It does so by making knowledge sharing easy, reducing the time unit actors spend on identifying appropriate work methods, and steering the unit actors' behavior toward a uniform brand image, predictable performance, and implementation of system-wide changes.
Finally, a large multicenter study that examined the effect of system-wide implementation of ALS in multiple jurisdictions showed no improvement in survival among injured patients, and demonstrated higher mortality among patients with Glasgow Coma Scale score <9 after the introduction of prehospital ALS [ 32].
Despite the evidence and growing concern about hospital nutrition there are very few evaluations of system-wide nutritional implementation programs.
We describe an implementation of our system-wide undo framework for standalone services with human end-users.
In this paper, we present the design and implementation of a system-wide profiling toolkit: Metis.
The analysis of both the historical development and potential challenges serve to highlight the political, social and cultural nuances influencing the implementation of a system-wide approach to action research in Singapore.
This study forms part of a service evaluation of a system wide implementation of a patient initiated review appointment system which we have called Direct Access (DA).
However, as Øvretveit and Staines [ 21] have pointed out: 'Apart from a few projects, the details of which interventions were actually made are often not presented, and there are few adequate or independent research descriptions of actual implementations of organisational and system wide programs over time'.
System wide implementation of like QI programs is important to create coordinated change and avoid fragmented implementation of QI, however, it is important to honour the uniqueness of each environment.
Soon thereafter, we established a "hotspotting" executive committee, which provides executive sponsorship, direction, and orchestration of analysis and implementation efforts system-wide.
This study describes the development and implementation of a community wide system for electronic sharing of summary health care utilization data in Syracuse, New York.
