Summary of phased implementation strategy | |
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Phase 1: Guideline launch | |
• Guideline distribution: hard and soft copies (via AgileMD, Inc. smartphone application) | |
• Publicity campaign for guideline implementation effort “brand” with announcements, flyers | |
• Awareness raising of regional and international efforts to implement context-specific guidelines | |
Phase 2: National Summit for Guideline Training | |
• Dedicated teaching about benefits of guideline-based practice and regional efforts (knowledge) | |
• Dedicated teaching of guideline content including evidence basis for guidelines (knowledge) | |
• Dedicated training in guideline-based practice (skills) | |
• Dedicated training in DST form completion (skills) | |
• Dedicated workshop focusing on monitoring and evaluation of implementation strategy, including outcome measurement | |
• Separate dedicated training for Champions | |
Phase 3: Ongoing reinforcement of guideline-based practice | |
• Champions will: | |
○ Model guideline-concordant practice on an ongoing basis on rounds and during institutional conferences | |
○ Routinely discuss guidelines (or supporting evidence basis) basis during rounds and conferences and encourage other providers to do so, including residents and nurses | |
○ Provide academic recognition for actions to promote guideline-concordant care | |
• Documentation: DST form completion, inclusion of rationale for treatment decisions in clinical documentation | |
• Team-based rounds to include consultant, resident, and nurse | |
• Assignment of one consultant per patient | |
• Integrate guidelines into regular training curriculum | |
• Establish forum of Implementation Leaders, Champions, and any interested providers to evaluate implementation on an ongoing basis and refine as needed | |
• Establish “safe space” to discuss protocol deviations and errors, including root cause analysis |