They started with implementing an intervention in one facility and expanded the intervention to the control group.
Given this lag in quality regulations and capacity at PHC centers in Lebanon, an incremental approach to implementing accreditation standards was undertaken starting with implementing accreditation in 25 centers in 2012, followed by evaluation and refinement of the process, and then scale-up.
The Tanzania Police Force selected six priority regions to start with in implementing the action plan (Dodoma, Iringa, Kilimanjaro, Mara, Mbeya, and Dar es Salaam).
Once you've brainstormed ideas, examined what you're able to give employees, and received feedback from employees about the possible plans, decide on a basic strategy to start with, and implement it.
For some, this may mean starting off with implementing just one of the elements of a fair process, and adding the other elements as they progress; while others may develop innovative and less costly ways to implement all or some of the elements of a fair process.
Such an approach might start with small, rapidly implemented and brief (60 days or less) translational clinical trials of biomarker modulation by multiple doses of a given intervention, alone or in combination with other mechanism-based agents.
Start with a learning phase, implementing at limited scale (for example, within one district) but under conditions closely approximating what you would expect when institutionalized and running as a normal program; rigorously monitor during this phase, and then, based on what has been learned, revise and streamline the approach for at-scale implementation.
They also suggested that solutions to the problems encountered when implementing EBP should start with an analysis of the organisation to identify problems at both local and organisational levels to tailor the interventions.
An antibiotic team, adequate local antibiotic guidelines for ASP, educational activities and an audit-and-feedback intervention receive early attention and seem to be the first interventions to be implemented when hospitals start with ASP.
The esthetics of Japanese food, so evident on the plate, start with often hand-crafted kitchen implements.
