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Guided by our conceptual framework and parallel to the work of Proctor et al. (47) on types of outcomes in implementation research, we have defined adoption, FOI, and sustainability as implementation outcomes, and stakeholders' satisfaction as a client outcome.
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Thus, despite following the policy planning process conscientiously, the outcome in implementation terms favours communicative over facilitative or regulatory interventions.
Therefore, an important issue to be considered is the distinction between successful practice change and clinical outcome improvements in implementation research.
A successful outcome in one implementation is only anecdotal evidence, unless some evaluation of the context (structure and process) and adaptations made for the context are also documented.
Use of the realist coding matrix was helpful in directing attention to emerging CMOCs, although the nature of the questions meant that that much of the interview data related fairly specifically to the interim outcomes in which Lean implementation was occurring rather than to mechanisms and outcomes.
Baseline core measures provide a snapshot of all of the agencies participating across the cooperative, and yield potential predictor variables for explaining possible site-to-site (or protocol-to-protocol) variations in implementation outcomes.
Guidelines-based care improves outcomes but challenges exist in implementation.
We estimated the time trend in outcomes before the implementation, the change in trend after the implementation, and the change in level at the initiation of the nurse-driven sedation protocol on outcomes.
What General Harmonic's technology does is similar in outcome but entirely different in implementation.
Specifically, we compared super users' behaviors and implementation outcomes in two units of a large, academic hospital implementing an EHR system from October 2012 June 210303 using data gathered from surveys, in-depth interviews, and observations.
With information from the process evaluation, we will also be able to explain variances in implementation and outcomes (measured in the RCT) across and within the HAs.
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