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Methods:The CSCA is a national, hospital-based, multicentre, voluntary, multifaceted intervention and continuous QI initiative.
CONCLUSIONS: This study demonstrated a causal relationship between the multifaceted intervention and the reduced central line-associated bloodstream infections.
Both groups decreased infection rates after implementation and sustained these results over time, replicating the results found in previous, pre-post studies of this multifaceted intervention and providing further evidence that most central line-associated bloodstream infections are preventable.
Levels of anxiety did not differ between couples receiving the multifaceted intervention and those receiving standard care for in vitro fertilisation.
Moreover, even if guideline dissemination alone has a less important effect on prescribing patterns [ 9, 33, 34], it has proved to be effective as part of a multifaceted intervention and as a predisposing foundation for other strategies.
Our results will provide an overall response regarding the effectiveness of our multifaceted intervention and we should be able to suggest an organization and mode of operation of NST.
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Four systematic reviews included studies using local opinion leaders as part of multifaceted interventions, and had inconsistent and ambiguous findings.
Research evidence also suggests a higher efficacy of multifaceted interventions and underlines the importance of tailoring interventions to specific barriers and particular settings [ 1, 2].
Ten of 13 studies in this review were multifaceted interventions and six of these achieved an improvement in an objective health outcome measure.
First, studies that used multifaceted interventions and did not examine separate components, making it difficult to know exactly what resulted in the beneficial effect observed.
"The complexity of this emergency necessitates multifaceted interventions and sustained commitment in order to effectively assist those who are not able to fend for themselves," said Abdelmajid Tibouti, officer-in-charge, UNICEF Ethiopia.
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