These included designating program co-chairs, creating a steering committee, formalizing BPG-specific task forces, training volunteer practice change advocates, employing a part-time program coordinator, achieving RNAO "Best Practice Spotlight Organization" program status, and securing financial support from numerous sources.
We note, also, that other intensive programs promoting practice change have not necessarily been effective in changing practice-based or patient-based outcomes [ 21].
You're invited to a discussion with Kathryn Perera, former Ash Center Democracy Fellow, Deputy Director in the English National Health Service, and a current Fellow of Practice in the Institute for Healthcare Improvement Psychology of Change program; and Donald Berwick, MD, MPP, Institute for Healthcare Improvement President Emeritus and Senior Fellow.
SARAH GREEN CARMICHAEL: It seems like to me that it would be especially hard to lead a change program against a practice that everyone just assumed was good.
The Veterans' MATES program showed positive practice change over time, with interventions increasing use of appropriate medicines where under-use was evident and reduced use of inappropriate medicines when single medicines were targeted.
This paper presents an evaluation of the SEA-ORCHID fellowships program, including the key results of the program in producing outputs to support EBP and clinical practice change, and the experience of the fellows involved in the program.
Further, we concentrated on a target group that was familiar with EBM trainings to gauge the importance of educational programs for EBM practice change.
Therefore, to determine whether these associations are causal our findings require confirmation and further study is needed on the most effective implementation strategies and the importance of focusing on delirium as an important form of organ failure within implementation programs aimed at practice change.
