After all causes were scored on the basis of their importance using the "5-3-1" evaluation method 20 (Table 2), the QCC team identified six key factors that contributed to the low percentage of rational injectable PPI use: inadequate understanding of PPI indications among physicians, inadequate knowledge base of pharmacists, insufficient preprescription review capability of pharmacists, no standardised medication guidelines, the lack of intelligent management for PPI prescription orders and inadequate prescription review efforts
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The peer-reviewed literature is also concentrated within a single research group (Watowich lab, University of Texas at Austin) and its industry partner Ridgeline Therapeutics, with limited independent replication to date
In particular, the possibility of nerve regeneration is low in case of preganglionic injury, thereby necessitating nerve graft or transfer depending on the location and severity of the injury
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