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On Collective Self-healing and Traces: How can Swarm Intelligence help us think differently about team adaptation?

BACKGROUND
Health care teams are increasingly forced to navigate complex challenges to achieve their collective aim of delivering high-quality, safe patient care. The teamwork literature has struggled to develop strategies that promote effective adaptive behaviours among health care teams. In part, this challenge stems from the fact that truly collective adaptive behavior requires members of the teams to abandon the human urge to act self-sufficiently. Nature contains striking examples of collective behaviour as seen in social insects, fish and bird colonies. This collective behaviour is known as Swarm Intelligence (SI). SI remains poorly described in the healthcare team literature and its potential benefits hidden.


OBJECTIVE
In this cross-cutting edge paper, I explore the principles of SI as they pertain to systemic or collective adaptation in human teams. In particular, I consider the principles of trace-based communication and collective self-healing and what they might offer to team adaptation researchers in medical education.


RESULTS
From a SI perspective, a solution to a problem emerges as a result of the collective action of the members of the swarm, not the individual action. This collective action is achieved via 4 principles: direct and indirect communication, awareness, self-determination and collective self-healing. Among those principles, trace-based communication and collective self-healing have been purposefully used by other industries to foster team adaptation. Trace-based communication relies on leaving "traces" in the environment to drive the behaviour of others. Collective self-healing is the ability of the swarm to cope with failure and adapt to changes by permitting swarm members to be interchangeable.


CONCLUSIONS
While allowing teams to rely on indirect communication and to be interchangeable might create discomfort to our ways of thinking, teams outside healthcare are demonstrating their value to advance human teamwork. SI offers a helpful analogy and a constructive language for thinking about team adaptation.