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The results qualitatively follow the ideal simulation, but the observed implementation errors highlight the need for improved control.
We retrospectively observed implementation of CPOE, PACS, and other systems in any of the participating trusts.
Common to all self-administered surveys, responses indicate self-reported rather than directly observed implementation of information technology.
Care will be taken to identify and monitor structural and contextual factors that may influence the observed implementation and outcomes.
As 70% is one targeted goal to achieve for implementation [ 14, 17] and was included in our local implementation strategy, the observed implementation rate for vancomycin, gentamicin, and tobramycin seems to be a good value.
Besides the fact that this observed implementation helps interpreting the coming trial results, it also gives implications to further improve to process of implementation in order to enhance the impact of the intervention in the future.
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Note that the conditional observe implementation also encompasses normal observe functionality.
Here, 1990 will serve as a baseline, and we will end in 2005 to ensure a sufficient lag post-legislation to observe implementation – or lack thereof.
At second and third focus group visits, observations were conducted to be able to observe implementation practices at different time points.
Without a mandate or a central mechanism for simultaneous implementation in all laboratories, the VHA laboratories provide a natural experiment for observing implementation of automated eGFR reporting in a large, national, vertically-integrated healthcare system.
Within this intersection one can observe implementations of artificial evolution with peculiar properties: systems that reflect the creative aims and aesthetic imaginations of the artists who use and design them.
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