ArticleBMC health services research2020
Examining innovation in hospital units: a complex adaptive systems approach.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed.
- Wearable Electronic Monitoring of Vital Signs in Hospitalised Adults: A Nursing Focused Scoping Review of Clinical, Economic and Implementation Outcomes.Journal of advanced nursing · 2026Article
- Using a Human Factors Framework to Examine Complexity as a Mediator Between IPC Work System and Healthcare Workers' Behaviors: A Structural Equation Model.Infection and drug resistance · 2026Article
- Using population risk prediction for healthcare planning: a qualitative study of healthcare planners' experiences and views.Journal of public health (Oxford, England) · 2025Article
- The NASSS (Non-Adoption, Abandonment, Scale-Up, Spread and Sustainability) framework use over time: A scoping review.PLOS digital health · 2025Article
- Why should we strive to let them thrive? Exploring the links between homecare professionals thriving at work, employee ambidexterity, and innovative behavior.BMC health services research · 2025Article
- Perspectives on managing innovation readiness in long-term care: a Q-methodology study.BMC geriatrics · 2024Article
- The Nursing Theory of Complex Adaptive Systems: A New Paradigm for Nursing.Healthcare (Basel, Switzerland) · 2024Article
- Driving innovation in health care: exploring the impact of ambidextrous leadership on creative performance among frontline health professionals in Norway.BMC health services research · 2024Article
- Article
- Information and communication technology-based interventions for suicide prevention implemented in clinical settings: a scoping review.BMC health services research · 2023Article
- The other side of the crisis: organizational flexibility in balancing Covid-19 and non-Covid-19 health-care services.BMC health services research · 2022Article
- Factors contributing to innovation readiness in health care organizations: a scoping review.BMC health services research · 2022Article
- Low back pain presentations to rural, regional, and metropolitan emergency departments.The Australian journal of rural health · 2022Observational
- The impact of organizational culture and leadership climate on organizational attractiveness and innovative behavior: a study of Norwegian hospital employees.BMC health services research · 2022Article
- Fostering innovative behavior in health organizations: a PLS-SEM analysis of Norwegian hospital employees.BMC health services research · 2021Article
- The impact of individual creativity, psychological capital, and leadership autonomy support on hospital employees' innovative behaviour.BMC health services research · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
backgroundWe are in an innovation age for healthcare delivery. Some note that the complexity of healthcare delivery may make innovation in this setting more difficult and may require more adaptive solutions. The aim of this study is to examine the relationship between unit complexity and innovation, using a complex adaptive systems approach in a hospital setting.
methodsWe conducted a quantitative study of 31 hospital units within one hospital and use complex adaptive systems (CAS) theory to examine how two CAS factors, autonomy and performance orientation, moderate the relationship between unit complexity and innovation.
resultsWe find that unit complexity is associated with higher innovation performance when autonomy is low rather than high. We also find that unit complexity is associated with higher innovation performance when performance orientation is high rather than low. Our findings make three distinct contributions: we quantify the influence of complexity on innovation success in the health care sector, we examine the impact of autonomy on innovation in health care, and we are the first to examine performance orientation on innovation in health care.
conclusionsThis study tackles the long debate about the influence of complexity on healthcare delivery, particularly innovation. Instead of being subject to the influence of complexity with no means of making progress or gaining control, hospitals looking to implement innovation programs should provide guidance to teams and departments regarding the type of innovation sought and provide support in terms of time and management commitment. Hospitals should also find ways to promote and make successful pilot implementations of such innovations visible in the organization. A close connection between the targeted innovation and the overall success and performance of the hospital unit is ideal.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.