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However, in facilities that implement targeted staff training and utilize standardized toolkits, compliance routinely jumps to 75% to 85%, and can even reach 90% to 98% with continuous reinforcement and strict auditingshowing the highest adherence rates during high-stakes night shifts, ICU handovers, and emergency room transitions

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NICE and NHS guidance does not include it as a recommended treatment, unlike licensed options such as topical minoxidil and finasteride