In the six months before the event they had won 15 of their 18

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Nevertheless, this is not to say that Medical Audit and Total Quality Management are inappropriate for health care. Audit has demonstrated only limited success and, though many of aspects of the ‘total quality’ approach are clearly relevant, it will require modification and further testing prior to full implementation. Both audit and ‘total quality’ require fundamental changes in behaviour, and if they fail, they may not get a second chance health care quality is much to important for that to be allowed to happen..

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