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The radiological community, both in Europe and in other countries, has developed clinical decision support (CDS) systems to ensure a consistent and appropriate utilisation of resources by referring physicians.
This in turn allows more appropriate utilisation of resources, with the potential for both improved clinical outcomes and greater cost-effectiveness.
It will require ongoing evaluation and local planning and development with clinical leaders who are cognisant of appropriate utilisation of resources.
However, as patients who are discharged from ICU usually leave hospital (2004 to 2009), this would appear to be an appropriate utilisation of resources.
An assessment of the cost-effectiveness was difficult to determine, however, assessment of selected Province and commune activities revealed appropriate utilisation of resources, reaching substantial numbers of parents/caregivers and children.
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Access to healthcare information often leads to more appropriate utilisation of available resources.
Early and accurate identification of patients with a haematological malignanacy, with a poor outcome on the intensive care, would allow appropriate utilisation of limited resources.
However, other studies have highlighted reduced mortality rates in critically ill patients with cancer [ 9, 10], and the development of new procedures, such as non-invasive mechanical ventilation, may enable recommendations for ICU admission and appropriate utilisation of ICU resources for cancer patients to be altered [ 11].
This blurs the distinction between practice and research, which has been upheld since the Belmont Report [ 21]. "Learning health systems" might be particularly important in resource-limited countries such as South Africa, where identification of which aspects of critical care management impact on patient outcomes can inform appropriate utilisation of scarce hospital resources.
For instance, "there are no principled objections to the appropriate utilisation of the HMCTS estate so as to generate revenue or for HMCTS to take the lead role in enforcement, including enforcing all civil judgments.
The place of minimally invasive therapies and appropriate utilisation of the outpatient 'ambulatory' setting requires clarification through randomised controlled trials.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com