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How best to manage the perceptions seemed to vary, and likely depends in part on the underlying culture of the institution (or unit within the institution).
Innovations in health systems refer to new ideas, initiatives, strategies, practices, medicines, diagnostics, and health technologies which are perceived as fresh by the adopting individual, institution or unit [ 1, 2].
The Alliance-HPSR recruits institutional partners on the basis of common aims towards producing and using HPSR in developing countries, irrespective of the size or legal status of the institution or unit.
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Some publications reported sampling techniques where specific institutions or units were chosen; examples included wards with high error risk [ 47, 78] or wards chosen to reflect the patient population [ 76].
Auditing of antibiotic consumption, whether institution- or unit-based, was carried out in 37.8% of responding hospitals.
The reasons for refusal were categorized as follows: too well to benefit, too sick to benefit, patient or family refusal, necessity of other exploration not available in our institution and unit too busy.
Each institution uses a unit (or dossier) medical record system, whereby data from an individual (eg, demographics, diagnoses and billing records) are assembled in one place and are made available for approved research studies under the umbrella of the REP.
The sociology of the family examines the family, as an institution and unit of socialisation, with special concern for the comparatively modern historical emergence of the nuclear family and its distinct gender roles.
The study is a cluster randomized intervention trial with an institution as unit of randomization.
It is easier to deliver an intervention at institution level (unit) than at individual level within an institution.
Forty-four consecutive patients (median age 62, range 32 77 years) with bone metastatic breast cancer, consecutively recruited at a single institution (Breast Unit, Cremona, Italy), were enrolled into the study between January and December 2002.
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