Conceptualising contexts, mechanisms and outcomes for implementing large-scale, multisite hospital improvement initiatives: a realist synthesis.

Janet C Long Mitchell N SarkiesEmilie Francis AutonHoa Mi Nguyen Chiara Pomare Rebecca Hardwick Jeffrey Braithwaite

Published in: BMJ open (2022)

This paper adds to the literature exploring why large-scale hospital interventions are not always successfully implemented and suggests 24 causative mechanisms and contextual factors that may drive outcomes in the planning and assessment stage.

Keyphrases

healthcare
systematic review
quality improvement
physical activity
acute care
adverse drug
emergency department
metabolic syndrome
skeletal muscle
insulin resistance