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Military Health System

Implementation Science Success Stories

Icon of woman with childPostpartum Hemorrhage (PPH) Bundle Campaign

  • Partner: Women and Infant Clinical Community/Women's Health Clinical Management Team
  • Need: A standardized process for identification and treatment of PPH.
  • Knowledge Product/Practice: A Defense Health Agency Procedural Instruction (DHA-PI) standardized a clinical framework for PPH prevention and treatment and served as the basis for the PPH Bundle Campaign.
  • Process: Supported implementation of the DHA-PI at 12 military hospitals and clinics through the identification of local champions, hosting of peer-to-peer workgroups, development of educational materials, and tracking of compliance data.
  • Results: Campaign exceeded its target compliance rate of 80% by achieving 97% compliance overall. The bundle is now being implemented at all remaining military hospitals and clinics with inpatient obstetric services.

Icon of pill bottleOpioid Overdose Education and Naloxone Distribution (OEND) Program

  • Partner: Defense and Veterans Center for Integrative Pain Management
  • Need: Increase co-prescriptions of naloxone to improve patient safety.
  • Knowledge Product/Practice: Provide OEND training via sustainable, scalable model.
  • Process: Refined VA OEND training for MHS population; drafted key messaging for dissemination campaign; provided OEND training to interdisciplinary group at pilot site; embedded training in TeleECHO and annual pharmacy trainings; and utilized train-the-trainer model of implementation.
  • Results: 11% increase in naloxone co-prescriptions at pilot site following training implementation.

Icon of IV bagDamage Control Resuscitation

  • Partner: Joint Trauma System
  • Need: Standardized, systematic methodology for collating clinical recommendations across clinical practice guidelines (CPGs).
  • Knowledge Product/Practice: Standardize subcategories of clinical recommendations to highlight the most important guidance.
  • Process: Developed strategies for efficient implementation of CPGs, including a CPG deconstruction tool and a summary of CPG updates; conducted successful dissemination campaigns of Damage Control Resuscitation and COVID-19 CPGs through infographics and pocket guides.
  • Results: Improved translation of research recommendations into condensed, actionable formats to ease clinical applications across the MHS.
Last Updated: June 24, 2022
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