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Table 1 Implementation timeline

From: A complex ePrescribing-based Anti-Microbial Stewardship (ePAMS+) intervention for hospitals combining technological and behavioural components: protocol for a feasibility trial

Timeline

Phase

Milestone

Following site approval

-1 th

Set-up activity

- Training of local ePAMS+ Champion

- Training of local ePAMS+ Implementation Team (comprising an AMS Lead; an antimicrobial pharmacist; a microbiologist and/or infection specialist; a medication safety officer; senior representatives from clinical areas impacted [including an acute/general consultant clinician who will act as an ePAMS+ Clinical Team lead]; a senior member of nursing staff; a specialty trainee doctor in year 3 or above; a core medical trainee; and a foundation doctor)

- Ensure Cerner EPMA system is ready to go live with ePAMS+ tools on the implementation/’go live’ date

- Extract of pre-intervention dataset from Cerner EPMA system

Kick-off meeting preparation

- ePAMS+ champion and implementation team: finalise list of key members of clinical team

- ePAMS+ champion and implementation team: organise and publicise kick-off meetings

-2 weeks

Kick-off and staff training

- ePAMS+ implementation team: organise completion of ePAMS+ online tool training by clinical staff within selected areas

- ePAMS+ champion and implementation team: run kick-off meetings

- ePAMS+ champion and implementation team: organise regular, supportive discussion meetings with clinical team within selected areas

Week 1

Implementation Go Live

- Activation/’go live’ of ePAMS+ intervention within Cerner EPMA

Week 2+

Implementation and data extraction

Monitoring and regular discussion of the implementation

- Monthly extract of interim de-identified dataset from Cerner EPMA system

- Fidelity Index development- ePAMS+ champion and implementation team: undertake data collection on implementation of ePAMS+

-All staff: undertake regular, supportive discussion of the implementation of ePAMS+ (based on the latest monitoring data).

Week 16

Assessment of long-term sustainability

- Extract and analysis of final dataset from Cerner EPMA system

- Fidelity Index completion

- analysis of feasibility trial results and development of full-scale trial protocol