title: Expand Focus to Larger Systems and Their Interdependence.
abstract: One potential issue with the invited essay's (Zwarenstein 2015) proposed evaluation approach is the Darwinian evolution of a system versus the evaluation/testing of a series of pinpoint solutions. There are many examples of bad research based on the influence of a single factor on a specific outcome. But in reality we need to look at larger systems and their interdependence. Quick testing is great as long as it can be tied to a larger ecosystem of causes and effects.
authors: Managing Partner, KBT Partners, Marblehead, MA.
authors: Hans
authors: H
authors: Boerma
mesh_terms: D005075:Biological Evolution; D017753:Ecosystem; D012106:Research