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Barclays offers a model of good practice in this respect, working with external health agencies to train employees in its overnight contact centre on what types of foods to eat and when.
My practice in this respect was that if I did not receive a return report I considered the matter settled; for I could not then again pursue those things and make further inquiries whether they had been dealt with or not.
Indeed some studies have pointed out that, in practice, small group tutorial is not always experienced as effective [ 14- 18] and others have suggested that there may be some incongruence between educational theory and practice in this respect [ 6, 19].
In accident and emergency care, team based working reduces clinical error rates and enhances overall quality of care [ 81, 82], and the principles of crew resource management drawn from aviation have important messages for clinical practice in this respect, by empowering all members of the team to make contributions to safety [ 83].
Clinical practice in this respect varies, with decisions on the use of colony-stimulating factor being based on the regimen being used and types of patient involved, although guidelines (e.g. from the American Society of Clinical Oncology (Ozer et al, 2000) and European Society of Medical Oncology (ESMO, 2001)) are also available.
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Also influencing practices in this respect is the issue of freedom of information and its application in healthcare and pharmaceutical appraisal.
In order to prevent the development of fecal incontinence and to achieve better management and treatment practices in this respect, a structured multifactorial assessment is required.
We chose four cycles to represent a complete course of chemotherapy, but acknowledge that practice differs in this respect.
Timeliness is key to spreading and sustaining new practices and in this respect the spread of this sort of care planning innovation was viewed in the context of the battle to change hearts and minds to move towards user/carer orientated planning as having been won [ 22].
There is need to harmonise the implementation of good practice in these respects.
The need for further improvement of routine practice in these respects was highlighted by a consideration of data from the recent European Heart Survey on Diabetes and the Heart.
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