> all programmes could benefit by noting the importance of engaged leadership, local adaptation and user buy-in. “It doesn’t matter how good the innovation is, it doesn’t matter how much has been invested,” says Fixsen. “If we don’t have the implementation savvy, we’re going to get the crummy outcomes that we have seen decade after decade.” [source](https://www.nature.com/news/hospital-checklists-are-meant-to-save-lives-so-why-do-they-often-fail-1.18057)