| 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 |
