Table 3 RE-AIM Implementation Science Framework [49, 50]

Reach

Proportion of target population that participated in the intervention

• Percent of women with successful placement of the biosensor after delivery

• Total length of time for monitoring during the 24 h after cesarean delivery

• Percent of women participating in monitoring for 24 h

• Physiologic data from biosensor

• Time of delivery from chart records and operating theater log books

• Physiologic data recorded in charts

Efficacy

Success rate if implemented as in guidelines

• Percent of women with HR, BP, RR and Tp available at least every 4 h for 24 h after delivery

• Percent of appropriate alerts sent

• Physiologic data from biosensor

• End of shift survey to clinicians

• Back-end data from Current Health™

• Physiologic data recorded in charts

Adoption

Proportion of practitioners adopting this intervention

• Percent of eligible clinicians participating in wireless monitoring

• Number of clinical actions in response to alerts

• End of shift survey to clinicians

• Back-end data from Current Health™

Implementation

Extent to which the intervention is implemented in the real world

• Fidelity of implementation to the study protocol

• Documentation of any necessary adjustment to the protocol after study enrollment begins

• Documentation of disruptions due to external factors

Maintenance

Sustainability of program over time

• Sustainability of reach, efficacy and adoption as measured by stability of measures over study period

• Above sources reviewed over the 12-month study period