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The number of implementation strategies used in the implementation studies was summarized as median with IQR.
We have reduced the number of implementation details to make the functionality stand out more.
The number of implementation strategies used varied from 4 to 12 per study (Table 3).
The number of implementation strategies used may then confound the true causal association between local ICU culture and improved clinical outcome.
The Kavach intervention was redesigned in 2006 by halving the number of implementation sites from 36 to 17 to focus on the major truck halt points in nine Indian states.
Over the lifetime of our work (up to June 2009) NIHR evolved its implementation strategy, resulting in an increase in the number of implementation plans to forty-three, of which thirty were active in the last six months of our work.
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This intervention was redesigned in 2006 by halving the numbers of implementation sites from 36 to 17 focusing on the major truck halt points in nine Indian States.
On the other hand, the OECD survey noted lack of progress in other indicators; the number of parallel implementation units has increased in Zambia and the share of support which is programme based has not grown [ 14].
The number of EHR implementations in hospitals is growing, as well as the body of literature on this subject.
We speculate that when more effort is put into the implementation it may be more successful even with the same number of implementation strategies used.
However, interpretation is hampered by the fact that the high-quality Grimshaw review published in 2004 and 2006 [ 41, 42] does not show a correlation between the number of components in implementation strategies and their effectiveness.
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