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  1. Hast, Anne S. DNP, RN
  2. DiGioia, Anthony M. III MD
  3. Thompson, Debra PhD, RN, NEA-BC
  4. Wolf, Gail PhD, RN, FAAN


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.