Evidence map›Paper›PMID 36877557›Full record

ArticleJournal of medical Internet research2023

Determinants of Implementation of a Critical Care Registry in Asia: Lessons From a Qualitative Study.

Timo Tolppa, Vrindha Pari, Christopher Pell, Diptesh Aryal, Madiha Hashmi, Maryam Shamal Ghalib, Issrah Jawad, Swagata Tripathy, Bharath Kumar Tirupakuzhi Vijayaraghavan, Abi Beane and 3 more

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Article in Journal of medical Internet research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Timo TolppaNetwork for Improving Critical Care Systems and Training, Colombo, Sri Lanka.ORCID 0000-0002-4119-7335
Vrindha PariChennai Critical Care Consultants Group, Chennai, India.ORCID 0000-0002-3972-3965
Christopher PellAmsterdam Institute for Global Health and Development, Amsterdam, Netherlands.ORCID 0000-0001-9405-5851
Diptesh AryalHospital for Advanced Medicine and Surgery, Kathmandu, Nepal.ORCID 0000-0002-1431-8293
Madiha HashmiZiauddin University, Karachi, Pakistan.ORCID 0000-0002-7332-0692
Maryam Shamal GhalibWazir Akbar Khan Hospital, Kabul, Afghanistan.ORCID 0000-0002-3674-8083
Issrah JawadNetwork for Improving Critical Care Systems and Training, Colombo, Sri Lanka.ORCID 0000-0002-4478-1721
Swagata TripathyDepartment of Anaesthesia and Intensive Care Medicine, All India Institute of Medical Sciences, Bhubaneswar, India.ORCID 0000-0002-5315-6477
Bharath Kumar Tirupakuzhi VijayaraghavanChennai Critical Care Consultants Group, Chennai, India.ORCID 0000-0002-1801-0667
Abi BeaneMahidol Oxford Tropical Medicine Research Unit, Bangkok, Thailand.ORCID 0000-0001-7046-1580
Arjen M DondorpNuffield Department of Medicine, Oxford University, Oxford, United Kingdom.ORCID 0000-0001-5190-2395
Rashan HaniffaMahidol Oxford Tropical Medicine Research Unit, Bangkok, Thailand.ORCID 0000-0002-8288-449X
Collaboration of Research Implementation & Training in Critical Care in Asia InvestigatorsSee Acknowledgments, .

Funding

Wellcome TrustWellcome Trust 215522/Z/19/Z
6 · The paper itself

Abstract

backgroundThe Collaboration for Research, Implementation, and Training in Critical Care in Asia (CCA) is implementing a critical care registry to capture real-time data to facilitate service evaluation, quality improvement, and clinical studies.

objectiveThe purpose of this study is to examine stakeholder perspectives on the determinants of implementation of the registry by examining the processes of diffusion, dissemination, and sustainability.

methodsThis study is a qualitative phenomenological inquiry using semistructured interviews with stakeholders involved in registry design, implementation, and use in 4 South Asian countries. The conceptual model of diffusion, dissemination, and sustainability of innovations in health service delivery guided interviews and analysis. Interviews were coded using the Rapid Identification of Themes from Audio recordings procedure and were analyzed based on the constant comparison approach.

resultsA total of 32 stakeholders were interviewed. Analysis of stakeholder accounts identified 3 key themes: innovation-system fit; influence of champions; and access to resources and expertise. Determinants of implementation included data sharing, research experience, system resilience, communication and networks, and relative advantage and adaptability.

conclusionsThe implementation of the registry has been possible due to efforts to increase the innovation-system fit, influence of motivated champions, and the support offered by access to resources and expertise. The reliance on individuals and the priorities of other health care actors pose a risk to sustainability.

Indexed as

CommunicationCritical CareAsiaHumansInformation DisseminationQualitative ResearchRegistriesCCUcritical carehealth careimplementationqualitative researchregistrySouth Asiastakeholders

Identifiers

PMID36877557
PMCPMC10028509

What OpenQuestion holds

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Registered trials

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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.