Fig. 2From: A stepped strategy that aims at the nationwide implementation of the Enhanced Recovery After Surgery programme in major gynaecological surgery: study protocol of a cluster randomised controlled trialOverview of the stepped and breakthrough implementation strategy. The diagram shows the structure of the breakthrough strategy (control group) with standard iterative plan-do-study-act (PDSA) cycles and the stepped implementation strategy (intervention group) with four implementation levels depending on progress. The light blue colour represents the intensity of external supportBack to article page