All patients underwent detailed presurgical evaluation including structural MRI at 3T with qualitative assessment and quantification of hippocampal volumes and T2 relaxation times (Woermann et al., 1998; Bartlett et al., 2007), prolonged interictal and ictal video-EEG monitoring and standardized neuropsychological and psychiatric assessments.
Preoperatively, all patients had undergone detailed presurgical evaluation including structural MRI at 3 T with qualitative assessment and quantification of hippocampal volumes and T2 relaxation times by expert neuroradiologists (Woermann et al., 1998; Bartlett et al., 2007), prolonged interictal and ictal video-EEG monitoring and standardized neuropsychological and psychiatric assessment.
The monitor and the standardized patient used a standardized checklist to assess the resident's performance.
Participants with type 1 diabetes were assessed for HbA1c history and lifetime adverse events, and glucose levels were monitored using a continuous glucose monitor (CGM) device and standardized measures of cognition.
Monitoring conducted by multiple stakeholders, without coordination and standardized monitoring and reporting tools, is not an efficient use of ECD resources.
Similarly, developing a standardized monitoring-and-evaluation protocol for providers in the developing world to have an objective measure of the quality of their exams, image acquisition, and image interpretation would be of tremendous benefit for ongoing quality of care.
For example, in a study in another clinical field, acute myocardial infarction, heart failure, and pneumonia hospital performance was improved through quarterly monitoring and feedback of standardized measures [ 22].
Standardization may require the development of standard treatment protocols, guidelines for service delivery, clear job descriptions, checklists for service provisions and monitoring, standardized indicator sets, or other job-support tools.
The lack of homogeneity in detection, measure, store and monitoring of standardized performance indictors often does not permit to compare different city contexts.
Clearly defined roles and responsibilities at all levels and standardized support, monitoring and accountability, referral, supervision and training could improve communication, dialogue and trust between HEWs and actors from the community and health sector.
Clearly defined roles at all levels and standardized support, monitoring and accountability, referral, supervision and training, which are executed regularly with clear communication lines, could improve dialogue and trust between HEWs and actors from the community and health sector.
