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Behind the scenes, some ministers were said to be anxious about proposals for a large proportion of assessment at intermediate level - the equivalent of GCSE - to be carried out internally by teachers.
These similarities in assessment are reinforced when the proportion of assessment during semester was compared with the value of the end-of-semester examination.
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The four services with the lowest proportion of assessments were in the bottom quartile of assessment rates.
These proportions varied considerably between services: range 33 100% for assessments as a proportion of referrals and range 60 100% for diagnoses as a proportion of assessments.
We used these numbers of patients to calculate, for each service, assessments as a proportion of referrals and diagnoses as a proportion of assessments.
Although the proportion of assessments at the target level of Ramsay 2 to 3 increased, it was unrealistic to reach this level in all patients.
Time-series regression indicated a significant increase in the proportion of assessments carried out over the study period (see Figure 1) with no evidence of autocorrelation (Durbin-Watson statistic = 2.22); the regression coefficient was 0.294 955% CI: 0.258 to 0.328, p < 0.0001), showing a gradual increase in the proportion of approximately 0.3 percentage points per month.
With regard to the proportion of assessments showing at least a 10 point worse score at the one-week follow-up at home compared to the hospital-based assessment we found the by far highest frequency for Fatigue (50.3%), followed by Role Functioning (33.0%), Sleeping Disturbances (32.3%), Nausea/Vomiting (30.9%), and Global Quality of Life (30.0%).
An overall score for assessment was calculated representing the proportion of relevant assessment tasks completed for each child.
But despite this, a large proportion of the assessment is carried out by these committees on a case-by-case basis.
In contrast, the following key tasks were undertaken in a higher proportion of cases: assessment for vascular injury (94.1%), administration of IV antibiotics (83.2%), and application of an antiseptic dressing (68.3%).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com