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Of the evidence-based interventions mentioned, early mobilization is the only intervention that has been shown to improve both delirium and clinical outcomes, but regrettably the integrated nature of both PAD and ABCDE precluded us from studying early mobilization implementation in isolation.
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Was the intervention implemented in isolation?
At present, the design and implementation process occurs in isolation.
Therefore, implementation of NIMART in isolation will most likely fail to address the long-term sustainability of South Africa's ART programme.
As a consequence, protocols can be designed, and implementations are taken place in isolation, leading to maintainable software.
It was the combination of these factors which makes for successful delegation and hence guideline implementation, not any one factor in isolation.
It was the combination of these factors which made for successful delegation and guideline implementation, not any one factor in isolation.
In conclusion, the ICU staff made important mistakes in their implementation of isolation precautions.
The components and constituent parts of the RCT did not exist in isolation from local implementation needs, and as the RCT was given priority these needs often became eroded or skewed.
Possible nosocomial transmission is of concern because full implementation of isolation procedures in resource-poor settings may be problematic.
However, to our knowledge, the implementation issues have only been sparsely covered in isolation in the literature, and no complete satisfactory solution has been presented.
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