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Such a situation, in turn, conditions problems in the establishment of audit groups, which are one of the key success factors in the QMS implementation.
Small hospitals are therefore recommended to cooperate in the establishment of audit groups, i.e. forming one audit group which would comprise representatives delegated by a number of hospitals.
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Another useful innovation would be the establishment of an audit commission with real powers and independence.
Instead of the "Child Labor Free" label, the protocol now calls for public reporting by African governments, establishment of an audit system, and poverty remediation by 2005.
John H. Gross, the managing partner in Ingerman Smith, a Northport law firm that represents about 60 school districts, including Roslyn, said that while an overhaul in financial oversight would probably benefit the public sector, in particular the establishment of independent auditing committees, there may be some legal roadblocks.
The role of professional/scientific societies, it is suggested, can be of great value in developing standards of good practice and in providing practical advice, stimulus and support for the establishment of appropriate clinical audit organisations.
Several studies [ 10, 11] have shown a strong association between the establishment of an effective audit process and improvement of the quality of maternal health services and a reduction of maternal and perinatal foetal mortality rates.
In places where establishment of maternal mortality audits has led to improved quality of obstetric care, the success has been particularly attributed to strong leadership and accountability of both health providers and key decision makers [ 7, 11, 25, 26].
Unlike some on Wall Street, though, Mr. Cohen supports ideas like increased capital requirements for banks, the creation of a government body to oversee the dissolution of failed institutions and the establishment of some still-hazy audit board — an internal "risk committee," he called it — to ensure that banks do not again leverage themselves off cliffs.
In places where establishment of maternal and perinatal audits have led to improved quality of obstetric care, the success has been particularly attributed to the process of accountability of both health providers and key decision makers [ 9, 28].
Fourth, we wanted to further strengthen our approach to risk through the establishment of our new, semi-independent Audit and Ethics Committee to help the Board oversee the work of the Office of the Inspector General.
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