ArticlesUtilizing Complexity Science to Drive Practice Change Through Patient- and Family-Centered CareHast, Anne S. DNP, RN; DiGioia, Anthony M. III MD; Thompson, Debra PhD, RN, NEA-BC; Wolf, Gail PhD, RN, FAANAuthor Information Author Affiliations: Chief Executive Officer (Dr Hast), Advanced Surgical Hospital, Washington; Founder and Medical Director (Dr DiGioia), Bone and Joint Center, Magee-Women’s Hospital of UPMC, and PFCC Partners, Innovation Center of UPMC, Pittsburgh; Adjunct Professor (Dr Thompson) and Professor, Acute and Tertiary Care (Dr Wolf), School of Nursing, University of Pittsburgh, Pennsylvania. The authors declare no conflicts of interest. Correspondence: Dr Hast, Advanced Surgical Hospital, 100 Trich Drive, Washington, PA 15301 ([email protected]). Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s web site (www.jonajournal.com). JONA: The Journal of Nursing Administration: January 2013 - Volume 43 - Issue 1 - p 44-49 doi: 10.1097/NNA.0b013e31827860db Buy SDC Metrics Abstract Complexity science applied through a 6-step patient- and family-centered care methodology provides a practical framework for achieving meaningful change in organizations. This approach was used to improve the preoperative preparation experience of patients undergoing total joint arthroplasty in an orthopedic specialty hospital. © 2013 Lippincott Williams & Wilkins, Inc.