An increase in appraisal costs in a quality improvement program would usually have the following initial effects on internal and external failure costs: 
Definitions:
Cervix
The lower part of the uterus that connects to the vagina and can play a significant role in reproduction and sexual health.
Uterine Fibroids
Noncancerous growths in the uterus that can cause pain, heavy menstrual bleeding, and other symptoms in women.
Obesity
A medical condition characterized by the accumulation of excess body fat to the extent that it may have a negative effect on health, leading to increased risks of various diseases and health problems.
Sudden Unexpected
Events or occurrences that take place without warning and are unforeseen or unanticipated.
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