{"id":"https://openalex.org/W3036214367","doi":"https://doi.org/10.1186/s12913-020-05403-2","title":"Examining innovation in hospital units: a complex adaptive systems approach","display_name":"Examining innovation in hospital units: a complex adaptive systems approach","publication_year":2020,"publication_date":"2020-06-18","ids":{"openalex":"https://openalex.org/W3036214367","doi":"https://doi.org/10.1186/s12913-020-05403-2","mag":"3036214367","pmid":"https://pubmed.ncbi.nlm.nih.gov/32552869","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/7302354"},"language":"en","primary_location":{"id":"doi:10.1186/s12913-020-05403-2","doi":"https://doi.org/10.1186/s12913-020-05403-2","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-020-05403-2","pdf_url":"https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-020-05403-2","source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-020-05403-2","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5034340583","display_name":"Wiljeana Jackson Glover","orcid":"https://orcid.org/0000-0002-7754-2575","observed_orcids":["https://orcid.org/0000-0002-7754-2575"]},"institutions":[{"id":"https://openalex.org/I96062909","display_name":"Babson College","ror":"https://ror.org/01f0syq13","country_code":"US","type":"education","lineage":["https://openalex.org/I96062909"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Wiljeana Jackson Glover","raw_affiliation_strings":["Technology, Operations, and Information Management Division, Babson College, Babson Park, Wellesley, MA, 02457, USA. wjglover@babson.edu","Technology, Operations, and Information Management Division, Babson College, Babson Park, Wellesley, MA, 02457, USA"],"raw_orcid":"https://orcid.org/0000-0002-7754-2575","affiliations":[{"raw_affiliation_string":"Technology, Operations, and Information Management Division, Babson College, Babson Park, Wellesley, MA, 02457, USA. wjglover@babson.edu","institution_ids":["https://openalex.org/I96062909"]},{"raw_affiliation_string":"Technology, Operations, and Information Management Division, Babson College, Babson Park, Wellesley, MA, 02457, USA","institution_ids":["https://openalex.org/I96062909"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000368298","display_name":"Noa Nissinboim","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I174306211","display_name":"Technion \u2013 Israel Institute of Technology","ror":"https://ror.org/03qryx823","country_code":"IL","type":"education","lineage":["https://openalex.org/I174306211"]}],"countries":["IL"],"is_corresponding":false,"raw_author_name":"Noa Nissinboim","raw_affiliation_strings":["Industrial Engineering and Management, Technion - Israel Institute of Technology, Haifa, Israel"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Industrial Engineering and Management, Technion - Israel Institute of Technology, Haifa, Israel","institution_ids":["https://openalex.org/I174306211"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5015956912","display_name":"Eitan Naveh","orcid":"https://orcid.org/0000-0002-2392-6864","observed_orcids":["https://orcid.org/0000-0002-2392-6864"]},"institutions":[{"id":"https://openalex.org/I174306211","display_name":"Technion \u2013 Israel Institute of Technology","ror":"https://ror.org/03qryx823","country_code":"IL","type":"education","lineage":["https://openalex.org/I174306211"]}],"countries":["IL"],"is_corresponding":false,"raw_author_name":"Eitan Naveh","raw_affiliation_strings":["Industrial Engineering and Management, Technion - Israel Institute of Technology, Haifa, Israel"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Industrial Engineering and Management, Technion - Israel Institute of Technology, Haifa, Israel","institution_ids":["https://openalex.org/I174306211"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5034340583"],"corresponding_institution_ids":["https://openalex.org/I96062909"],"apc_list":{"value":2490,"currency":"USD","value_usd":2490},"apc_paid":{"value":2490,"currency":"USD","value_usd":2490},"fwci":4.3897,"has_fulltext":true,"cited_by_count":64,"citation_normalized_percentile":{"value":0.95445996,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"20","issue":"1","first_page":"554","last_page":"554"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.7070000171661377,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.7070000171661377,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.061900001019239426,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14356","display_name":"Organizational Leadership and Management Strategies","score":0.017500000074505806,"subfield":{"id":"https://openalex.org/subfields/1408","display_name":"Strategy and Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-care-innovation","display_name":"healthcare innovation","score":0.7400000095367432},{"id":"https://openalex.org/keywords/hospital-departments","display_name":"hospital departments","score":0.9259999990463257},{"id":"https://openalex.org/keywords/complex-adaptive-systems","display_name":"complex adaptive systems","score":0.878000020980835},{"id":"https://openalex.org/keywords/organizational-autonomy","display_name":"organizational autonomy","score":0.8109999895095825},{"id":"https://openalex.org/keywords/performance-orientation","display_name":"performance orientation","score":0.9980000257492065},{"id":"https://openalex.org/keywords/innovation-performance","display_name":"innovation performance","score":0.8980000019073486},{"id":"https://openalex.org/keywords/pilot-implementation","display_name":"pilot implementation","score":0.4790000021457672}],"concepts":[{"id":"https://openalex.org/C137992405","wikidata":"https://www.wikidata.org/wiki/Q1137608","display_name":"Health administration","level":3,"score":0.7248213291168213},{"id":"https://openalex.org/C65414064","wikidata":"https://www.wikidata.org/wiki/Q484105","display_name":"Autonomy","level":2,"score":0.7168866395950317},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.6707803606987},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6195324063301086},{"id":"https://openalex.org/C63108463","wikidata":"https://www.wikidata.org/wiki/Q581233","display_name":"Complex adaptive system","level":2,"score":0.5892217755317688},{"id":"https://openalex.org/C26713055","wikidata":"https://www.wikidata.org/wiki/Q245962","display_name":"Implementation","level":2,"score":0.5701679587364197},{"id":"https://openalex.org/C518773536","wikidata":"https://www.wikidata.org/wiki/Q918533","display_name":"Nursing research","level":2,"score":0.5532125234603882},{"id":"https://openalex.org/C122637931","wikidata":"https://www.wikidata.org/wiki/Q118084","display_name":"Unit (ring theory)","level":2,"score":0.5129051208496094},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.47226253151893616},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.45661255717277527},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.41291457414627075},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3512691259384155},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.34097278118133545},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.32638004422187805},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.32540684938430786},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.26096513867378235},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.23798558115959167},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.1178133487701416},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.09712085127830505},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C145420912","wikidata":"https://www.wikidata.org/wiki/Q853077","display_name":"Mathematics education","level":1,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D006757","descriptor_name":"Hospital Units","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006761","descriptor_name":"Hospitals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009936","descriptor_name":"Organizational Innovation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013597","descriptor_name":"Systems Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013598","descriptor_name":"Systems Theory","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.1186/s12913-020-05403-2","doi":"https://doi.org/10.1186/s12913-020-05403-2","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-020-05403-2","pdf_url":"https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-020-05403-2","source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},{"id":"doi:10.21203/rs.3.rs-15799/v1","doi":"https://doi.org/10.21203/rs.3.rs-15799/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-15799/v1","pdf_url":"https://www.researchsquare.com/article/rs-15799/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},{"id":"pmid:32552869","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/32552869","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC health services research","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:7302354","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7302354/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Serv Res","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:676e996a20394d32a9c7f7ac78c4c77c","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/676e996a20394d32a9c7f7ac78c4c77c","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Health Services Research, Vol 20, Iss 1, Pp 1-12 (2020)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1186/s12913-020-05403-2","doi":"https://doi.org/10.1186/s12913-020-05403-2","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-020-05403-2","pdf_url":"https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-020-05403-2","source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.6240000128746033},{"id":"https://metadata.un.org/sdg/9","display_name":"Industry, innovation and infrastructure","score":0.4943999946117401}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320309369","display_name":"Massachusetts Institute of Technology","ror":"https://ror.org/042nb2s44"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3036214367.pdf","grobid_xml":"https://content.openalex.org/works/W3036214367.grobid-xml"},"referenced_works_count":61,"referenced_works":["https://openalex.org/W54348722","https://openalex.org/W79519089","https://openalex.org/W1479925832","https://openalex.org/W1543432487","https://openalex.org/W1555479105","https://openalex.org/W1579893495","https://openalex.org/W1586962671","https://openalex.org/W1924288591","https://openalex.org/W1967201979","https://openalex.org/W1985311287","https://openalex.org/W1987036511","https://openalex.org/W1998359121","https://openalex.org/W2001509403","https://openalex.org/W2007168102","https://openalex.org/W2008022826","https://openalex.org/W2011224685","https://openalex.org/W2027658680","https://openalex.org/W2046781713","https://openalex.org/W2050698050","https://openalex.org/W2058773479","https://openalex.org/W2079423558","https://openalex.org/W2083836263","https://openalex.org/W2084309297","https://openalex.org/W2085699052","https://openalex.org/W2086059573","https://openalex.org/W2088514722","https://openalex.org/W2097747157","https://openalex.org/W2099358840","https://openalex.org/W2099904660","https://openalex.org/W2112265232","https://openalex.org/W2112484753","https://openalex.org/W2123363929","https://openalex.org/W2128500420","https://openalex.org/W2135109323","https://openalex.org/W2140922295","https://openalex.org/W2144353967","https://openalex.org/W2149807748","https://openalex.org/W2152830463","https://openalex.org/W2157850287","https://openalex.org/W2169589185","https://openalex.org/W2193306100","https://openalex.org/W2240963366","https://openalex.org/W2329312544","https://openalex.org/W2399190034","https://openalex.org/W2417951981","https://openalex.org/W2430406591","https://openalex.org/W2563657481","https://openalex.org/W2588195918","https://openalex.org/W2605667498","https://openalex.org/W2621059615","https://openalex.org/W2753454098","https://openalex.org/W2791225815","https://openalex.org/W2797247465","https://openalex.org/W2883710222","https://openalex.org/W2900595267","https://openalex.org/W3121368620","https://openalex.org/W4249761783","https://openalex.org/W4252680206","https://openalex.org/W4254394323","https://openalex.org/W4255252979","https://openalex.org/W4301861814"],"related_works":["https://openalex.org/W1984743160","https://openalex.org/W2737112077","https://openalex.org/W6992250526","https://openalex.org/W6889487731","https://openalex.org/W2291715739","https://openalex.org/W7101385335","https://openalex.org/W3128242627","https://openalex.org/W2309490679","https://openalex.org/W2333195830","https://openalex.org/W2336401251"],"abstract_inverted_index":{"BACKGROUND:":[0],"We":[1,58,96,114],"are":[2,167],"in":[3,21,53,149,162,176,236,259],"an":[4],"innovation":[5,20,105,124,147,161,175,218,231,268],"age":[6],"for":[7],"healthcare":[8,16,192],"delivery.":[9],"Some":[10],"note":[11],"that":[12,98,117],"the":[13,40,88,142,150,156,168,183,187,201,228,260,266,270,276],"complexity":[14,44,92,100,119,145,190,204],"of":[15,34,63,144,158,189,197,203,208,230,238,255,275],"delivery":[17],"may":[18,27],"make":[19,136,251],"this":[22,35],"setting":[23],"more":[24,29],"difficult":[25],"and":[26,45,70,84,93,165,225,233,240,250,269,273],"require":[28],"adaptive":[30,50,73],"solutions.":[31],"The":[32],"aim":[33],"study":[36,62,181],"is":[37,101,109,120,129,279],"to":[38,77,170,200,216,223,248],"examine":[39,78,155,171],"relationship":[41,89],"between":[42,90,265],"unit":[43,91,99,118,278],"innovation,":[46],"using":[47],"a":[48,54,60],"complex":[49,72],"systems":[51,74],"approach":[52],"hospital":[55,65,69,277],"setting.":[56],"METHODS:":[57],"conducted":[59],"quantitative":[61],"31":[64],"units":[66],"within":[67],"one":[68],"use":[71],"(CAS)":[75],"theory":[76],"how":[79],"two":[80],"CAS":[81],"factors,":[82],"autonomy":[83,108,159],"performance":[85,106,125,127,172,274],"orientation,":[86],"moderate":[87],"innovation.":[94,195],"RESULTS:":[95],"find":[97,116,246],"associated":[102,121],"with":[103,122,205],"higher":[104,123],"when":[107,126],"low":[110],"rather":[111,131],"than":[112,132],"high.":[113],"also":[115,245],"orientation":[128,173],"high":[130],"low.":[133],"Our":[134],"findings":[135],"three":[137],"distinct":[138],"contributions:":[139],"we":[140,154,166],"quantify":[141],"influence":[143,188,202],"on":[146,160,174,191],"success":[148,272],"health":[151,163,177],"care":[152],"sector,":[153],"impact":[157],"care,":[164],"first":[169],"care.":[178],"CONCLUSIONS:":[179],"This":[180],"tackles":[182],"long":[184],"debate":[185],"about":[186],"delivery,":[193],"particularly":[194],"Instead":[196],"being":[198],"subject":[199],"no":[206],"means":[207],"making":[209],"progress":[210],"or":[211],"gaining":[212],"control,":[213],"hospitals":[214],"looking":[215],"implement":[217],"programs":[219],"should":[220,244],"provide":[221,234],"guidance":[222],"teams":[224],"departments":[226],"regarding":[227],"type":[229],"sought":[232],"support":[235],"terms":[237],"time":[239],"management":[241],"commitment.":[242],"Hospitals":[243],"ways":[247],"promote":[249],"successful":[252],"pilot":[253],"implementations":[254],"such":[256],"innovations":[257],"visible":[258],"organization.":[261],"A":[262],"close":[263],"connection":[264],"targeted":[267],"overall":[271],"ideal.":[280]},"counts_by_year":[{"year":2026,"cited_by_count":11},{"year":2025,"cited_by_count":13},{"year":2024,"cited_by_count":15},{"year":2023,"cited_by_count":7},{"year":2022,"cited_by_count":13},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2020-06-25T00:00:00"}