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1. Impact of Clinical Decision Support on Antibiotic Prescribing for Acute Respiratory Infections: a Cluster Randomized Implementation Trial

   https://doi.org/10.1007/s11606-020-06096-3  

   Mann, Devin; Hess, Rachel; McGinn, Thomas; Richardson, Safiya; Jones, Simon; Palmisano, Joseph; Chokshi, Sara Kuppin; Mishuris, Rebecca; McCullagh, Lauren; Park, Linda; et al (November 2020, Journal of General Internal Medicine)

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2. Fast DST-7/DCT-8 with Dual Implementation Support for Versatile Video Coding

   https://doi.org/10.1109/TCSVT.2020.2977118  

   Zhang, Zhaobin; Zhao, Xin; Li, Xiang; Li, Li; Luo, Yi; Liu, Shan; Li, Zhu (January 2020, IEEE Transactions on Circuits and Systems for Video Technology)

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3. Implementation of Reasoning Chain Construction Tasks to Support Student Explanations in General Chemistry

   https://doi.org/10.1021/acs.jchemed.1c00729  

   Nagel, Megan L.; Lindsey, Beth A. (February 2022, Journal of Chemical Education)
4. Professional learning to support the implementation of instructional materials: case studies from an integrity perspective

   Russell, John (January 2020, The proceedings of the international conference of the learning sciences (ICLS))

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5. Using normalisation process theory to understand workflow implications of decision support implementation across diverse primary care settings

   https://doi.org/10.1136/bmjhci-2019-100088  

   Mishuris, Rebecca G; Palmisano, Joseph; McCullagh, Lauren; Hess, Rachel; Feldstein, David A; Smith, Paul D; McGinn, Thomas; Mann, Devin M (December 2019, BMJ Health & Care Informatics)

   Background Effective implementation of technologies into clinical workflow is hampered by lack of integration into daily activities. Normalisation process theory (NPT) can be used to describe the kinds of ‘work’ necessary to implement and embed complex new practices. We determined the suitability of NPT to assess the facilitators, barriers and ‘work’ of implementation of two clinical decision support (CDS) tools across diverse care settings. Methods We conducted baseline and 6-month follow-up quantitative surveys of clinic leadership at two academic institutions’ primary care clinics randomised to the intervention arm of a larger study. The survey was adapted from the NPT toolkit, analysing four implementation domains: sense-making, participation, action, monitoring. Domains were summarised among completed responses (n=60) and examined by role, institution, and time. Results The median score for each NPT domain was the same across roles and institutions at baseline, and decreased at 6 months. At 6 months, clinic managers’ participation domain (p=0.003), and all domains for medical directors (p<0.003) declined. At 6 months, the action domain decreased among Utah respondents (p=0.03), and all domains decreased among Wisconsin respondents (p≤0.008). Conclusions This study employed NPT to longitudinally assess the implementation barriers of new CDS. The consistency of results across participant roles suggests similarities in the work each role took on during implementation. The decline in engagement over time suggests the need for more frequent contact to maintain momentum. Using NPT to evaluate this implementation provides insight into domains which can be addressed with participants to improve success of new electronic health record technologies. Trial registration number NCT02534987 . 

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