Some practices had predetermined proposals but most allowed goals to emerge.
However, there are some problems that limit the implementation of tissue-engineered products to routine clinical practice that predetermines the development of alternative approaches.
Patient registries provide an organized and standardized method to systematically collect observational data about specific groups of patients managed in routine clinical practice for a predetermined objective [ 1].
Outcome parameters were computed for each test only when performance on the preceding practice session exceeded a predetermined minimum accuracy.
Studies assessing the impact of implementation of audit instruments document improved consultant practice based on these predetermined targets [ 4].
The GMC has committed itself to issuing guidance to doctors on the use of questionnaires, and has noted the importance of using questionnaires that link to authoritative guidance on appropriate modern medical practice and that meet predetermined psychometric standards.
However, practices do not develop or unfold in a vacuum they are enabled and constrained by practice architectures that prefigure, but do not predetermine, practices in a particular site (Kemmis and Grootenboer 2008).
In order to recruit a representative sample, all participants are recruited consecutively through (approximately 10) GP practices (motivated research practices associated to the Institute of General Practice and Family Medicine, University Witten/ Herdecke within predetermined time periods.
The case shows that innovative practices do not predetermine success.
This was considered an appropriate approach in a study where some of the research questions were predetermined and which was geared towards generating practice-orientated findings.
