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Changes may have been expected, as some of the original 61 APOP project http://www.selleckchem.com/products/poziotinib-hm781-36b.html hospitals also participated in the ��snapshots,�� and these hospitals had already implemented improvements identified as problem areas in the original APOP project. p http://www.selleck.cn/products/cobimetinib-gdc-0973-rg7420.html in April, 38 audited pain management (section 4, Appendix?Appendix), 13 investigated discharge pain medication management (sections 5.1�C5.3, Appendix?Appendix), and only 11 looked at pain management plans (section 5.4, Appendix?Appendix). http://www.selleckchem.com/products/ganetespib-sta-9090.html Of the 29 hospitals that participated in November, the numbers were 28, 13, and 11 respectively. Some hospitals completed only one area for audit, and others did two or three, hence totals are less than the sums of hospital numbers auditing each area. An example of the APOP indicators audited and their results are shown in Examples 1and 2. Results for other indicators and comparisons between the April snapshot audit and conclusion of the APOP project in 2007 (Taylor et?al., 2010) are shown in Appendix?Appendix. Selected indicators were used by each hospital to identify particular gaps in practice and target specific education needs in their facility. The educational materials developed by the NPS were then used during feedback sessions by the individual hospitals, according to the indicators they had chosen to measure and the improvements they were seeking. The hospitals could then reaudit, using the e-DUE audit tool, according to their own timetable for quality improvement activities, thus measuring their own changes in the indicators. Example?1. Acute postoperative pain management.