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The definitions of QI methods and the criteria for intensive implementation are provided in Appendix.
Implementing at scale often requires substantial simplification of the original model, since the resources necessary for intensive implementation of the intervention at scale are often not available in real world settings [ 8, 11, 12].
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MySQL is the usual choice for read intensive implementations.
Our findings support earlier study findings that an intensive implementation strategy is needed for physicians to make their prescribing practices consistent with guideline recommendations.
So, after having identified the potential barriers for the implementation of patient education, we used common sense to design the intensive implementation intervention, thus following the planning model described by Grol and Wensing [ 17].
Whether the intensive implementation strategy should have been directed not mainly at the project assistants, but also more at the pharmacists, will be a topic for further research.
Apparently, the intensive implementation program was not able to overcome the main barriers or to enhance factors needed for providing EAFD and EASD to new statin users.
Intensive implementation of molecular assays as an addition to conventional automated liquid culture and DST may lead to significant laboratory cost increases; selective implementation of molecular assays could be considered for some settings.
Intensive implementation was assessed by whether the hospital reported continuous implementation of a QI method during the study period and was also able to provide detailed information (e.g. duration of implementation) on a specific activity for at least one cycle (such as obtaining ISO 9000 2000 certification or completing a QCC in an internal contest) or project.
This was often confirmed by mothers and trainers, particularly in the district with intensive implementation.
This largely complies with the recommendation in the protocol for EAFD, which was also a subject in the second interactive educational meeting as a part of the intensive implementation strategy.
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