Exact(1)
A recent review of the use of social networks in healthcare implementation studies examined 52 papers [ 32] and revealed a growing interest in use of the technique but that the application to implementation work was limited [ 32].
Similar(59)
This research aimed to discover whether an alternative, bottom up approach to implementation – working with frontline teams to identify and overcome key local barriers to performing a specific target behaviour – can improve the uptake of a patient safety guideline, and whether this is more effective than normal implementation practice.
In a separate development that appeared to confirm that implementation work had started, 20 hardline members of Iran's parliament wrote to President Hassan Rouhani to complain about dismantling centrifuges in two enrichment facilities at Natanz and Fordow.
Through mapping barriers and enablers to policy implementation, working groups, led by local clinical leaders and supported by the broader Network and government officers, have undertaken a range of integrated projects, such as the establishment of a community-based, multidisciplinary rheumatology service.
(Home care manager, municipality F) The head nurses who were expected to drive the implementation work, all described this as very laborious and time consuming.
This requires a large investment to which we also have to add Postel's Law [20]: "be conservative in what you send, liberal in what you accept" i.e. do extra implementation work to make it forgiving to use.
An application is to be made to the North West Development Agency in October 2008 to support pre-project implementation work, including design and technical feasibility work.
Advocacy is also a key component of DNDi implementation work, to inform both international audiences and endemic countries.
Although many countries are considering SDM in their policy developments, most of the implementation work to date has been located in North America.
Our study confirms the importance of harmonising technical, business, and governance systems across organisations but perhaps places more emphasis on the impact of introducing a telestroke system on professional work patterns and clinical care processes, and the amount of time and attention to detail required for implementation work.
The challenge in all implementation work is to achieve improvement, sustainable over time.
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Justyna Jupowicz-Kozak
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