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Table 1 Sampling of Empirical Studies of Hospital Unit Innovation

From: Examining innovation in hospital units: a complex adaptive systems approach

Author, Date Summary Innovation Focus Consideration of Complexity Factors related to innovation
Broberg and Edwards, 2012 Qualitative/Participative design, user-driven innovation process to develop a novel concept of the spatial and organizational design of an outpatient department in a hospital Generation The outpatient department was a “complex sociotechnical system,” that influenced the innovation process in terms of culture and politics in the meeting between different professional domains. Not included
Su et al., 2011 Action research study of an innovation initiative between the supply department and 155 internal units to reduce unit inventory costs Generation Not included, though future research suggests complexity theory may help to determine predictors of logistics innovation in hospitals buyer-supplier relations
Pearson et al., 2008 Multi-site case study of the strategies used to spread four changes designed to facilitate a smooth, safe, and patient-centered shift change across multiple med-surg units in 3 hospitals Adaptation and Spread Not Included Designation of spread organizers or managers, strategic selection of spread units, designation of nurse champions, clear senior leadership support, collaborative session, communication mechanisms, written spread materials, allocation of resources
Jensen and Chandler, 1994 Survey of 391 employees across 8 hospitals identifying how innovation and restrictive conformity influence personal outcomes Generation and Adoption Not included Personal outcomes associated with innovation: Greater role clarity, organizational involvement, and satisfaction, and lower role conflict and willingness to leave the organization