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Journal of Primary Health Care Journal of Primary Health Care Society
Journal of The Royal New Zealand College of General Practitioners
RESEARCH ARTICLE (Open Access)

The Cynefin framework: applying an understanding of complexity to medicine

Ben Gray
+ Author Affiliations
- Author Affiliations

1 Primary Health Care & General Practice, University of Otago, Wellington, New Zealand

Correspondence to: Ben Gray, Primary Health Care & General Practice, University of Otago, 23a Mein Street, PO Box 7343, Wellington, New Zealand. Email: ben.gray@otago.ac.nz

Journal of Primary Health Care 9(4) 258-261 https://doi.org/10.1071/HC17002
Published: 20 December 2017

Journal Compilation © Royal New Zealand College of General Practitioners 2017.
This is an open access article licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.


References

[1]  Snowden DJ, Boone ME. A leader’s framework for decision making. Harv Bus Rev 2007; 85 68–74.

[2]  Cooper H. Riding the diabetes rollercoaster: a new approach for health professionals, patients and carers. Abingdon: Radcliffe; 2007.

[3]  Heneghan C, Glasziou P, Thompson M, et al. Diagnostic strategies used in primary care. BMJ 2009; 338 b946-b
Diagnostic strategies used in primary care.Crossref | GoogleScholarGoogle Scholar |

[4]  Gawande A. The checklist manifesto: How to get things right. London, UK: Profile Books; 2010.

[5]  Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med 2009; 360 491–9.
A surgical safety checklist to reduce morbidity and mortality in a global population.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD1MXht1Wku7w%3D&md5=45e2816b2eadc725a3098a722dc043d0CAS |

[6]  Vogts N, Hannam JA, Merry AF, Mitchell SJ. Compliance and quality in administration of a Surgical Safety Checklist in a tertiary New Zealand hospital. N Z Med J 2011; 124 1342

[7]  Sackett DL, Rosenberg WM, Gray J, et al. Evidence based medicine: what it is and what it isn’t. BMJ 1996; 312 71
Evidence based medicine: what it is and what it isn’t.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK287ktF2itw%3D%3D&md5=abbcb90ad9d6dfc37e6dc1fd9eb8ce2eCAS |

[8]  Lee DH, Vielemeyer O. Analysis of overall level of evidence behind Infectious Diseases Society of America practice guidelines. Arch Intern Med 2011; 171 18–22.
Analysis of overall level of evidence behind Infectious Diseases Society of America practice guidelines.Crossref | GoogleScholarGoogle Scholar |

[9]  Shaneyfelt TM, Centor RM. Reassessment of clinical practice guidelines: Go gently into that good night. JAMA 2009; 301 868–9.
Reassessment of clinical practice guidelines: Go gently into that good night.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD1MXisV2jtbs%3D&md5=3e9b3d85b9f4594676863f70658588e4CAS |

[10]  Tricoci P, Allen JM, Kramer JM, et al. Scientific evidence underlying the ACC/AHA clinical practice guidelines. JAMA 2009; 301 831–41.
Scientific evidence underlying the ACC/AHA clinical practice guidelines.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD1MXisV2jtLY%3D&md5=5edcd2b68e4a99c01f1ce100ceb644a2CAS |

[11]  McCormack JP, Loewen P. Adding “value” to clinical practice guidelines. Can Fam Physician 2007; 53 1326–7.

[12]  Lehman R, Tejani AM, McCormack J, et al. Ten Commandments for patient-centred treatment. Br J Gen Pract 2015; 65 532–3.
Ten Commandments for patient-centred treatment.Crossref | GoogleScholarGoogle Scholar |

[13]  Moynihan R, Doust J, Henry D. Preventing overdiagnosis: how to stop harming the healthy. BMJ 2012; 344 e3502
Preventing overdiagnosis: how to stop harming the healthy.Crossref | GoogleScholarGoogle Scholar |

[14]  The Health and Disability Commissioner. Delayed Diagnosis of Cancer in Primary Care: Complaints to the Health and Disability Commissioner: 2004–2013. Auckland New Zealand: Health and Disability Commissioner; 2015.

[15]  Krogsbøll LT, Jørgensen KJ, Grønhøj Larsen C, Gøtzsche PC. General health checks in adults for reducing morbidity and mortality from disease: Cochrane systematic review and meta-analysis. BMJ 2012; 345 e7191
General health checks in adults for reducing morbidity and mortality from disease: Cochrane systematic review and meta-analysis.Crossref | GoogleScholarGoogle Scholar |

[16]  Allen and Clarke. More Heart and Diabetes Checks. Wellington, New Zealand: Ministry of Health 2016.