BACKGROUND There is still only limited understanding of whether and why interventions to facilitate the implementation of guidelines for improving primary care are successful. It is therefore important to look inside the 'black box' of the intervention, to ascertain which elements work well or less well. AIM To assess the associations of key elements of a nationwide multifaceted prevention pr...

BACKGROUND Although there is much room for improvement in the performance of recommended preventive manoeuvres, many inappropriate preventive interventions are being done. We evaluated a multifaceted intervention, delivered by nurses trained in prevention facilitation, to improve prevention in primary care. METHODS Forty-six health service organizations (HSOs) were recruited from 100 sites in...

BACKGROUND Prevention of hospital-acquired infections (HAI) is central to providing safe and high quality healthcare. Transmission of infection between patients by health workers, and the irrational use of antibiotics have been identified as preventable aetiological factors for HAIs. Few studies have addressed this in developing countries. AIMS To implement a multifaceted infection control an...

OBJECTIVE To assess the impact of a quality improvement project that used a multifaceted educational intervention on how to improve clinician's knowledge, confidence and awareness of acute kidney injury (AKI). SETTING 2 large acute teaching hospitals in England, serving a combined population of over 1.5 million people. PARTICIPANTS All secondary care clinicians working in the clinical areas...

OBJECTIVE To evaluate the effects of a multifaceted empowerment strategy on the actual use of single embryo transfer after in vitro fertilisation. DESIGN Randomised controlled trial. SETTING Five in vitro fertilisation clinics in the Netherlands. PARTICIPANTS 308 couples (women aged <40) on the waiting list for a first in vitro fertilisation cycle. INTERVENTIONS The multifaceted strateg...

Types of low-cost improvements that can help reduce work-related risks and prevent stress at work are reviewed by examining simple improvements achieved by participatory action-oriented programs in different work settings. Programs reviewed include WISE (work improvement in small enterprises) projects in various industries, including POSITIVE (participation-oriented safety improvements by trade...