Scholarlink

Background <p>The Safe Medication Dashboard (known as SMASH), an intervention to reduce hazardous prescribing in general practice through a pharmacist-led intervention and web-based dashboard, was piloted in 2017. A rollout of SMASH by the regional health innovation network was funded in 2019.</p> Methods <p>A longitudinal qualitative evaluation of the regional implementation effort was conducted over three years, including in-depth semi-structured interviews with relevant stakeholders (<i>n</i> = 18), non-participant observations (<i>n</i> = 42), and documentary analysis.</p> Results <p>Assumptions about the replicability and complexity of the intervention led to an implementation strategy and pace that were misaligned. The implementation of SMASH suffered from delays, diversions, and disruptions due to unanticipated infrastructure needs, regulatory changes in data sharing, and the health systems’ response to the COVID-19 pandemic.</p> Conclusion <p>The findings will be discussed alongside relevant implementation frameworks to highlight how interdependencies between wider policies, organisations, and technologies can significantly shape the trajectories and pace of implementation efforts.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

A longitudinal qualitative evaluation of the rollout of a complex digital intervention across healthcare organisations and the significance of implementation pace

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年7月21日

查看全文
  • Louise Laverty,
  • Paul Wilson,
  • Darren Ashcroft,
  • Niels Peek

摘要

Background

The Safe Medication Dashboard (known as SMASH), an intervention to reduce hazardous prescribing in general practice through a pharmacist-led intervention and web-based dashboard, was piloted in 2017. A rollout of SMASH by the regional health innovation network was funded in 2019.

Methods

A longitudinal qualitative evaluation of the regional implementation effort was conducted over three years, including in-depth semi-structured interviews with relevant stakeholders (n = 18), non-participant observations (n = 42), and documentary analysis.

Results

Assumptions about the replicability and complexity of the intervention led to an implementation strategy and pace that were misaligned. The implementation of SMASH suffered from delays, diversions, and disruptions due to unanticipated infrastructure needs, regulatory changes in data sharing, and the health systems’ response to the COVID-19 pandemic.

Conclusion

The findings will be discussed alongside relevant implementation frameworks to highlight how interdependencies between wider policies, organisations, and technologies can significantly shape the trajectories and pace of implementation efforts.