| Sumario: | This article focuses on the implementation of reasonable adjustments in hospitals to improve care for children and young people with intellectual disability, emphasizing a complexity-informed approach. It highlights the use of the CICI Framework (Context and Implementation of Complex Interventions) and a complex adaptive systems perspective to address multi-layered healthcare challenges at individual, departmental, and organizational levels. Key initiatives at the Sydney Children's Hospitals Network include continuing professional development-quality improvement (CPD-QI) programs, adaptive care pathways, electronic health record flagging systems, resource development, and collaborative efforts with other vulnerable populations. These strategies aim to enhance staff capacity, patient safety, and care quality, while recognizing ongoing challenges in sustaining systemic transformation.
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