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Downloaded from http://bmjopen.bmj.com/ on March 26, 2016, Published by group.bmj.com BMJ Open Discordance between presumed standard of care and actual clinical practice: the example of root canal
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To fill out the discordance between presumed standard, follow these steps:

01
Identify the areas of discordance: Start by analyzing the presumed standard and the actual standard you are trying to achieve. Identify the key areas where there is a gap or discordance between the two.
02
Understand the reasons behind the discordance: Try to understand why the discordance exists. Are there any specific factors causing this difference? It could be due to different interpretations, misunderstandings, or lack of clarity in the presumed standard.
03
Communicate and collaborate: Initiate discussions with relevant stakeholders, including those responsible for setting the presumed standard and those affected by it. Communicate the discordance clearly and seek their input and perspective to address the issue effectively.
04
Establish common goals: Find common ground and establish shared goals between the presumed standard and the actual standard. This will facilitate alignment and create a mutual understanding of the desired outcome.
05
Bridge the gaps: Develop action plans and strategies to bridge the gaps between the presumed standard and the actual standard. This may involve revising the presumed standard, implementing training programs, improving communication channels, or enhancing processes and procedures.
06
Monitor and evaluate progress: Regularly monitor and evaluate the progress of filling out the discordance. Track the effectiveness of the implemented measures and make necessary adjustments along the way to ensure continuous improvement.

Who needs discordance between presumed standard?

01
Organizations or companies striving for excellence: Any organization or company that aims to achieve high standards and deliver quality products or services can benefit from identifying and filling out the discordance between presumed and actual standards.
02
Professionals seeking professional growth and development: Individuals who want to grow and excel in their professions need to be aware of and address any discordance between the presumed standard in their industry and the actual standards they are expected to meet.
03
Regulatory bodies or authorities: Regulatory bodies or authorities responsible for setting standards in various industries can benefit from understanding the discordance between their presumed standards and the actual standards followed by the industry. This knowledge can help them update and improve their regulations to ensure better compliance and outcomes.
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Discordance between presumed standard is when there is a discrepancy or disagreement between the expected or assumed standard and the actual outcome or result.
The entity or individual responsible for monitoring or assessing the standard and the outcome is required to file discordance between presumed standard.
Discordance between presumed standard can be filled out by providing detailed information about the standard, the expected outcome, the actual outcome, and any factors that may have contributed to the discrepancy.
The purpose of discordance between presumed standard is to identify and address any discrepancies or deviations from the expected standard, in order to improve performance and prevent issues in the future.
The information that must be reported on discordance between presumed standard includes details about the standard, the expected outcome, the actual outcome, any factors contributing to the discrepancy, and any actions taken to address the discrepancy.
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