From: Do complexity-informed health interventions work? A scoping review
Authors/name | Examples of positive outcomes |
---|---|
UK or Canada | |
 Chin et al. [38] | Better communication, more confidence in meetings or speaking to colleagues |
 Dattée et al. [39] | Change in mindset and practices from blame to mutual effort |
 Kothari et al. [40] | More positive feelings about collaborative practices |
 Mowles et al. [11] | Decrease in complaints, better staff retention, more focus in working practices |
 Rowe et al. [41] | More flexible working practices |
 Solomon et al. [42] | Referrals are quicker, more concise and appropriate |
 Zimmerman et al. [24], Gardam et al. [66], Gitterman et al. [23] | 25–50 % falls in hospital acquired infections (MRSA and CDAD) at most participating hospitals |
USA | |
 Backer et al. [44] | Some increases in breast cancer screening rates; extensive discussion of barriers |
Faster prescription refill; improved system-wide communication | |
 Boustani et al. [46] | Fewer and shorter hospitalisations or visits to ER for dementia patients |
 Cabin Creek [35] | Fall from 400 to 30 narcotic prescriptions (=decline in unnecessary medication) |
 Capuano et al. [28] | Increased capacity in emergency dept., fewer diversions or transfer denials |
 Clancy et al. [43] | Calculated 64 % increase in efficiency, 9 sheets of paper saved per patient |
 Fontanesi et al. [29] | 25 % increase in patient appointments, representing 9500 visits. |
 Horbar et al. [30] | Newborns received first dose of surfactant sooner compared to previous period (21 vs. 78 min post birth, p < 0.001). |
 Kegler et al. [25] | More collaborative working practices |
 Khan et al. [31] | Reduction in average brain function impediment score, drop from 19.21 to 14.75 |
 MacKenzie et al. [32] | Turnaround time for beds reduced 210 to 54 min in 2004, maintained (2007) |
Smoking quit rates increased from 5.0Â % in 2008 to 9.6Â % in 2009. | |
Significant and sustained improvement in ACIC scores for chronic care: from 5.58 to 6.33 to 6.60 (group 1) or 5.27 to 5.99 (group 2), both p < 0.05. | |
Large falls in MRSA and other hospital acquired infections at many medical centres | |
 Solberg et al. [45] | Diabetes management scores rose from 5.7 % to 42.9 % |