Audit and feedback | Weekly review of ultrasound images by ultrasound faculty (to be standardise in the quality assurance process) Weekly feedback to providers about ultrasound image quality and adherence to the protocol Data report and feedback from electronic medical record is generated and analysed every month
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Algorithm development | Algorithm creation and dissemination Targeted dissemination to pertinent stakeholders such as ED faculty members, ICU faculty members, ED and ICU administrators, and ED and ICU nursing leadership.
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Planned adaptation | Quarterly reassessment of protocol/strategies to consider adaptations to avoid the new intervention drifting towards or resembling the old, inappropriate intervention thus requiring more intense strategies to redirect towards DRAUP Biannual adaptation/addition of strategy
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Education and training (academic detailing) | Individual EM senior resident training, grouped EM faculty training with education refreshment Creation of DRAUP dissemination tools (posters, cards, t-shirts, pens, procedural masks, etc)
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In-person clinical decision support | EM ultrasound faculty (DRAUP team members) provide in person decision support to clinical teams in person Creation of DRAUP application site with embedded algorithm, protocol videos, frequently asked questions, DRAUP team contact
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Organisational support (stakeholder engagement, leadership buy-in) | |