During the past decade, our practice of performing carotid endarterectomy (CEA) has changed dramatically, most notably by an abrupt shift from routine to selective preoperative angiography, reliance on defined care plans with full-time nurse practitioner oversight, and increasing reliance on eversion endarterectomy and cervical block anesthesia.
The Qatar labor ministry admitted as much earlier this month when it pledged to significantly tighten oversight and increase the number of inspectors.
Along with that rapid growth have come delays, weak oversight and increasing amounts of fraud that often have left millions of investors' dollars sitting in bank accounts as well as lives and businesses in limbo.
It has also told QPP to provide extra training, enhance compliance oversight and increase third-party auditing.
The Department of Energy warned of weaknesses in the site's proposed stimulus plans, redirected some money from one private contractor to another and increased oversight.
Invasive surveillance capabilities are becoming more available and affordable, suggesting wider use and increased oversight challenges (plus a host of non-government surveillance concerns).
Assessment-based accountability policies at the state-level have created standards and increased oversight of schools, especially those with low-achieving students.
Among other things, the new federal rules would require testing and certification of all crane operators, steps to prevent cranes from tipping over, and increased oversight of crane assembly and disassembly.
Chinese officials have already banned residents from attending some religious conferences in Hong Kong and increased oversight of mainland programs run by Hong Kong pastors, raising fears within the city's vibrant Christian community.
Until each of those nine reasons can be resolved by greatly improved policies and increased oversight, it would be wise to take all charter school waitlist numbers with a grain of salt.
