Timothy Huang, Lizbeth H Finestack
Comprehension of indirect answers: Developmental trajectory for preschool- and early elementary school-aged children with typical development
Journal of child language
physicianfocused throughput initiatives intended mitigate effects emergency department ed overcrowding tertiary care academic hospital recently piloted emergency physician leader role intended improve throughput although separate experimental evaluation initiative undertaken expected evaluation could alone provide necessary information inform emergency physician leader intervention worked objective study conduct realist evaluation emergency physician leader realist inquiry utilizes context mechanism outcome configurations determine impacts interventions often missed quantitative analysis using realist perspective study aimed evaluate emergency physician leader initiatives effects throughput goal building transferable lessons implementation future interventions semistructured interviews key stakeholders intervention conducted analyzed using thematic template techniques specifically aimed identifying context mechanism outcomes 13 interviews conducted physicians nurses identified contexts mechanisms promoted impeded ed throughput example situations clear indication imaging management could initiated within scope nursing protocol emergency physician leader initiating orders felt promote ed throughput conversely contexts nurse available fulfill early orders emergency physician leaders initiation orders perceived impede throughput evaluation provides insights reasoning behaviour individuals involved emergency physician leader initiative provides systematic approach unraveling complex causal pathway knowledge contextmechanismoutcome relationships may help implementers design measure impact future physicianfocused throughput interventions