Risk and resolutive capacity in the transmedia clinical technology platform

This article presents in detail a reflection on the design of health organizations and the problems arising from the incongruence between the incorporation of technology and the specialized personnel, which affects the resolution capacity. Therefore, it is necessary to understand both the value chain like the collective imaginary about risk, safety, clinical microsystems and clinical management, in an environment of increasing informational intensity, not only in processes but also in sociality built from digital networks. The results are derived from two Research Projects carried out on Colombian Hospitals in which the Clinical Engineering Group participated. The document is composed of nine parts: history of clinical engineering, problems of duality in the complexity declared by hospitals and problems associated with digital transmedia clinic; Problems of duality in the complexity declared by the Institutions providing services (IPS); Problems associated with medical devices in highly complex hospitals; Collective imaginary and devices; risk; Technology and security; Organizational knowledge and learning; Transmedia clinical technology platform; Value chain and full resolution capability; concluding with: clinical microsystems and clinical management.