Challenges Bottlenecks in implementation have included the timely delivery of supplies, especially insecticide-treated bednets.
Like implementation strategies for numerous other guidelines [ 3], the strategies used for VTE prophylaxis guideline implementation have included education programs, computer and human reminder programs, audits and feedback.
Key challenges during early stages of implementation have included limitations of the EMR, especially the lack of an electronic alert system that clinicians actually use.
The global agenda to reduce corruption has included the implementation of checks and balances to deter abuses of power.
An active implementation strategy could have included emails with direct link to the ELP or small group CME activities.
Effective implementation strategies to date have included: multifaceted interventions involving audit and feedback, local consensus processes, marketing; reminder systems, either manual or computerized; and interactive educational meetings.
Strategies for successful implementation of the SSC have included education (training and materials), champions, organizational leadership, clear roles in the team, regular audits, feedback, and local adaptation which are all elements that we used during implementation.
Key challenges in the implementation of this program have included: a) lack of reliable electricity, b) technical problems with the machine without a nearby technician, c) frequent staff turnover following training leading to gaps in utilization, and d) damaged parts including electrical cords and plugs requiring sourcing from an international supplier.
Software to support its implementation has been included as part of an existing hydrological modelling framework package that includes a GIS interface and database management procedures.
In reaction, recent IHSN implementations such as SIPA have included GPs in the multidisciplinary team to improve model acceptance rates among frail patients.
At the end of this paper, we have included an implementation of unit testing for the ACME Land Model (ALM) to demonstrate the usefulness and correctness of the platform.
