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For example, while on the surface ALS-paramedic (or physician) systems can be considered one intervention, when mortality across countries with similar systems was compared there was a fourfold variation in the odds of death.
The CDC sentinel physician systems flagged about two weeks before unspecified infection in CNMC in February, but the number of respiratory cases at the other hospitals was increasing through December and January, so it is difficult to say when the influenza outbreak actually started in DC that year.
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A root cause analysis showed multiple physician, system and patient factors.
The purpose of this study was to describe our first experiences with the IRMA Blood Analysis System DIAMETRICSS, ChemoMedica-Austria, Vienna, Austria), a portable, battery-powered blood analyzer which has been available since April 1996 as part of a prehospital emergency physician system.
This increase persists in non-physician systems where muscle paralytics are used and where comprehensive training is provided.
Reports of ETI failure rates of over 15% after administering muscle paralytics are not uncommon in non-physician systems [ 34- 36].
A high rate of undetected oesophageal intubation has been reported in non-physician systems and continues even after introducing easily used carbon dioxide detection equipment [ 5].
If the data presented in this review were used in the planning phase of a study comparing the outcomes of pre-hospital airway management in physician and non-physician systems, ethical approval would be difficult to obtain.
Integration is commonly categorized as functional, physician-system, or clinical integration [ 11] (p.11]).
5 6 Traditional physician payment systems have facilitated this variation, with fee-for-service systems potentially incentivising over-investigation and over-treatment, and capitation systems potentially incentivising under-utilisation.
Our review of the literature and existing physician registration systems in SSA suggests there is much variability in the physician tracking systems of different countries.
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