The discussion of architecture is interesting both from the point of its expansive concepts to its detailed specificity at the point of physical implementation.
This is not to say they may not be ranked in importance at the point of service-implementation: indeed, there must be some prioritization because resource limitations induce competition between the aspects of quality.
However, unless this systematic underestimation changed at the point of the UCS implementation, it would not have impacted our results.
Although diversity in perspectives has been linked to high decision quality and improved team performance, this is likely due to the positive effects of dissent at the strategy formulation or decision-making stage; at the point of action or implementation, however, SMMs positively impact performance [ 25].
However, documentation of provider-initiated interventions is often limited, and as a result, more studies of implementation at the point of care are needed to understand and measure CDS and CPOE effectiveness [ 6, 7].
Several papers in this special issue highlight potential roles of publics in the introduction of new vaccines, mostly at the level of implementation, but some point to the importance of bringing the role of citizen voices earlier into the decision-making process i.e.e
These interviews allowed an exploration of implementation experiences at the point of delivery.
Air capture devices could be installed at the point of use, and in many implementations, collectors could be moved if demand patterns shift.
In general, while these examples offer the dominant means by which most providers access clinical guidelines at the point of care, most of these implementations lack the essential patient- or condition-specific features of the previously described CDS framework and are substantially less actionable.
It appears that the real policy challenge is meaningful and enlightened implementation at the point of learning and care.
