The authors report on a NIH multilevel intervention study (n=58; 29 intervention, 29 control) performed in a Midwestern state over a 2 year time frame. Complexity science was the theoretical model used to analyze the observations made by research nurses who visited intervention nursing homes once a month, working with nursing home staff to improve their clinical outcomes using process improvement teams. The positive clinical outcomes as measured by Federal QM/QI scores of an exemplar home are reported.

Rantz, M.J., Flesner, M.K., & Zwygart-Stauffacher, M. (2010). Improving care in nursing homes using quality measures/indicators and complexity science. Journal of Nursing Care Quality, 25(1), 369–376.

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