Thinking Systems Need Systems Thnking


After describing machine and complex adaptive systems, we define a thinking system with two unique, defining characteristics: having goal(s) separate from survival and the capability to innovate purposefully. Thinking systems always learn and are the only systems that can structure their own learning. Healthcare is a paradigm of a thinking system and is repeatedly plagued with unintended, adverse outcomes particularly after fixes that fail. Systems thinking can dissolve such dysfunction in healthcare and by extension in any thinking system. Specific recommendations follow from this rationale.

In the broadest sense, the thesis of this article is that our society must move beyond the industrial revolution and embrace the implications of living in an information age.  Unfortunately, our mental models, organizational structures and management philosophies are shackled by Newtonian (linear) ideation, assembly line mentality, as well as hierarchical, command-and-control attitudes. Most results in a modern world are derived from interactions within systems composed of machines, computers and people. These are thinking systems, and thinking systems need systems thinking.

When you understand what a thinking system is, you can accomplish more of what you want. YOU are a “thinking system,” that is capable of both true greatness and great evil. Like you and me, healthcare is a thinking system. Washington doesn’t understand this.

Read More: Fixing US Healthcare

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