These included significant changes in operational practices and much better inventory control policies.
Communicating the goals of transition to staff and training them in operational practices post-transition were also important elements of transition management plans.
In addition, the optimal, and most cost-effective, strategy for managing weeds using herbicides is well known for many regions and embedded in local operational practice (Harrington et al. 1995; Rolando et al. 2013; Rolando and Little 2009).
The first is the obvious one relevant to all trials; results found under trial conditions, even relatively operational trials such as this, are generally better than those found in subsequent operational practice.
In cases of observed shortcomings in the operational practices of the CORPs, or any additional opportunities for improved implementation of their duties, the investigator provided the CORPs with informal advice.
It is hoped that readers of this introduction will find inspiration from the results of these kinds of studies and will approach the field of MST and, more generally, of adaptive testing with curiosity and interest in continuing the research presently under way and in making improvements to operational practice.
One central operational practice in the Toyota Way to ensure this aim was pulling the Andon cord.
In order to do this, we also need to analyse the operational practice involved in the transposition of the Schengen acquis, which we know varies to a large extent.
Although diverse in both operational practices and population served, agencies with the resources and commitment required to participate in prehospital clinical trials may deliver a different level of care from those that do not.
While Universal Health Coverage has become emblematic globally for health systems change for better health care access and quality, and social protection, PCHS offers opportunities to elaborate and deepen our understanding of what such change should entail in the operational practices of health systems.
