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There are few evaluations of how guidelines should be effectively implemented, and it is often unclear who is responsible for implementing and sustaining guideline knowledge and practices [ 34].
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A "Model of Practical Skill Performance" [ 35] for systematic planning, useful for reflections and with focus on the specific elements in a skill together with VBSC guidelines, could probably improve and sustain guideline adherence and VBSC practices [ 35].
It is designed to implement and sustain guideline-based asthma care through existing community infrastructure, and could serve as a model for the integration of services in rural as well as urban communities.
Such an approach is probably more effective at improving and sustaining adherence to VBSC guidelines than an EIP containing general pre-analytical practices.
Such an approach is probably more effective at improving and sustaining adherence to VBSC guidelines than a general EIP containing pre-analytical practices for all recipients.
Yet, a revised EIP directed and compressed with increased focus on specific topics including reflections and discussions is probably more effective at improving and sustaining adherence to VBSC guidelines and practices.
In addition, our longitudinal study examines the predictors of sustained implementation of guideline recommendations [ 49].
The sustained improvement in guideline adherence observed in our study may be due in part to the process of developing the CDSS, which actively involved ward physicians as a target user group.
Respondents reported that the absence of standardised regional guidelines and formularies was problematic for sustaining uniformity in prudent antimicrobial prescribing regionally.
The study may provide guidelines to assist m-learning initiatives in sustaining an effective mobile learning in terms of design and development.
In the VSG guideline neuromuscular training is advised from day 5 after sustaining an ankle sprain (grade 1).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com