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Chapter 4 discusses human swarm problem solving as a distinct subtype of CI with biological antecedents in nest siting among honeybees and flocking behavior. Building on recent biological research, this chapter discusses five mechanisms that are also relevant for human swarm problem solving. These mechanisms are decision threshold methods, averaging, large gatherings, heterogeneous social interaction, and environmental sensing. Studies of collective animal behavior show that they often make decisions that build on statistical rules (e.g. averaging, threshold responses). Even when in a group, individuals will often seek and assess information independently of others with the intention of optimizing decisions through the “many wrongs principle” or the “many eyes principle.” Similarly, human ‘wisdom of the crowd’ studies examine similar statistical rules and principles like the importance of making independent contributions. However, while early research on the wisdom of crowds addressed the importance of independent contributions, newer studies also examine the possible positive influence of dependent contributions. The increasing variety of crowdsourcing studies are in this chapter explained with the framework of different swarm mechanisms. In the summary, four basic characteristics of human swarm problem solving are highlighted: predefined problems, pre-specified problem solving procedures, rapid time-limited problem solving, and individual learning.
Models of care in women's health, whether addressing generalist or specialised care, should incorporate the management of risk. Risk management systematically identifies and evaluates factors that could expose patients, staff, visitors and hospital property to harm, and puts in place defences which minimise the likelihood that such hazards will produce harm. The RADICAL framework provides a convenient vehicle for implementing and monitoring risk management. This framework comprises the key steps of raising awareness and understanding of patient safety, and delivering women's health care in a manner designed to protect patient safety. It also includes steps of involving service users in enhancing the safety of women's health care, collecting and analyzing data on safety of care, using efficient systems, and learning from patient safety incidents. As with other aspects of clinical practice, interventions to promote patient safety should be supported by evidence.
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