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Lack of time, lack of familiarity with the booklet and difficulties in changing their approach to this condition were the main barriers to implementation described by clinicians.
The barriers to implementation described above require that a health systems approach be taken in considering scale up of this model, interrogating how all elements of the health system would be affected by implementation.
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Multiple barriers to implementation exist.
Other system level barriers to implementation existed.
Barriers to implementation of performance evaluation Purpose of performance evaluation.
Besides barriers to implementation being explored, facilitators to implementation were also discussed by respondents.
Although many barriers to implementation were described (Additional file 3, Table S2), these were seldom examined in depth, with the exception of three studies that employed qualitative interviews [ 23, 34, 25].
Several barriers to implementation have been described, including some very practical issues (eg, bringing the whole team together at one time), 8 11 other tool-specific concerns (eg, the applicability of the checks to certain surgical contexts), 12 and certain team-based challenges (eg, checklist fatigue and blurred lines of accountability).
Multiple barriers to implementation of EMR have been described.
The implementation evaluation included observations of organizational and other facilitators and barriers to implementation; results of this evaluation are described elsewhere [ 25].
This study aims to describe the barriers to implementation of a redesign of the existing model for information transfer and feedback.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com