A significant challenge however will be the maintenance of performance rates in the longer term. Health care professionals leaving the team and new personnel starting, and constantly
Changing organizational priorities will make this a difficult task. The treatment coordinator –
a key figure in ensuring proper guideline adherence – left at the end of the study. The impression was that adherence rates dropped slightly after this. It is very important to continue monitoring guideline adherence and provide continuous feedback. With new personnel coming in, it is necessary to hold regular training days such as those held at the start of the implementation. Our impression is that doing so would prove very worthwhile. The multifaceted approach also seems to be specifically relevant in meeting this challenge because of the different factors which intervene and interact: