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Applied to perinatal audits, the doers would be the clinicians responsible for service delivery, for implementing the audit system and ensuring that the necessary recommendations to complete the audit cycle are implemented to change practice and improve quality of care.
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In accordance with the professional and ethical requirements, entrepreneur auditors design and implement the audit work to further increase confidence in the audit reports content.
This situation was one of the reasons why the personnel weren't motivated to collect information on maternal deaths or to implement the audit committee's recommendations.
During the project, a potentially impeding factor for implementing the perinatal audit became apparent.
Starting with the care audits showing very poor levels of care in 2004 similar to an earlier audit carried out in 1998 [ 24] and the interventions implemented, the initial audit with feedback coupled with educational activities clearly led to a marked improvement as indicated by a notable change in indicators between 2004 to 2006.
Prior to beginning IMPACT, we had already implemented the written AUDIT as part of the initial evaluation for all patients starting TB treatment.
After implementing the recommended changes the re-audit CBA was perfomed between January-March 2009 using case notes of women that meet inclusion criteria, that is, all cases with eclampsia that were admitted to the labour ward at Muhimbili National Hospital (MNH) during the study period.
In the second step, they implemented separately the audit tool for each road segment and crosswalk for both sides of the streets during normal traffic flow and under good weather conditions.
For the latter, we described the CMP causes identified, solutions proposed and implemented by the audit teams.
A comprehensive definition for handling a CMP overall appropriately requires that the CMP is recognised as such, and a valid cause identified, and an appropriate solution proposed and implemented by the audit team.
Assuming perfect information among the firms, we derive an optimal audit mechanism capable of implementing the socially efficient emissions level.
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