When adding a new outcome or a new outcome item, it is common that a new scale or a new outcome (respectively) needs to be added. We then have to click at least 3 or 4 times before getting to the new scale/outcome forms, then have to backtrack again to where we were originally.

A simple yet effective solution would be to add a "Add a new scale" and "Add a new outcome" links to these forms, next to the appropriate dropdown menus. Even better if, after creating the new scale/outcome, we are redirected to the page on which the link was.