Evidence map›Paper›PMID 38248147›Full record

ArticleEntropy (Basel, Switzerland)2023

Quantifying the Resilience of a Healthcare System: Entropy and Network Science Perspectives.

Désirée Klemann, Windi Winasti, Fleur Tournois, Helen Mertens, Frits van Merode

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Entropy (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Slack Is Needed to Solve the Shortage of Nurses.Healthcare (Basel, Switzerland) · 2024
    Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Désirée KlemannDepartment of Gynecology and Obstetrics, Maastricht University Medical Centre+, Maastricht University, 6229 HX Maastricht, The Netherlands.
Windi WinastiIQ Healthcare, Radboudumc, 6525 EP Nijmegen, The Netherlands.
Fleur TournoisDepartment of Gynecology and Obstetrics, Maastricht University Medical Centre+, Maastricht University, 6229 HX Maastricht, The Netherlands.ORCID 0000-0001-7721-0741
Helen MertensExecutive Board, Maastricht University Medical Centre+, 6229 HX Maastricht, The Netherlands.
Frits van MerodeCare and Public Health Research Institute, Maastricht University, 6200 MD Maastricht, The Netherlands.ORCID 0000-0003-1918-3487
Maastricht University Medical Centre · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this study, we consider the human body and the healthcare system as two complex networks and use theories regarding entropy, requisite variety, and network centrality metrics with resilience to assess and quantify the strengths and weaknesses of healthcare systems. Entropy is used to quantify the uncertainty and variety regarding a patient's health state. The extent of the entropy defines the requisite variety a healthcare system should contain to be able to treat a patient safely and correctly. We use network centrality metrics to visualize and quantify the healthcare system as a network and assign the strengths and weaknesses of the network and of individual agents in the network. We apply organization design theories to formulate improvements and explain how a healthcare system should adjust to create a more robust and resilient healthcare system that is able to continuously deal with variations and uncertainties regarding a patient's health, despite possible stressors and disturbances at the healthcare system. In this article, these concepts and theories are explained and applied to a fictive and a real-life example. We conclude that entropy and network science can be used as tools to quantify the resilience of healthcare systems.

Indexed as

complexityentropyFRAMnetwork scienceorganizational design strategyquality of healthcarerequisite varietySafety-II

Identifiers

PMID38248147
PMCPMC10814470
OpenAlexW4390176461

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.