BMJ open quality
The most recent articles from:
BMJ Open Qual
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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.