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The observed difference in ICD coding on the higher levels could be accounted for by differences in staffing of the HCCs.
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A pre-test/post-test comparison group design was used to assess differences in staff implementation of "active support," service user engagement in meaningful activities and adaptive behaviour.
Two separated geographical areas were identified with differences in staff level of knowledge and concurrent differences in neonatal survival, antenatal care and postnatal home visits.
Although we have shown that the association exists within as well as between emergency departments, there could be local factors at play during shifts with long waiting times, such as differences in staffing, that might be unmeasured drivers of adverse events.
Conclusions: Differences in staff attitudes; application of standards and patient pathophysiology were identified between care locations.
Early saturation indicates that there were more similarities than differences in staff's experiences of AHC.
Ascertainment bias is a different type of systematic error that is the result of differences in staff efforts or expertise in detecting difficult to measure resident characteristics.
In a setting where hierarchies are strong and differences in staff trainings are a cause of snobbery [ 21], the free sharing of such information is unlikely to take place without managerial intervention.
There are, however, varying levels of assets (such as differences in staff numbers, group sizes and amount of HPSR+A teaching and research), which, combined with different capacity needs at all three levels (such as individual training, improvement in systems for quality assurance and fostering demand for HPSR+A work), can shape a future agenda for HPSR+A capacity strengthening.
The next step will be to investigate if differences in staff attitudes to coercion can explain some of the variation in the actual use of coercion on wards in the mental health service.
Cultural differences in staff opinions is an important consideration for the development of effective interventions.
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