While senior management have to take the lead, each employee must now look at how they might change their practice – or if they witness bad practice, challenge it.
She added, "This is an important paper, and hopefully it will encourage people to change their practice patterns and offer this treatment more".
Doctors in a number of African countries, led by the Kenyan Paediatric Association, want to change their practice but want WHO to alter the guidance which their countries follow.
The faster treatment should become standard practice for women with early cancers, she continued, but added, "I'm always surprised to see how long it takes for physicians to change their practice patterns".
Clinicians change their practice to intensify monitoring of such values as anti-Xa and antithrombin levels.
As SCALE-UP is a departure from traditional teaching, instructors may be unsure how to change their practice and feel disoriented in the classroom.
Interestingly, the TH/TTM durations seemed also associated to this temperature change: longer TTM durations seemed more often declared by physicians that did not change their practice.
In general, little is known about the process and factors responsible for how physicians change their practice methods when they become aware of a guideline [44, 45].
But lithium is a tricky drug small overdoses can be toxic so doctors are unlikely to change their practice without definitive evidence.
Elsewhere, countries like America need to change their practice, Gisli says.
"They could also change their practice to minimize contacts with towels, such as adopting hand washing and decontamination protocols before going on break or before going home," she said.
