The change model consisted of: 1) reduction of misconception 2) needs assessment 3) support from boundary partners, and 4) development of executive leaders (2) the system consisted of 5 elements: needs assessment, planning, implementation, audit and assessment.
After CVC- related bloodstream infection prevention protocol implementation, auditing was made during the period of 26 of November of 2014 to 3 of March of 2015.
The accuracy following EPR implementation Audit outcome Average for the paper notes Average for the EPR Difference % Early warning scores correct 89 100 +11 % Fluid chart in correct 83 100 +17 % Fluid chart out correct 100 100 0 % Total balance correct 67100+2323.
3) Adoption of specific, updated, evidence-based TB and MDR-TB guidelines, together with mechanisms to update them on a regular basis and to monitor their implementation (audit- and or knowledge, attitudes and practices study-based) [ 63, 113, 114].
Post implementation auditing of SAP guidelines will help evaluating the compliance of surgical team and its impact on the patients' morbidity and mortality as well as on the overall use of antimicrobials.
A pre-implementation audit was performed on 100 randomly selected case notes to determine baseline completeness of diabetes evaluation.
The pre- and post-implementation audit data collected in each hospital was used to assess differences in practice following implementation of the strategies.
At national or regional level this includes the overall responsibility for operationalising the audit policy, providing technical assistance for the implementation of audit systems, and monitoring recommendations and follow through.
In both interview categories (qualitative and quantitative) the study explored the level of implementation of audit recommendations and interviewers' suggestions for improvement of the audit systems in their respective facilities.
Although the literature is clear on the importance of audit, little information is available on the processes involved in the implementation of audit systems in health care settings in middle- and low-income countries and on conditions that facilitate or hamper the implementation and sustainability of such systems.
