TY - JOUR T1 - Pluralitas non est ponenda sine necessitate JF - Emergency Medicine Journal JO - Emerg Med J SP - 750 LP - 751 DO - 10.1136/emermed-2014-203665 VL - 32 IS - 9 AU - Ian Higginson Y1 - 2015/09/01 UR - http://emj.bmj.com/content/32/9/750.abstract N2 - Emergency medicine is a complex specialty. This complexity derives from the breadth of clinical presentations, from the many interfaces with other systems and services, from the multidisciplinary and multispecialty nature of our practice, and from the pace of change and innovation inherent in what we do every day in clinical practice.The science of complexity has attracted interest in the management world.1 Complexity is associated with cost, and with distraction of enterprises away from core activity and business. Managing complexity first requires understanding. A contracted visual … ER -