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Case Study Research: The View From Complexity Science
- R. Anderson, B. Crabtree, D. J. Steele, R. McDaniel
- Medicine, Sociology
- Qualitative health research
- 1 May 2005
Many wonder why there has been so little change in care quality despite substantial quality improvement efforts. Questioning why current approaches are not making true changes draws attention to the… Expand
Interpreting Strategic Issues: Effects of Strategy and the Information-Processing Structure of Top Management Teams
Understanding how managers interpret strategic issues is important to understanding strategic action, organizational change, and learning. However, little is known about how the context in which st...
Nursing Homes as Complex Adaptive Systems: Relationship Between Management Practice and Resident Outcomes
BackgroundDespite numerous clinical and regulatory efforts, problems of poor quality of care in nursing homes continue, suggesting a need for effective management practices. ObjectiveTo test… Expand
Managing health care organizations: where professionalism meets complexity science.
This article examines the intersection of professionalism and complexity science as a source of new insights for improving the health care industry from both a clinical and business point of view.… Expand
The Decision-Making Paradigm of Organizational Design
This paper introduces and explicates the decision-making paradigm of organizational design. We argue that the domains of existing design paradigms are declining in scope, and that the nature of… Expand
What a Mess! Participation as a Simple Managerial Rule to
This paper adopts a view of organizations as complex adaptive systems and makes a case for making organizations more complex internally through the use of a fairly simple managerial rule - using… Expand
Complexity science and health care management
Complexity science and the dynamics of climate and communication: reducing nursing home turnover.
PURPOSE Turnover in nursing homes is a widespread problem adversely affecting care quality. Using complexity theory, we tested the effect of administrative climate, communication patterns, and the… Expand
Organizational interventions employing principles of complexity science have improved outcomes for patients with Type II diabetes
BackgroundDespite the development of several models of care delivery for patients with chronic illness, consistent improvements in outcomes have not been achieved. These inconsistent results may be… Expand
How complexity science can inform a reflective process for improvement in primary care practices.
- C. Stroebel, R. McDaniel, B. Crabtree, W. Miller, P. Nutting, K. Stange
- Medicine, Computer Science
- Joint Commission journal on quality and patient…
- 1 August 2005
BACKGROUND Quality improvement processes have sometimes met with limited success in small, independent primary care settings. The theoretical framework for these processes uses an implied… Expand