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Table 2 CMO contribution and methodological quality

From: The sustainability of Lean in pediatric healthcare: a realist review

Published primary research studies (n = 6)

Author, year, country, citation

Design

MMAT score

Objective versus subjective data

CMO contribution level

Theory

Tekes, 2015, USA [42]

Quantitative descriptive (pre-post survey)

75%

Objective data

Low

None

Czulada, 2015, USA [43]

Multi-methods

0%

Objective data

Medium

None

Harrison, 2016, USA [45]

Mixed-methods

25%

Objective data

High

CFIR

Northway, 2015, Canada [47]

Quantitative descriptive

25%

Objective data

Medium

None

Mazzacato, 2014, Sweden [48]

Mixed-methods

75%

Objective data

High

Realist

Mazzacato, 2012, Sweden [49]

Mixed-methods

75%

Objective data

High

None

Published quality improvement case studies (n = 2)

Wong, 2016, Canada [44]

QI project commentary/descriptive

n/a

Subjective data

Medium

None

Luton, 2015, USA [46]

QI project commentary/descriptive

n/a

Subjective data

Medium

None

Unpublished quality improvement case report (n = 3)

Carman, AHRQ, 2014, USA [50]

Case report

commentary/descriptive

n/a

Objective data

Medium

None

Hung, AHRQ, 2016, USA [51]

Case report

Multi-methods

n/a

Objective data

Medium

CFIR

Rotter, 2014, Canada [52]

Evaluation report

Multi-methods

n/a

Objective data

High

Realist

  1. Methodological quality of the included primary studies was assessed using Mixed-Methods Appraisal Tool (MMAT) [33]. Each document was rated as low/no contribution (no or little information), medium contribution 28 (some information), and high contribution (well-described information) for context, mechanism, and outcomes contribution [32]