Proceedings from the 2nd Annual UK Implementation Science Research Conference, 'Advancing the science of scaling up: Improving efficiency and effectiveness of implementation strategies in healthcare': meeting abstracts

Table 1 (abstract P41). Example CFIR construct, barriers, solutions, and outcome (adapted from Stark et al¹)

CFIR construct	Barrier	Enabler identified	Outcome
Networks & Communications	Delay in referral to clinical genetics	Clearly communicate availability of rapid genomic testing and indications for referral	Earlier referrals to clinical genetics
Relative advantage	Delay in referral to clinical genetics	Ensure referrers get feedback on diagnostic and clinical impact of rapid genomic testing, e.g. at monthly NICU/Genetics case review meetings	Increased number of referrals to clinical genetics
Implementation climate	Parental difficulty processing complex information in a stressful environment	Increased genetic counselling support in the acute setting	Higher rate of rapid genomic testing acceptance by families
Adaptability	Results batched ready for weekly dedicated MDT meeting	Initiate multidisciplinary team meetings for single cases, with minimum quorum defined	Reduction in time to report
Formal implementation leaders	Absence of an established rapid genomic testing pathway	Clinical and laboratory champions identified	Formal rapid genomic testing operating procedure established

Interviews for the multi-state trial are ongoing. Early findings indicate the importance of relationships between genetic and paediatric intensivist staff

ISSN: 1748-5908