BMJ open quality
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Multicenter Study
Prospective multicentre multifaceted before-after implementation study of ICU delirium guidelines: a process evaluation.
We aimed to explore: the exposure of healthcare workers to a delirium guidelines implementation programme; effects on guideline adherence at intensive care unit (ICU) level; impact on knowledge and barriers, and experiences with the implementation. ⋯ Multifaceted implementation can improve and sustain adherence to delirium guidelines, is feasible and can largely be performed as planned. However, variability in delirium guideline adherence at individual ICUs remains a challenge, indicating the need for more tailoring at centre level.
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Effective implementation of standard precautions specific to COVID-19 is a challenge for hospitals within the existing constraints of time and resources. ⋯ Our study used evidence-based literature and quality improvement (QI) tools to design and operationalise donning and doffing areas with focus on people, task and environment. Our QI will enable healthcare facilities to rapidly prototype donning and doffing areas in a systematic way.