From: A pragmatic cluster randomised trial evaluating three implementation interventions
Activity | How operationalised |
---|---|
Using existing structures or initiatives | For example, adding a discussion of fasting times to pre-list theatre meetings introduced as part of The Health Foundation Safer Patient Initiative or adding some information giving process (verbal or written) to pre-assessment clinic appointments. |
Dissemination of information | Dissemination of the guideline to staff either on the intranet, via email or paper copies or the placement of the algorithm poster on staff information boards. |
Sharing examples of good practice | Highlighting certain wards, departments and anaesthetists as role models. |
Collection of local data | Some trusts collected data on fasting and/or patients’ views of fasting (separate from their involvement in the study). |
Informal and formal education | Using real time practice opportunities such as anaesthetic rounds to educate staff, and more formally through education sessions and web tool use. |
Identifying local leaders to work with/delegate to | Identifying and working through others within trusts to lead on practice change such as anaesthetic nurses, theatre co-ordinators, and surgical care practitioners. |