The review process for hospital policies and procedures are measures which are meant to ensure the quality of hospital work in most departments and units. Reviewing the hospital policies and procedures are akin to the work carried out by external and internal quality assurance agencies. Brown (1999) discusses that hospitals are an essential element of the healthcare system as they provide services which seek to improve and extend the lives of people. They are however also places where inadequate or inappropriate treatment can cause harm. In the past, studies have indicated that incidents of negligence have led to unfavorable events for patients (Brown, 1999). Negligence can occur in the hospitals and these incidents can often be fatal for patients. Reviewing hospital policies is an important addition to the hospitals because it helps prevent incidents of neglect (Brown, 1999). Hospitals are often dependent on internal quality control mechanisms which include physician functions, peer reviews, and staff competence assessments in order to prevent instances of neglect and to secure quality care in the different hospital services (Brown, 1999). These policies ultimately help to secure improved patient care and help prevent medical errors. Corsbie (2010) also discusses the importance of review in terms of establishing tools which help enable the medical staff and the hospital board in evaluating the professional competence and performance of all the members of the medical and health team. Professional practice evaluations can help establish results on assessments and evaluations in improving professional competence, practice and patient care (Corsbie, 2010). Reviewing hospital policies and procedures also help provide a monitoring process for clinical performance among health providers (Corsbie, 2010). Reviewing policies can also help the hospitals monitor the trends in performance, assessing overall data and case findings as well as using comparative data where available. Through the review of policies, it is also possible to identify any possible opportunities in the practice improvement of individual practitioners, through feedback and through the development of plans for improvement, correction and improved quality care (Corsbie, 2010). Through review processes, it is also possible to ensure that professional practice evaluations are clearly established, and that they are objective, timely, as well as appropriate. Reviewing the policies and procedures of the hospital, especially the respiratory care unit is important in order to establish gaps in the delivery of services as well as issues in the coordination and collaboration of the health professionals. In identifying these gaps and issues, possible improvements in relation to coordination and collaborative working within the unit can be implemented. Changes can therefore be implemented in terms of the overall goals, as well as the individual adjustments that each health professional would have to make in order to improve his practice and his collaboration with other health professionals. Aim 2: To improve competency of the regular staff, newly hired staff, trainees, and interns.