Adoption and implementation succeeded as intended.
The main finding in this study is that, with our implementation strategy, we succeeded in implementing unit-based perinatal mortality audit meetings in all 15 perinatal cooperation units in the northern region of the Netherlands.
We defined "innovation sustainability" as a process that emerges from and succeeds innovation implementation, wherein improvements are maintained, new ways of working become routine, surrounding systems are transformed in support, and the innovation may even be developed, over a period of time appropriate to a given situation [ 7].
However, it must be noted that groups of health professional differ widely with regard to training, education, organisational structure and scope of practice and knowledge [ 30] and that the type of profession undoubtedly affects the intention to use CPGs in patient care [ 31], which is why implementation strategies that succeed in one profession may well fail in another.
Although the intensive implementation program did not succeed in a better implementation of EAFD and EASD, it did have some effect on two elements of EAFD and EASD.
"This bill is a gamble," Ms. Maxwell said, "and implementation will be the key in determining whether it succeeds or fails".
The common poor compliance with hand hygiene enhances the importance of strong efforts to succeed with implementation.
One director noted that " Without the leaders being supportive and helping us to get things done, it [Lean implementation] won't succeed" (A-01).
Previous experience suggests that for a quality assurance program to succeed after implementation, it must have specific ongoing resources committed to support an information management system, a team dedicated to quality assurance, and a means to distribute information [ 7].
Novel therapies for DKD are urgently needed to improve clinically relevant outcomes, yet they must be accompanied by better methods for health care delivery and implementation in order to succeed.
