Opportunistic screening of people aged under 25 years for genital Chlamydia trachomatis infection (chlamydia) was nationally implemented in England in 2008, but its impact is poorly understood.
In the first period, clinical guidelines were not yet nationally implemented, while GPs in the second period were already very familiar with working with guidelines.
The Healthy School and Drugs program is a nationally implemented school-based prevention program aimed at reducing early and excessive substance use among adolescents.
In Dutch Hospitals, systematic screening of older patients on undernutrition, ADL limitations, falls and delirium [ 14] has been nationally implemented as part of a mandatory programme (VeiligheidsManagementSysteem = Safety Management Programme) (VMS) since 2012.
Panelists discussed the KB developed in the Netherlands by The Royal Dutch Association for the Advancement of Pharmacy as an example of a nationally implemented KB and advised others to leverage their work in order to decrease the labor needed to create such a list [ 40].
This study represents the first formal cost-effectiveness analysis of a nationally implemented quality improvement programme (the Keystone ICU project) in the USA to decrease CLABSIs in critically ill patients.
Within the limitations of these possible biases, our findings, however, are similar to published reports in other tumours, which have also failed to show improvements in early detection through nationally implemented cancer guidelines (Debnath et al, 2002; Neal et al, 2007; McKie et al, 2008; Pencavel et al, 2010).
An additional 700 hospitals nationally are implementing the standards — although not always smoothly.
The Leading House project 'Learning and Instruction for Commercial Apprentices' (LINCA 9 took the first step to expand the VET-LSA cross-nationally by implementing ALUSIM in German-speaking10 Switzerland in 2011.
Why? It's no accident, but a prime example of determined social policy, driven nationally and implemented locally with ringfenced funds, good training, joined-up departments and constant checking to see where and why it was working best.
