Imperial College London
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Dr Laura Lennox

Faculty of Medicine, School of Public Health

Improvement Science / Health Improvement Lead
 
 
 
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Contact

 

+44 (0)20 3315 3392l.lennox Website

 
 
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Location

 

H4.28Chelsea and Westminster HospitalChelsea and Westminster Campus

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Summary

 

Publications

Citation

BibTex format

@article{Lennox:2018:10.1186/s13012-017-0707-4,
author = {Lennox, L and Reed, J and Maher, L},
doi = {10.1186/s13012-017-0707-4},
journal = {Implementation Science},
title = {Navigating the Sustainability Landscape: A Systematic Review of Sustainability Approaches in Healthcare},
url = {http://dx.doi.org/10.1186/s13012-017-0707-4},
volume = {13},
year = {2018}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundImprovement initiatives offer a valuable mechanism for delivering and testing innovations in healthcare settings. Many of these initiatives deliver meaningful and necessary changes to patient care and outcomes. However, many improvement initiatives fail to sustain to a point where their full benefits can be realised. This has led many researchers and healthcare practitioners to develop frameworks, models and tools to support and monitor sustainability. This work aimed to identify what approaches are available to assess and influence sustainability in healthcare and to describe the different perspectives, applications and constructs within these approaches to guide their future use.MethodsA systematic review was carried out following PRISMA guidelines to identify publications that reported approaches to support or influence sustainability in healthcare. Eligibility criteria were defined through an iterative process in which two reviewers independently assessed 20% of articles to test the objectivity of the selection criteria. Data were extracted from the identified articles, and a template analysis was undertaken to identify and assess the sustainability constructs within each reported approach.ResultsThe search strategy identified 1748 publications with 227 articles retrieved in full text for full documentary analysis. In total, 62 publications identifying a sustainability approach were included in this review (32 frameworks, 16 models, 8 tools, 4 strategies, 1 checklist and 1 process). Constructs across approaches were compared and 40 individual constructs for sustainability were found. Comparison across approaches demonstrated consistent constructs were seen regardless of proposed interventions, setting or level of application with 6 constructs included in 75% of the approaches. Although similarities were found, no approaches contained the same combination of the constructs nor did any single approach capture all identified constructs. From these results
AU  - Lennox,L
AU  - Reed,J
AU  - Maher,L
DO  - 10.1186/s13012-017-0707-4
PY  - 2018///
SN  - 1748-5908
TI  - Navigating the Sustainability Landscape: A Systematic Review of Sustainability Approaches in Healthcare
T2  - Implementation Science
UR  - http://dx.doi.org/10.1186/s13012-017-0707-4
UR  - http://hdl.handle.net/10044/1/55761
VL  - 13
ER  -
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