In contrast to the long history and established structure for drug approval, payer decision making is dispersed, not standardized, and perspectives on necessary evidence and the evaluation of this evidence differ and are often poorly defined.
In a sense, StreamWork applies the Lean Manufacturing concept of standardizing work to the process of decision making, which makes a variety of continuous improvement processes possible.
In addition, the processes of ICUs are internationally quite well defined and guided by international consensus guidelines supporting the managerial decision making of ICU professionals and standardizing the policies of the ICUs.
This data cannot be used in the day to day decision making because it is not standardized.
However, retrospective data and observational studies have suggested that many older adults can indeed tolerate and benefit from intensive cancer treatments, [ 8- 12] and several geriatric assessment scales have been developed to standardize the decision making process, [ 13- 20] although these scales are still not routinely used by most cancer physicians in Singapore.
● Make decision making transparent.
Key scientific and data gaps remain; however, these challenges exist alongside strong policy needs to standardize ecosystem service information for decision making (Polasky et al. 2015).
Durante and Ainsworth emphasize an approach based on the four basic stages of answering standardized survey questions; comprehension, retrieval, decision making, and response generation [ 48].
Further studies should be conducted and unltrasonografic gastric assessment could be standardized in protocols to assess clinical decision making and improve nutrition and bowl management in ICU patients.
For facilitation of clinical decision making and surveillance, azithromycin susceptibility break points for Enterobacteriaceae should be standardized (12 ).
