With better collaboration, making changes could be easier both ways to the requirements and to the implementation, even though the formal documentation would be updated a little later.
In South Africa policy guidelines were approved in 1997 which provided a framework for implementation, even though the draft policy was still not formally adopted [ 56].
As demonstrated, there were many technical issues discovered during implementation, even though the IVR system had been tested in-house by research staff multiple times before initiating the pilot study.
Aggressive underbidding was not indicated as a key contributor to lack of implementation even though this is one of the most important risks to consider, particularly given the trend in rapidly falling PPAs.
The most significant deviation between Jenkins' description and the actual situation is that Jenkins' description seems to indicate that ORNL had overall control of the study design and implementation, even though these critical functions were controlled by RJR and CIAR (Table 2).
This archetype highlights a key challenge of HIS implementations: even though the system is being used and an intended behaviour change occurs, expected outcomes are not realized.
CAMR policy debate triggered a wave of scholarship from policy, legal, and public health perspectives; however, little attention has been given to the role of the media throughout its policy development and implementation even though it was one of the major venues through which this policy debate unfolded.
In our implementation, even though there may be several areas involved in the event, each event is processed by only one supervisor who performs the initial analysis of the event and determines the best approach for corrective action.
Very Long Instruction Words (VLIW) architecture can therefore be an easy choice for ISP implementation, even though Single Instruction Multiple Data (SIMD) architecture can exploit a greater extent of parallelism.
Initial experience with 3D-FLAIR was based on multi-slab implementation: even though acquisition times were prohibitively long, their advantage in terms of better lesion detection and more homogeneous CSF suppression was obvious [ 17, 18].
Even though the implementation of clinical pathways faces similar problems as the implementation of guidelines [ 21, 22], some authors [ 19, 23, 24] expect treatment pathways to raise implementation chances by adapting the guideline recommendations to local conditions and thereby referring more to physicians' work reality.
