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Conclusions: This multifaceted implementation program was effective in improving adherences to multiple key PAD guideline recommendations.
Objectives: We aimed to measure the effectiveness of a multifaceted implementation program for improved adherence to the PAD guidelines and associated changes in delirium incidence and duration, length of ICU stay and hospital mortality.
Single interventions, such as electronic prescription or involvement of a pharmacist in the direct care of ICU patients, have been reported to affect positively the AE occurrence; a prospectively evaluated, multifaceted implementation program has so far been evaluated only for two selected medications [19].
A multifaceted implementation program in Denmark did not show effects on adherence to practice guidelines [ 26].
Our intensive multifaceted implementation program was directed at pharmacists and at pharmacy technicians who were appointed as project assistant.
Single interventions, such as electronic prescription or involvement of a pharmacist in the direct care of ICU patients, have been reported to affect positively the AE occurrence; a prospectively evaluated, multifaceted implementation program has so far been evaluated only for two selected medications [ 19].
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This review and meta-analysis shows that multifaceted implementation programs that included assessment, prevention and management of ICU delirium have been shown to effectively change adherence to delirium screening and delirium knowledge.
To implement protocolled delirium care in the region at study, a multifaceted tailored implementation program is needed.
As physicians, managers, and occupational therapists are responsible for care delivery according to the COTiD program we developed a multifaceted implementation strategy that targets these professionals.
They developed a multifaceted implementation strategy consisting of education, patient involvement, feedback through a computerized registration program and an implementation plan for every ward (Table 3).
The multifaceted implementation strategy aimed to stimulate occupational therapists to promote the COTiD program.
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multifaceted stewardship program
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