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The EPIS (Exploration, Preparation, Implementation, Sustainment) framework was selected and utilized as the guiding model from inception through project completion; including the mapping of implementation strategies to EPIS stages, articulation of research questions, and selection, content, and timing of measurement protocols.
Exploration, Preparation, Implementation, Sustainment framework.
Local change team Experiment, Post-Experiment Implementation, Sustainment Local change teams comprised of both JJ and BH representatives (Enhanced intervention only) 8.
Plan-Do-Study-Act (PDSA) Experiment, Post-Experiment Implementation, Sustainment Interagency workgroups Strategy Applied for Enhanced Condition Study Period EPIS STAGES Strategy Targets 7.
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Implementing changes, such as introducing a perinatal audit, is a process with several stages, ranging from creating awareness, implementation, integration to sustainment.[ 8] In this article we report on the results of the implementation process of unit-based perinatal audit in 15 perinatal cooperation units in the northern region of the Netherlands.
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This quality improvement project focused on nursing staffs' implementation of the daily maintenance care bundle and the sustainment of the intervention.
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