He cited a performance audit, released by the county comptroller in May, which found deficiencies in quality control by the contractor, Cole-Layer-Trumble of Dayton, Ohio.
"It is probably true that in cases of diseases like Alzheimer's and Parkinson's we may have deficiencies in quality control mechanisms like cleaning out bad proteins that collect in the brain cells," he said, although he warned that using such findings to predict those more at risk of such disease is likely to be difficult.
However, deficiencies in quality and safety initiatives may stem from managerial neglect of quality programs and processes.
All of these methodological shortcomings could be, and often were, compounded by deficiencies in quality of reporting.
Further publications from other countries confirmed that deficiencies in quality of care and in patient safety were not confined to the United States [3 5].
While we found that methodological shortcomings were often compounded by deficiencies in quality of reporting, it might sometimes be the case (but this can never be known) that methods were better than the reporting of them indicated.
These utilization patterns have been attributed to multiple factors such as being white and insured, behavioral health status and substance abuse, chronic disease burden, access to a usual source of care, deficiencies in quality and/or continuity of care, ED referral practices, limited primary care availability, and social determinants of health [2, 7, 10 13].
Medicaid spending on long-term care will have to rise, putting enormous strain on government budgets, and the existing infrastructure, already suffering from low standards 16% of nursing homes have serious deficiencies in quality, according to a 2005 Government Accountability Office report may deteriorate further.
Further testing showed that the armor plate itself exhibited deficiencies in quality compared to earlier German tanks such as the Tiger I and Panther.
