Implementation of a paediatric early warning system as a complex health technology intervention
| Autor: | Heather E. Duncan, Adrienne Hudson |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Process management
Sociotechnical system Consensus Attitude of Health Personnel Biomedical Technology Brief Resolved Unexplained Event Context (language use) 03 medical and health sciences 0302 clinical medicine Intensive care Medicine Health Status Indicators Humans 030212 general & internal medicine Child Quality of Health Care Randomized Controlled Trials as Topic Warning system business.industry Health services research Health Plan Implementation Health technology 030208 emergency & critical care medicine United Kingdom Intervention (law) Early Warning Score Research Design Pediatrics Perinatology and Child Health Early warning system business Ireland |
| Zdroj: | Archives of disease in childhood. 106(3) |
| ISSN: | 1468-2044 |
| Popis: | The national implementation groups of early warning systems in the UK and Ireland have identified a need to understand implementation, adoption and maintenance of these complex interventions. The literature on how to implement, scale, spread and sustain these systems is sparse. We describe a successful adoption and maintenance over 10 years of a paediatric early warning system as a sociotechnical intervention using the Nonadoption, Abandonment, Challenges to the Scale-Up, Spread, and Sustainability Framework for Health and Care Technologies. The requirement for iterative processes within environment, culture, policy, human action and the wider system context may explain the possible reasons for improved outcomes in small-scale implementation and meta-analyses that are not reported in multicentre randomised control trials of early warning systems. |
| Databáze: | OpenAIRE |
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