Evidence map›Paper›PMID 40803732›Full record

ArticleBMJ open2025

Applications of implementation science (IS) in learning health systems (LHS): a scoping review protocol.

Aimee K Huang, Rachel Vanderkruik, Carol Mita, Salma Argueta, Stephen J Bartels

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Aimee K HuangMassachusetts General Hospital, Boston, Massachusetts, USA akhuang@mgh.harvard.edu.ORCID http://orcid.org/0000-0002-0346-3516
Rachel VanderkruikMassachusetts General Hospital, Boston, Massachusetts, USA.
Carol MitaHarvard Medical School, Boston, Massachusetts, USA.ORCID http://orcid.org/0000-0003-3059-1369
Salma ArguetaMassachusetts General Hospital, Boston, Massachusetts, USA.
Stephen J BartelsMassachusetts General Hospital, Boston, Massachusetts, USA.

Funding

AHRQ HHS P30 HS029762
6 · The paper itself

Abstract

introductionDespite advancements in biomedical and healthcare research, the translation of evidence into routine practice within healthcare systems often lags, perpetuating inefficiencies and disparities in care delivery. Learning health systems (LHS), which integrate internal data and external evidence for continuous improvement, hold promise for addressing these gaps. Implementation science (IS), focused on promoting the systematic uptake of evidence-based practices, offers a robust framework to drive sustainable improvements within LHS. However, the practical application of IS principles in LHS remains underexplored. This scoping review aims to systematically map the literature on the application of IS in LHS, highlighting themes, gaps and opportunities for advancing future practices. METHODS AND ANALYSIS: This review will follow the Joanna Briggs Institute (JBI) methodology for scoping reviews, supported by the Preferred Reporting Items for Systematic Reviews and Meta-analyses Extension for Scoping Reviews (PRISMA-ScR) checklist. The review employs a population-concept-context framework, focusing on studies engaged in LHS activities and the application of IS principles in various healthcare settings. Relevant literature will be searched across multiple databases, including OVID/Medline, Embase, Web of Science Core Collection and Health Policy Reference Center. Eligible studies will be screened, and data will be extracted and synthesised using both quantitative and qualitative methods. Key outcomes include characterising IS applications in LHS, evaluating barriers and facilitators, exploring equity integration, and identifying knowledge gaps. ETHICS AND DISSEMINATION: As this study does not involve primary data collection, ethical approval is not required. Findings will be disseminated through peer-reviewed publications and conference presentations to inform future research and practice. REGISTRATION: This protocol has been registered on the Open Science Framework (DOI: 10.17605/OSF.IO/BMQ6J).

Indexed as

Evidence-Based PracticeImplementation ScienceLearning Health SystemDelivery of Health CareHumansResearch DesignScoping Reviews as TopicDelivery of Health Care, IntegratedHealthHealth ServicesImplementation SciencePatient Care Management

Identifiers

PMID40803732
PMCPMC12352175

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

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.