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Open Access

Dissemination, implementation, and de-implementation: the trauma perspective

Vanessa P Ho, Rochelle A Dicker, Elliott R Haut
DOI: 10.1136/tsaco-2019-000423 Published 4 February 2020
Vanessa P Ho
1Departments of Surgery and Population and Quantitative Health Sciences, MetroHealth Medical Center, Cleveland, Ohio, USA
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Rochelle A Dicker
2Department of Surgery, David Geffen School of Medicine, Los Angeles, California, USA
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Elliott R Haut
3Departments of Surgery, Anesthesiology and Critical Care Medicine, and Emergency Medicine, Johns Hopkins Medicine, Baltimore, Maryland, USA
4Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA
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Tables

  • Table 1

    Outcomes for implementation science

    Implementation outcomes
    AcceptabilityThe perception among implementation stakeholders that a given treatment, service, practice, or innovation is agreeable, palatable, or satisfactory
    Synonyms: Satisfaction with various aspects of the innovation (eg, content, complexity, comfort, delivery, and credibility)
    AdoptionThe intention, initial decision, or action to try or employ an innovation or evidence-based practice
    Synonyms: Uptake; utilization; initial implementation; intention to try
    AppropriatenessThe perceived fit, relevance, or compatibility of the innovation or evidence-based practice for a given practice setting, provider, or consumer; and/or perceived fit of the innovation to address a particular issue or problem. “Appropriateness” is conceptually similar to “acceptability,” and the literature reflects overlapping and sometimes inconsistent terms when discussing these constructs
    Synonyms: Perceived fit; relevance; compatibility; suitability; usefulness; practicability
    Implementation costsCost impact of an implementation effort, dependent on three components: variation in complexity of treatments, variation for complexity of implementation strategy, variation by setting and overhead
    Synonyms: Marginal cost; cost-effectiveness; cost–benefit
    FeasibilityThe extent to which a new treatment, or an innovation, can be successfully used or carried out within a given agency or setting. Actual fit or utility; suitability for everyday use; practicability
    FidelityThe degree to which an intervention was implemented as it was prescribed in the original protocol or as it was intended by the programme developers
    Synonyms: Delivered as intended; adherence; integrity; quality of program delivery
    PenetrationIntegration of a practice within a service setting and its subsystems
    Synonyms: Level of institutionalization; spread; service access
    SustainabilityThe extent to which a newly implemented treatment is maintained or institutionalized within a service setting’s ongoing stable operations
    Synonyms: Maintenance; continuation; durability; incorporation; integration; institutionalization; sustained use; routinization
    • Adapted from Proctor et al.

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Dissemination, implementation, and de-implementation: the trauma perspective
Vanessa P Ho, Rochelle A Dicker, Elliott R Haut
Trauma Surg Acute Care Open Feb 2020, 5 (1) e000423; DOI: 10.1136/tsaco-2019-000423

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Dissemination, implementation, and de-implementation: the trauma perspective
Vanessa P Ho, Rochelle A Dicker, Elliott R Haut
Trauma Surg Acute Care Open Feb 2020, 5 (1) e000423; DOI: 10.1136/tsaco-2019-000423
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Dissemination, implementation, and de-implementation: the trauma perspective
Vanessa P Ho, Rochelle A Dicker, Elliott R Haut
Trauma Surgery & Acute Care Open Feb 2020, 5 (1) e000423; DOI: 10.1136/tsaco-2019-000423
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  • Article
    • Introduction
    • What is the gap?
    • Outcomes of interest in implementation science
    • Methodology
    • De-Implementation
    • Conclusions
    • Acknowledgments
    • Footnotes
    • References
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