Plans to accelerate innovation in health systems are less than IDEAL

"An adapted IDEAL framework offers a pathway for prospective longitudinal evaluation of the Vanguard test bed sites and similar complex and emergent innovations. Adopting a common analytical framework will encourage iterative development, reporting and evaluation of innovations from the outset and before more widespread and rigorous testing is pursued."
Plans to accelerate innovation in health systems are less than IDEAL
PM Wilson, R Boaden, G Harvey
BMJ Quality and Safety 2016;25:572-576 doi:10.1136/bmjqs-2015-004605

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A qualitative study of how hospital innovations become routine

"Hospitals have an opportunity to promote the integration of new practices by planning for the extended effort required to hold a new practice in place while integration mechanisms take hold. By understanding how integrating mechanisms correspond to innovation characteristics, hospitals may be able to foster integrating mechanisms most likely to work for particular innovations."

Integrating new practices: a qualitative study of how hospital innovations become routine
AL Brewster, LA Curry, EJ Cherlin, K Talbert-Slagle, LI Horwitz, EH Bradley
Implementation Science 2015, 10:168  doi:10.1186/s13012-015-0357-3

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Insights on earlier adoption of medical innovations

"The aims of this piece of work are:

• To identify the key features of systems in which drugs, devices and diagnostics are assessed from trials to patients quickly, by considering a number of global ‘front-runners’;
• To understand how these systems work in practice;
• To reflect on the challenges and opportunities to effectively translate into the UK’s health system"

Insights on earlier adoption of medical innovations: An international review of emerging and effective practice in improving access to medicines and medical technology
S Wooding, G Cochrane, J Taylor, A Kamenetzky, S Sousa, S Parks
Rand Europe
July 2015

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Multi-level factors influence the implementation and use of complex innovations in cancer care

"The implementation of innovations (i.e., new tools and practices) in healthcare organizations remains a significant challenge. The objective of this study was to examine the key interpersonal, organizational, and system level factors that influenced the implementation and use of synoptic reporting tools in three specific areas of cancer care"

Multi-level factors influence the implementation and use of complex innovations in cancer care: a multiple case study of synoptic reporting

R Urquhart, GA Porter, J Sargeant, L Jackson, E Grunfeld
Implementation Science 2014, 9:121

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The NHS and the lust for certainty

"While there are some exceptionally forward thinking people within the NHS who do manage to put new technology to work, I think it would be widely acknowledged that the health system struggles to fully exploit the potential of new technologies to help patients."

The NHS and the lust for certainty
J Loder
NESTA (blog)
May 2014

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