PO2 measures showed insufficient agreement levels (Concordance Correlation Coefficient = 0.45; bias = 12 mmHg; percentage of error = 19.3%), whereas better agreement was observed for PCO2 and pH (Concordance Correlation Coefficient = 0.94 and 0.93 respectively; depreciable bias; percentage of error 11.4% and 0.5% respectively).
4 5 Our results suggest that a computerised decision support system alone is insufficient to improve concordance with guidelines when this requires additional resources for example, in increasing uptake of lifestyle change therapy.
A further limitation in this study was the relatively small sample size, with varying proportions of variation per analyte, and insufficient power to evaluate analyte concordance within clinical classifications.
However, Nadler and Pérez-Ponce de León [ 33] suggested that, in terms of explanatory power, single locus DNA barcodes and the barcoding-gap are insufficient approaches to delimit species, and concordance of independent information, including other genes, is required.
Insufficient trending ability was indicated by concordance rates of 74% (exclusion zone of 15% (1.29 l · min-1)) and 67% (without exclusion zone), as well as by polar plot analysis.
Further work is necessary to compare WMT and TOMM specificities, as failure concordance designs establish reliability but are insufficient for proving validity.
Furthermore, although IHC and FISH have shown high concordance in some studies, reproducibility remains insufficient in others (Paik et al, 2002; Roche et al, 2002; Mass et al, 2005).
Consistent with script concordance theory, each patient scenario contained uncertain or insufficient information about delirium symptoms, and incorporated pain and sedation levels to better reflect the reality of clinical practice.
Integrating a clinical-reasoning-based pedagogical approach such as script concordance in our educational efforts matches the day-to-day experiences of most ICU nurses where clinical confounders and insufficient information are common [ 17- 21].
