Burn Center, Red Cross Hospital, Beverwijk, the Netherlands.
Department of Plastic and Reconstructive Surgery, Red Cross Hospital, Beverwijk, the Netherlands.
J Burn Care Res. 2022 Nov 2;43(6):1312-1321. doi: 10.1093/jbcr/irac029.
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.
医疗保健正经历着深刻的技术和数字化转型，变得越来越复杂。烧伤专业人员和研究人员必须适应这些发展，这可能需要新的思维方式和随后的新策略。正如爱因斯坦所说：“我们必须学会以新的方式看世界。”相对较新的科学学科“复杂性科学”可以为这方面提供更多的指导，并且鉴于未来的烧伤护理，这是一扇应该引起关注的隐喻性的敞开的大门。复杂性科学研究“为什么整体大于部分之和”。它研究多个独立组件如何相互作用及其环境，以及这些相互作用如何导致“系统行为”。生物系统始终是较小和较大系统的一部分，并表现出适应性行为，因此得名复杂自适应系统。从复杂性科学的角度来看，严重烧伤是对“人体系统”的极端破坏。但这种破坏也适用于器官和细胞水平的系统。所有这些系统都遵循复杂系统的原则。在多层面上意识到缩放过程有助于理解和管理严重烧伤病例处理中的复杂情况。本文旨在通过烧伤护理的临床前、临床和组织观点的例子，引起人们对复杂性概念的认识，并展示复杂性科学方法和工具在烧伤护理未来的价值和可能性。
