Synapse
⌘+K
Synapse
PulseExploreJournal ClubResearchersJournals
Instagram
HomeJournal ClubExplore
February 8, 2026Implementation Science CommunicationsOpen Access

Conducting rigorous implementation evaluations in real word settings: lessons from a consensus approach to perioperative pathway implementation for elective surgery

View Full Paper
Ask AI
Bookmark
Share

Authors

LPLisa PaganoAHAndrew HirschhornGAGaston Arnolda

Discussion

Loading...

Member takes

Overview

Quasi-experimental study assesses the effectiveness of standardised pathways in elective surgery, suggesting co-design improves outcomes.

Key Points

  • To evaluate the development and implementation of consensus-based perioperative pathways and provide insights for rigorous implementation evaluations.
  • Conducted a quasi-experimental implementation study in a private hospital in Australia.
  • Developed and implemented six consensus-based surgical care pathways across clinical teams.
  • Applied the Exploration, Preparation, Implementation and Sustainment (EPIS) framework during implementation.
  • Used participant observations and semi-structured interviews to gather data, analyzed thematically.
  • Assessed pathway fidelity through medical record audits of a random sample of patients.
  • The multi-faceted implementation plan was viewed as acceptable, appropriate, and feasible.
  • Fidelity to clinical actions improved in only two out of four surgical cohorts.
  • Implementation was guided by the four mechanisms of normalisation process theory (NPT).
  • Several factors impacted implementation, especially those related to the Inner Context and the Innovation.
  • Co-designing strategies with frontline staff linked to better uptake and implementation.

Cite This Study

Pagano et al. (2026) studied this question.

synapsesocial.com/papers/698828770fc35cd7a8848050https://doi.org/10.1186/s43058-026-00876-4
View Full Paper
Ask AI
Bookmark
Share