Systematic, framework-driven implementation effectively transformed departmental practice, overcoming long-standing barriers to UGNB adoption. Combining structural changes with educational and cultural interventions fostered sustained procedural uptake and interdisciplinary collaboration. The model presented is reproducible for other EDs aiming to enhance multimodal pain management, reduce opioid use, and institutionalize ultrasound-guided procedures.
Brown et al. (Tue,) studied this question.