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Continuous quality improvement is an evolving process and following on from the revisions to systems and processes described here, further improvements are planned based on experiences to date.
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Eighteen half day workshops attended by over 100 clinical staff, mainly midwives and maternity support workers, were held to discuss revisions to care systems and processes, to explain the new postnatal notes and provide an opportunity for discussion.
Most felt that they had received sufficient help with the revisions to routine systems and processes, through attending staff training sessions and regular contact with the research midwife in the clinical areas.
The CQI approach included an initial assessment to identify where revisions to routine systems and processes were required, developing, implementing and evaluating revisions to the content and documentation of care in hospital and on transfer home, and training workshops for midwives and other maternity staff responsible for implementing changes.
Anthony DeBenedictis and Peter Lazar helped with revisions to the system we use in production.
Revisions to routine hospital systems and processes included longer stays on delivery suite from a maximum of two to three hours post vaginal birth to encourage skin-to-skin contact and initiation of breastfeeding.
When asked if the revisions to the current systems and processes made more appropriate use of their time, 21 (39%) midwives, including six who worked in the community, stated that they had, however 14 (26%) midwives did not feel this was the case, and 19 (35%) did not know.
It is not easy to hold interest in a lengthy explication of the repeated revisions to Ptolemy's system of an Earth-centered universe.
Such revisions to the tax system would have to be accompanied by other similarly motivated policies if the economy were to be transformed from a servant of minority privilege into a provider of majority justice.
And he urged the secretary of state to consult properly with professionals he trusted on any further revisions to the exams system.
Using the proposed revisions to the TNM system for NSCLC, 12,620 small cell lung cancer (SCLC) cases were evaluated and a survival analysis was performed on clinically staged patients[ 8 ].
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