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The rationale for changes is detailed in Table 6.
If recommendations are modified the rationale for changes should be explicitly stated in the resulting local guideline document.
The results from the quality assessment highlight areas for improvement in PGY-1 discharge summaries, specifically the accurate reporting of current and modified medications, along with the rationale for changes made.
However, it is also essential that clinical staff understand the rationale for changes, and are actively engaged in service redesign, as previous studies have suggested that frequent reorganisation of services can lead to 'change fatigue', staff disaffection and poor morale [ 59, 60].
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First, it includes stipulating a mechanism of change (part c) which requires a clear articulation of the rationale for change: that is, why the proposed program (the core components and flexible activities) would be expected to achieve the proposed outcomes.
The rationale for change varies between countries but in all cases it has been strong and principled, rather than a purely pragmatic concern, for example, to cut costs or boost school readiness.
The combination of the growing knowledge and evidence base established by economics and neurosciences thus provided the rationale for change, as well as the political will for reform, and catalysed the Victorian State Government's effort and investment in early childhood.
The key lesson here is that the successful adoption of new technology therefore needs to be seen as the result of a sustained effort to communicate the rationale for change and sustained efforts to promote changes in practices, culture and IT use within NHSScotland over a prolonged period.
I then detailed some changes I made in the second year, the rationale for those changes, and the improvement in evaluations following those changes.
Changes to SSPedi and the rationale for these changes are delineated in Table 3.
Its purpose is solely to enable the distribution[43] of a semantic data management system that can withstand changes in the domain of discourse, independently of the rationale for the changes themselves.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com