It is likely that these propositions will be theo retically
transferable to other implementation studies, particularly
when considered alongside the growing empirical and
theoretical evidence base about the successful ingredi-
ents for successful implementation.
Additional file 1: Table S1. Data recording sheet for fasting time.
Additional file 2: Table S2. Digitally read patient experience
Additional file 3: TableS3. Cost analysis.
The authors declare they have no competing interests.
JRM conceived the study, and led the design of the study with KS, IB, and
NC. JRM, KS, and IB secured funding. JRM supervised all aspects of the study,
with input from KS. IB supervised the cost consequence analysis. NC led and
conducted the quantitative data analysis. JC and CH coordinated and took
the lead role in data collection and analysis, and commented on drafts of
the paper. CA provided a patient perspective throughout the conduct of the
study including the development of patient related materials and data
collection processes. LS provided a clinical perspective on the project as an
anaesthetist. JRM drafted the paper, KS, NC, and CH wrote sections of the
paper and KS, CH, JC, CA, IB commented and approved the final manuscript.
The authors gratefully acknowledge funding of this research from The Health
Foundation’s Engaging with Quality Initiative. Results and opinions expressed
are those of the investigators and do not necessarily reflect the opinion or
policies of The Health Foundation. We also wish to thank the many local
investigators, change agents and patients that took part in this study: Sarah
Davis (working at National Clinical Guidelines Centre for Supporting Care at
the time of the study) for conducing the economic analysis; and Ross
Scrivener (RCN) for his support with the development of the web-based
resource, including training.
Centre for Health Related Research, School of Healthcare Sciences, Bangor
University, Ffriddoedd Road, Bangor, UK.
RCN Research Institute, School of
Health and Social Studies, Warwick University, Coventry, UK.
Health and Social Care, London South Bank University, London, UK.
Cochrane Collaboration, Summertown Pavilion, Oxford, UK.
Guideline Centre (NCGC), Royal College of Physicians, St Andrews Place,
former President of the Royal College of Anaesthetists, London,
Received: 16 November 2011 Accepted: 27 August 2012
Published: 30 August 2012
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