Background The Promoting Action on Research Implementation in Health Services framework,
or PARIHS, is a conceptual framework that posits key, interacting elements that influence …

One important factor influencing the successful implementation of system-wide change is
initial readiness. Readiness is defined as the degree to which those involved are individually …

Background The Promoting Action on Research Implementation in Health Services, or PARIHS,
framework is a theoretical framework widely promoted as a guide to implement evidence…

Background Burnout affects nearly half of all US nurses and physicians, and has been linked
to poor outcomes such as worse patient safety. The most common measure of burnout is …

Background Based on a critical synthesis of literature on use of the Promoting Action on
Research Implementation in Health Services (PARIHS) framework, revisions and a companion …

Many innovations in the health sector are complex, requiring coordinated use by multiple
organizational members to achieve benefits. Often, complex innovations are adopted with …

Background The Competing Values Framework (CVF) has been widely used in health
services research to assess organizational culture as a predictor of quality improvement …

The VA Cardiovascular Assessment, Reporting, and Tracking (CART) system is a customized
electronic medical record system which provides standardized report generation for …

BACKGROUND A high proportion of the US primary care workforce reports burnout, which is
associated with negative consequences for clinicians and patients. Many protective factors …

Background Work-related burnout is common in primary care and is associated with worse
patient safety, patient satisfaction, and employee mental health. Workload, staffing stability, …