Article

Readiness for implementation of novel digital health interventions for postoperative monitoring: a systematic review and clinical innovation network analysis

Details

Citation

McLean KA, Knight SR, Diehl TM, Varghese C, Ng N, Potter MA, Zafar SN, Bouamrane M & Harrison EM (2023) Readiness for implementation of novel digital health interventions for postoperative monitoring: a systematic review and clinical innovation network analysis. The Lancet Digital Health, 5 (5), pp. e295-e315. https://www.thelancet.com/journals/landig/article/PIIS2589-7500(23)00026-2/fulltext#articleInformation; https://doi.org/10.1016/s2589-7500%2823%2900026-2

Abstract
An increasing number of digital health interventions (DHIs) for remote postoperative monitoring have been developed and evaluated. This systematic review identifies DHIs for postoperative monitoring and evaluates their readiness for implementation into routine health care. Studies were defined according to idea, development, exploration, assessment, and long-term follow-up (IDEAL) stages of innovation. A novel clinical innovation network analysis used coauthorship and citations to examine collaboration and progression within the field. 126 DHIs were identified, with 101 (80%) being early stage innovations (IDEAL stage 1 and 2a). None of the DHIs identified had large-scale routine implementation. There is little evidence of collaboration, and there are clear omissions in the evaluation of feasibility, accessibility, and the health-care impact. Use of DHIs for postoperative monitoring remains at an early stage of innovation, with promising but generally low-quality supporting evidence. Comprehensive evaluation within high-quality, large-scale trials and real-world data are required to definitively establish readiness for routine implementation.

Keywords
Mobile Health; Telehealth; Digital Postoperative Monitoring; Innovation Analysis; Systematic Review

Journal
The Lancet Digital Health: Volume 5, Issue 5

StatusPublished
FundersMedical Research Council and Royal College of Surgeons of Edinburgh
Publication date31/05/2023
Publication date online01/05/2023
Date accepted by journal03/04/2023
URLhttp://hdl.handle.net/1893/36160
PublisherElsevier BV
Publisher URLhttps://www.thelancet.com/…ticleInformation
ISSN2589-7500

People (1)

Professor Matt-Mouley Bouamrane

Professor Matt-Mouley Bouamrane

Professor in Health/Social Informatics, Computing Science

Tags

Research programmes

Research centres/groups

Research themes