The hospital as a complex adaptive system

The context for this is the social web. But, man, this sounds like a healthcare delivery org. Bud Caddell:

Briefly, a complex adaptive system can be identified by the following attributes: 1) a multi-level system of agents constantly acting and interacting, 2) highly dispersed control, behavior is dictated by the cooperation and competition between agents, 3) an ability to adapt as experience is gained, 4) an anticipation of the future derived by agents predicting potential outcomes, and 5) many many niches that ultimately spawn further niches.

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