A decline in productivity after implementation...seems inevitable, and if a practice is already straining to meet patient demand, an absence of reserve magnifies the stress of implementation [ 20]." In the following section we describe essential steps in the process of EHR implementation: creating a vision, phases of implementation, key role of the clinical champion, and workflow redesign.
Different studies have reported a decline in NSI rate after implementation of multifactorial approaches including safety engineered devices and reusable sharps containment system [ 9].
Fourth, the association between anti-smoking legislation and exposure is coherent with our current understanding and the results are theoretically plausible as one would expect a decline in exposures after the implementation of a measure designed to lower exposure.
In this regard, as CPA implementation is related to a decline in child mortality rates, post-CPA states with higher implementation rates will have a lower risk of relapse into violent conflict.
We observed a decline in our VRE CLA-BSI upon implementation of meticulous environmental cleaning.
What it signals is a decline in the likelihood of success of the programme's implementation for 2013, which includes further cuts to be proposed in the next few months, including an extra €4bn cut in state expenditure.
A decline in confirmed cases appeared some three weeks after the implementation of 2009 monovalent H1N1 vaccinations.
With implementation of the SHEA/IDSA practice recommendations, a decline in the number of CLABSI in 2012 (n=6) compared to 2011 (n=14) was observed.
This suggests that there was a decline in the growth of peak TOU energy sales in the period of implementation of the PFCT scheme.
Within post-armed conflict states, a decline in neonatal, infant and under-5 mortality rates is associated with higher CPA implementation rates.
Since the implementation of universal vaccination in 1998 of all children and risk groups, a decline in prevalence has been observed [ 4].
