Evidence map›Paper›PMID 41836911›Full record

ArticleFrontiers in health services2026

Balancing fidelity and flexibility: a case study presentation of an augmented dynamic adaptation process for socio-technical innovations in healthcare.

Suzanne S Sullivan, Sharon Hewner, Sabrina Casucci, Elizabeth Bowen, Varun Chandola, Amy M Sheehan, Amanda J Anderson, Jarod Gabello, Katia Noyes

Abstract read
In one paragraph

Article in Frontiers in health services, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Suzanne S Sullivan *College of Nursing, Upstate Medical University, State University of New York, Syracuse, NY, United States.
Sharon Hewner *School of Nursing, University at Buffalo, State University of New York, Buffalo, NY, United States.
Sabrina CasucciDepartment of Industrial Systems Engineering, University at Buffalo, State University of New York, Buffalo, NY, United States.
Elizabeth BowenSchool of Social Work, University at Buffalo, State University of New York, Buffalo, NY, United States.
Varun ChandolaDepartment of Computer Science and Engineering, University at Buffalo, State University of New York, Buffalo, NY, United States.
Amy M SheehanSchool of Nursing, University at Buffalo, State University of New York, Buffalo, NY, United States.
Amanda J AndersonSchool of Nursing, University at Buffalo, State University of New York, Buffalo, NY, United States.
Jarod GabelloSchool of Nursing, University at Buffalo, State University of New York, Buffalo, NY, United States.
Katia NoyesDivision of Health Services Policy and Practice, Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, Buffalo, NY, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The key Methods: We augmented the Dynamic Adaptation Process model using strategies from quality improvement, clinical safety, and software development agility to allow for continuous adaptation of the implementation process to changes in community healthcare settings and to reduce the chance of implementation failure when implementing complex socio-technical solutions in fast-paced healthcare environments. Results/discussion: This project illustrates how this augmented model could avert "implementation failure" based on real-life implementation cases of a socio-technical innovation to optimize cross-sector collaborations to support patients with medical, social and behavioral complexities. Key takeaways from the project highlight the importance of understanding baseline organizational readiness, designing for sustainability and spread, prioritizing engagement and communication, and ensuring a holistic design of socio-technical solutions.

Indexed as

cross-institutional teamworkcross-sector carecross-sector collaborationfailure to rescuehealth information exchangehigh needsimplementation sciencequality improvement

Identifiers

PMID41836911
PMCPMC12982377

What OpenQuestion holds

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LicenceCC BY
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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.