The Future of Burn Care From a Complexity Science Perspective

The Future of Burn Care From a Complexity Science Perspective

van Zuijlen, Paul P.M. (Red Cross Hospital, Beverwijk; Amsterdam Movement Sciences; Emma Children's Hospital Academic Medical Center, University of Amsterdam)
Korkmaz, Halil Ibrahim (Red Cross Hospital, Beverwijk; Amsterdam Movement Sciences; Association of Dutch Burn Centres (ADBC))
Sheraton, Vivek M. (Universiteit van Amsterdam)
Haanstra, Tsjitske M. (National Health Care Institute (Zorginstituut Nederland))
Pijpe, Anouk (Red Cross Hospital, Beverwijk)
de Vries, Annebeth (Red Cross Hospital, Beverwijk; Emma Children's Hospital Academic Medical Center, University of Amsterdam)
van der Vlies, Cornelis H. (Erasmus MC; Maasstad Ziekenhuis)
Bosma, Eelke (Martini Ziekenhuis)
de Jong, Evelien (Red Cross Hospital, Beverwijk)
Middelkoop, Esther (Red Cross Hospital, Beverwijk; Amsterdam Movement Sciences; Association of Dutch Burn Centres (ADBC))
Vermolen, F.J. (TU Delft Numerical Analysis; University of Hasselt)
Sloot, Peter M.A. (Universiteit van Amsterdam; Complexity Institute; ITMO University)

2022

Health care is undergoing a profound technological and digital transformation and has become increasingly complex. It is important for burns professionals and researchers to adapt to these developments which may require new ways of thinking and subsequent new strategies. As Einstein has put it: "We must learn to see the world anew." The relatively new scientific discipline "Complexity science" can give more direction to this and is the metaphorical open door that should not go unnoticed in view of the burn care of the future. Complexity science studies "why the whole is more than the sum of the parts." It studies how multiple separate components interact with each other and their environment and how these interactions lead to "behavior of the system." Biological systems are always part of smaller and larger systems and exhibit the behavior of adaptivity, hence the name complex adaptive systems. From the perspective of complexity science, a severe burn injury is an extreme disruption of the "human body system." But this disruption also applies to the systems at the organ and cellular levels. All these systems follow the principles of complex systems. Awareness of the scaling process at multilevel helps to understand and manage the complex situation when dealing with severe burn cases. This paper aims to create awareness of the concept of complexity and to demonstrate the value and possibilities of complexity science methods and tools for the future of burn care through examples from preclinical, clinical, and organizational perspectives in burn care.

http://resolver.tudelft.nl/uuid:37fd9b75-bfd4-4550-956f-d6a81f9f3be8

https://doi.org/10.1093/jbcr/irac029

Journal of burn care & research : official publication of the American Burn Association, 43 (6), 1312-1321

Institutional Repository

journal article

© 2022 Paul P.M. van Zuijlen, Halil Ibrahim Korkmaz, Vivek M. Sheraton, Tsjitske M. Haanstra, Anouk Pijpe, Annebeth de Vries, Cornelis H. van der Vlies, Eelke Bosma, Evelien de Jong, Esther Middelkoop, F.J. Vermolen, Peter M.A. Sloot