in a more traditional manner, as described above, in which the leadership personnel had a strong desire to "be in control" to ensure the practice was run "as planned" with little or no interruptions. When interruptions did occur, the organization and management tended to have limited capacity with which to deal with the problem(s). In these situations, management reverted to crisis mode and worked hard to return the organization to its pre-surprise state.Surprises in the CAS viewThrough the lens of complexity science, surprise is viewed as inevitable and should be acknowledged as a possible opportunity for creativity, learning...

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