It was one of the first banks to have its implementation audited by a third party.
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.
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].
They also considered that the study had a positive effect, leading to changes in how cases were identified, better organization/standardization of team activities, changes in routines/protocols, implementation of auditing for severe cases, dissemination of knowledge at local/regional level and a contribution to local and/or national identification of maternal morbidity.
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.
Daily rounds to audit implementation of isolation precautions documented strict adherence to guidelines during the study period.
