The research had been approved by the Research and Ethical Committee from all the respective institutions, with the reference numbers: UKM1.5.3.5/244/SPP2, HKL/98/AM.882, USMKK/PKK/JK EP(M -191 USM -191(43)HRPZ ll.71/20 Jld.8, HSNZ.KT.100-22/15(27) and (4)KKM/NIHSEC/08/0804/P07-13.
In addition, we searched the websites of the major global health institutions, donors and academic institutions and scanned the reference lists of key papers.
This example, while simplified for the sake of illustration, highlights the dynamics of how a system of smart institutions might operate, and the crucial importance of their steering institutions in setting the reference variables and in determining how these reference variables respond to social feedback.
There was considerable variation among the 31 institutions compared to the reference group that pooled birth events in counties that did not have hospitals with large numbers of deliveries.
For example in our completely adjusted model, the number of items documented per record in institution A was greater by 4.56 (95 % CI 3.46, 5.64) than at the reference institution F. In our adjusted model, documentation by a resident was associated with 1.87 (95 % CI 0.52, 3.24) more items documented per record.
The Clinic for Infectious Diseases and Febrile Illnesses at the University Medical Centre in Ljubljana serves as the reference institution.
The calculation of inferential statistics in these studies is only justifiable if researchers can be assured that the findings from their institution are similar to the reference population.
Adjusted odds ratios among the six institutions that differed from the reference group varied 6-fold (0.39 to 2.33).
This can be taking place in Belo Horizonte city as well, contributing for the centralization of dental care in oral pathology and oral medicine at the reference Institutions, i.e. the ones from the PHS.
The study was approved by the Ethics Committee and the Institutional Review Board of the authors' institution (IRB reference number: 97-1931A3).
