By synthesising across a number of sites, the descriptions of the initial Site Implementation, what was done under Test and Refine and whether Outcomes Improved, the initial small theory of improvement can be refined and if necessary updated.
Donaldson and Gooler's [ 28] TBE of an employment and health improvement initiative aimed to facilitate programme improvement through regular feedback to stakeholders, although no specific information regarding what was uncovered by reviewing implementation, what was fed back to stakeholders, or whether there were programme improvements, was provided.
Alternatively, a complex intervention trial may ask an implementation question: what is the optimal way to implement this protocol for resuscitation of patients with severe sepsis?
Because this task has been demonstrated and implemented elsewhere, we shall limit our discussion of implementation to what is already stated.
This week, in Nature, Eugene Serabyn of the Jet Propulsion Laboratory in California and his colleagues describe a stunning implementation of what is known as an optical vortex coronagraph.
Levi Strauss isn't the first company to stumble when installing highly-complex business software systems – earlier this year Waste Management sued SAP for $100m over a problematic implementation – but what is slightly unusual is that the company says it has installed SAP successfully across its Asia-Pacific region.
The Pandora's box was first opened in 1990 when Prime Minister V.P. Singh ordered the implementation of what is known as the Mandal commission report, which extended the benefits of affirmative action to include Other Backward Classes (OBCs), lower and intermediate castes.
"I'm carrying a lot on my shoulders these days," said Lillian Mean, executive director for the implementation of what is officially known as Yonkers's Educational Improvement Plan, Part 2, a program intended to close a wide scholastic achievement gap between white and minority students.
