To assess Implementation, we will seek to determine whether the intervention has been implemented as planned, and potential issues that need immediate adaptation before full implementation post-study would be possible.
The S-ERP systems' life cycle and identified six key areas include: concept, system design, pre-implementation, implementation, post-implementation, and system extension/retirement have been defined.
A total of 201 patients undergoing elective open cardiac surgery were included; 99 patients before protocol implementation (pre-protocol) and 102 patients after implementation (post-protocol).
The study period includes 1998 to 2002, as the period preceding the introduction of the heat prevention program (pre-intervention), and from 2006 to 2010 as the period following their implementation (post-intervention).
Pre: Pre-implementation; Post: Post-implementation The data collection process was supervised centrally by an experienced Project Manager who frequently communicated with the CRNs to maintain the quality of data collection.
Compared to pre-implementation, post-implementation subjects had a significantly lower ED SBP (72 vs. 85 mm Hg, P < 0.001) and higher sequential organ failure assessment score (7 vs. 5, P = 0.0004).
Using a concurrent mixed methods design, data collection will be conducted during the three project phases: baseline or pre-implementation; post-implementation of the standard form; and post-implementation of the enhanced form.
Previous studies have defined three stages in the technology innovation cycle; adoption, implementation and post implementation [ 15– 17].
The authors detail the process of implementing EHRs through several stages: decision, selection, pre-implementation, implementation, and post-implementation.
The sustainability of the ERAS programme was evaluated three to six years after implementation (late post-implementation measurement, 2012) and compared with the performance at the end of the implementation project (early post-implementation measurement, 2006 2009).
