Table 3.

RE-AIM Implementation Science Framework [49, 50]

Metric	Dimension	Study Measure	Data source
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

*HR -Heart Rate, BP – Blood Pressure, RR – Respiratory Rate, Tp – Temperature