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Further research to increase the implementation success of the guideline should be undertaken.
We identified 10 frequently mentioned key factors having an impact on the implementation success of the CHD treatment pathway.
[GP10] By integrating the pathway into a larger geographic, such as nationwide or organizational contexts, e.g., a medical association, the interviewed physicians expected an increased implementation success of the tool.
We do not claim completeness of the aforementioned factors or categories, nor do we provide an algorithm of how the presence or absence of the reported key factors attributes to the relative implementation success of the pathway.
Implementation success of the ERAS programme was defined as achieving (1) a median hospital length of stay of six days or less of patients undergoing colonic surgery, (2) an overall protocol adherence to the ERAS programme above 70%, and (3) at least 40 patients treated within the year of the implementation project [ 22].
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The current study showed that sustaining the early post-implementation success of the ERAS programme in colonic surgery needs post-implementation institutional efforts after a hospital has finished a QIC.
The following propositions relate to the implementation success of SSQI projects: P24a: Top management commitment is positively associated with the implementation success of SSQI projects.
Damschroder and Lowery applied the CFIR as an interview guide and for analysis purposes in order to describe factors that explained variations in the implementation success of a programme that had been run in the Veteran's Affairs medical facilities and illustrate how the CFIR could be applied to identify influential contextual constructs on the implementation process [ 5].
The perception that catheters are being inserted for "convenience" may hinder the implementation success of patient safety initiatives because it does not speak to the underlying organizational issues, such as lack of staffing or lack of medical alternatives, (e.g., a bladder scanner that could help determine the need for a catheter) that may be contributing to these decisions.
P24f: Verbal and written publicity of the Six Sigma implementation efforts is positively associated with the implementation success of SSQI projects.
P24b: Use of measurement systems is positively associated with the implementation success of SSQI projects.
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