Hajime Kasai, Kiyoshi Shikino, Go Saito, Tomoko Tsukamoto, Yukiko Takahashi, Ayaka Kuriyama, Kazuhisa Tanaka, Misaki Onodera, Hidetaka Yokoh, Koichiro Tatusmi, Ichiro Yoshino, Masatomi Ikusaka, Seiichiro Sakao, Shoichi Ito
Alternative approaches for clinical clerkship during the COVID-19 pandemic: online simulated clinical practice for inpatients and outpatients-A mixed method
BMC medical education
innovation centers us health care systems increasingly common variably successful sustainable studies examined centers achieve sustainable success others explore whether innovation centers us health care systems able successfully sustain multiple years qualitative study semistructured qualitative interviews leaders 9 innovation centers across us conducted january 1 2019 december 31 2020 data analysis conducted december 2020 april 2021 using qualitative methods deductive framework based consolidated framework implementation research centers identified purposeful sampling 9 study centers mean age 6 years range 215 years affiliated academic teaching hospital half medical school two wholly separate health care system twothirds fewer 10 fulltime staff members interviewees staff usbased innovation center study evaluate particular interventions innovations perceptions views factors associated success sustainability innovation centers staff interviewed 9 innovation centers across us described 3 key activities appeared associated longterm sustainability facilitating innovation projects valued quality improvement cost avoidance return investment acting networking nodes institutions upskilling staff activities associated improved institutional culture two structural characteristics underpinned successful centers finding effective balance internal external organization providing practical support skills otherwise lacking within wider institution qualitative study 9 innovation centers explored centers sustained within us health care institutions showed success often associated interpersonal relationships cultural benefits independent financial sustainability always essential longevity systems also valued centers could create cultures innovation upskill staff