More research is necessary to elucidate which types of individual strategies and/or which combination of strategies used in implementation programs are most successful in establishing mortality reduction in delirious critically ill patients.
Additionally the optimization process is made more robust by using the trust region strategy in the implementation of the Gauss Newton method, which is another original contribution of this work.
With those conditions satisfied, it would be a recommended strategy in future implementation endeavours.
Deploying change agents is an effective strategy in encouraging implementation of guidelines.
A recently published framework was designed to standardize reporting on implementation strategies in the implementation science literature.
Three authors (EI, ZT, MJ) independently scored the implementation strategies in the implementation studies reporting clinical outcomes.
Experimental data is shown to illustrate the challenges of the experiment and how a variety of resource allocation strategies behave in implementation.
Barriers to successful guideline implementation are summarized in Figure 4. Poor adherence can be due to inherent flaws in the process used in preparing the guidelines as outlined above, but just as important are the strategies used in implementation.
However, management support and leadership are not listed as an implementation strategy in either our implementation Toolkit [ 17, 18] or with the current EPOC Cochrane systematic reviews of consumer, professional or organizational change.
