ReviewInternational journal for quality in health care : journal of the International Society for Quality in Health Care2019
Translating evidence in complex systems: a comparative review of implementation and improvement frameworks.
Review in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed.
- Why Do Healthcare Gaps Persist Despite Strong Evidence? A Proposed Conceptual Framework for Real-World Implementation.Global journal on quality and safety in healthcare · 2026Article
- Towards a complex systems model of evidence for public health.BMJ global health · 2025Review
- Advancing the selection of implementation science theories, models, and frameworks: a scoping review and the development of the SELECT-IT meta-framework.Implementation science : IS · 2025Article
- Enhancing the Innovation Ecosystem: Overcoming Challenges to Introducing Information-Driven Technologies in Health Care.Journal of medical Internet research · 2025Article
- The Safe Environment for Every Kid Model in the Swedish Child Health Services: Adoption and Introduction in a Healthcare Region.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Implementing Clinical Guidelines for the Treatment of Psychosis: The Frontline Leaders' Point of View. A Qualitative Study.Journal of healthcare leadership · 2024Article
- What is improvement science, and what makes it different? An outline of the field and its frontiers.Frontiers in health services · 2024Article
- Strengthening quality in sexual, reproductive, maternal, and newborn health systems in low- and middle-income countries through midwives and facility mentoring: an integrative review.BMC pregnancy and childbirth · 2023Review
- Implementation frameworks for end-to-end clinical AI: derivation of the SALIENT framework.Journal of the American Medical Informatics Association : JAMIA · 2023Review
- How do healthcare providers use national audit data for improvement?BMC health services research · 2023Article
- Barriers and facilitators to implementing evidence-based interventions in the context of a randomized clinical trial in the United States: a qualitative study.BMC health services research · 2023Article
- Learning health systems in low-income and middle-income countries: exploring evidence and expert insights.BMJ global health · 2022Review
- Article
- Implementation Frameworks for Artificial Intelligence Translation Into Health Care Practice: Scoping Review.Journal of medical Internet research · 2022Article
- Implementation of first episode psychosis intervention in India - A case study in a low-and middle-income country.SSM. Mental health · 2021Article
- Quick and dirty or rapid and informative? Exploring a participatory method to facilitate implementation research and organizational change.Journal of health organization and management · 2021Article
- Working together to co-produce better health: The experience of the Collaboration for Leadership in Applied Health Research and Care for Northwest London.Journal of health services research & policy · 2021Article
- How to optimise public health interventions: a scoping review of guidance from optimisation process frameworks.BMC public health · 2020Article
- Applying systems thinking to knowledge mobilisation in public health.Health research policy and systems · 2020Article
- The role of patients and carers in diffusing a health-care innovation: A case study of "My Medication Passport".Health expectations : an international journal of public participation in health care and health policy · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAn increasing number of implementation and improvement frameworks seek to describe and explain how change is made in healthcare. This paper aims to explore how existing frameworks conceptualize the influence of complexity in translating evidence into practice in healthcare. DATA SOURCES: A database was interrogated using a search strategy to identify publications that present frameworks and models for implementation and improvement. STUDY SELECTION: Ten popular implementation and improvement frameworks were purposively selected. DATA EXTRACTION: Comparative analysis was conducted using an analytical framework derived from SHIFT-Evidence, a framework that conceptualizes complexity in implementation and improvement initiatives.
resultsCollectively the frameworks accounted for key concepts of translating evidence in complex systems: understanding the uniqueness of each setting; the interdependency of practices/processes and the need to respond to unpredictable events and emergent learning. The analysis highlighted heterogeneity of the frameworks in their focus on different aspects of complexity. Differences include the extent to which problems and solutions are investigated or assumed; whether endpoints are defined as the uptake of interventions or achievement of goals; and emphasis placed on fixed-term interventions versus continual improvement. None of the individual frameworks reviewed incorporated all the implications of complexity, as described by SHIFT-Evidence.
conclusionThis research identifies the differences in how implementation and improvement frameworks consider complexity, suggesting that SHIFT-Evidence offers a more comprehensive overview compared with the other frameworks. The similarity of concepts across the frameworks suggests growing consensus in the literature, with SHIFT-Evidence providing a conceptual bridge between the implementation and improvement fields.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.