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In the first instance, the failure may be caused by an implementation failure, which means "that the way the intervention was implemented was incomplete or designed in such a way that the intervention would have failed even if the theory behind the intervention was correct" [ 7].
There was an implementation failure after that.
The odds are high the costly investment might turn into an implementation failure or even lead to bankruptcy.
The MRC guidance highlights that clinical ineffectiveness may be a result of an implementation failure; as a result, it calls for multi-level, process evaluations that may go beyond RCTs to understand such failure.
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Is it, say, an example of health policy implementation failure, of effective transfer of a health policy from one country to another, of health policy network influence on agenda setting, of the influence of political factors on health policy evaluation?
Increased knowledge about factors affecting implementation is important to understand whether an eventual lack of intervention effect is due to implementation failure or a badly designed intervention [ 10].
In negative studies without a strong process evaluation, it is difficult to discern whether the result was due to poor alignment of the intervention components with the causes of the problem leading to poor efficacy (theory failure) or due to a failure to implement the intervention as designed (implementation failure).
To investigate the human, social and organizational issues surrounding a Computerized Physician Order Entry system for Laboratory ordering (CPOE-L) implementation process and to analyze their interrelated effects on the system implementation failure in an academic medical setting.
Evaluation of the action model describes how exactly the planned intervention has been implemented and allows to check whether an unsuccessful intervention is due to implementation failure or programme design failure.
Failure to communicate a policy effectively may lead to implementation failure.
Thus, if the intervention has little or no impact on outcomes, the process evaluation data should uncover whether this was due to inadequate design (a failure of concept/theory), poor delivery (implementation failure) and/or or other factors.
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