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Unlucky numbers: Fighting murder convictions that rest on shoddy stats
LEIDEN, THE NETHERLANDS— When a Dutch nurse named Lucia de Berk stood trial for serial murder in 2003, statistician Richard Gill was aware of the case. But he saw no reason to stick his nose into it. De Berk was a pediatric nurse at Juliana Children’s Hospital in The Hague. In 2001, after a baby died while she was on duty, a colleague told superiors that De Berk had been present at a suspiciously high number of deaths and resuscitations. Hospital staff immediately informed the police. When investigators reexamined records from De Berk’s shifts, they found 10 suspicious incidents. Three other hospitals where D...
Source: Science of Aging Knowledge Environment - January 19, 2023 Category: Geriatrics Source Type: research

Workload and workflow implications associated with the use of electronic clinical decision support tools used by health professionals in general practice: a scoping review
CONCLUSIONS: The published literature on the impact of eCDS tools in general practice showed that limited efforts have focused on investigating the impact of such tools on workload and workflow. To gain an understanding of this area, further research, including quantitative measurement of consultation durations, would be useful to inform the future design and implementation of eCDS tools.PMID:36670354 | DOI:10.1186/s12875-023-01973-2
Source: Primary Care - January 20, 2023 Category: Primary Care Authors: Emily Fletcher Alex Burns Bianca Wiering Deepthi Lavu Elizabeth Shephard Willie Hamilton John L Campbell Gary Abel Source Type: research

Searching for the right evidence: how to answer your clinical questions using the 6S hierarchy
Asking and answering clinical questions during daily practice can be challenging and time consuming. Knowing the resources available to answer a specific clinical question can lead to a more efficient and effective search strategy and thus, to a more applicable answer based on the levels of evidence available. This primer reviews how to search for the right evidence using a specified hierarchy and provides examples of pre-appraised resources with corresponding websites to help with your search. Introduction The readers of our journal most likely have busy clinical, administrative and/or teaching roles. As such, time is of ...
Source: Evidence-Based Medicine - May 15, 2013 Category: Internal Medicine Authors: Windish, D. Tags: Patients, Editor's choice, General practice / family medicine Primer Source Type: research

High salt levels in soluble drugs may raise heart risk
Conclusion This large case control study suggested that people who had experienced disease of the heart and blood vessels were more likely to have taken sodium-containing medicines than people without cardiovascular disease. Put in other words this can be interpreted that people who took sodium-containing medicines were at a higher risk of experiencing cardiovascular disease than people who took the same medications in formulations free of sodium. The increased risk appeared to be driven mostly by an increased risk of hypertension and to a lesser extent, non-fatal stroke. The study has some strengths including its large s...
Source: NHS News Feed - November 27, 2013 Category: Consumer Health News Tags: Heart/lungs Medication Medical practice Source Type: news

Questions about complementary and alternative medicine to the Regional Medicines Information and Pharmacovigilance Centres in Norway (RELIS): a descriptive pilot study
Background: Provision of clinically relevant information about complementary and alternative medicine (CAM) to health care professionals is not well described. The aim of the study was to assess questions about CAM to the Regional Medicines Information and Pharmacovigilance Centres in Norway (RELIS). Methods: All question-answers pairs (QAPs) in the RELIS database indexed with alternative medicine from 2005-2010 constituted the study material. A randomly selected sample of 100 QAPs was characterized with regard to type of question (category, patient-specific or general), occupation and workplace of enquirer, the type of in...
Source: BMC Complementary and Alternative Medicine - February 14, 2014 Category: Complementary Medicine Authors: Jan SchjøttHilde Erdal Source Type: research

The effectiveness of recruitment strategies on general practitioner's survey response rates - a systematic review
Conclusions: GP survey response rates may improve by using the following strategies: monetary and nonmonetary incentives, larger incentives, upfront monetary incentives, postal surveys, pre-contact with a phonecall from a peer, personalised packages, sending mail on Friday, and using registered mail. Mail pre-contact may also improve response rates and have low costs. Improved reporting and further trials, including sequential mixed mode trials and social media, are required to determine the effectiveness of recruitment strategies on GPs' response rates to surveys.
Source: BMC Medical Research Methodology - Latest articles - June 6, 2014 Category: Research Authors: Sabrina PitTham VoSagun Pyakurel Source Type: research

The effectiveness of recruitment strategies on general practitioner¿s survey response rates ¿ a systematic review
Conclusions: GP survey response rates may improve by using the following strategies: monetary and nonmonetary incentives, larger incentives, upfront monetary incentives, postal surveys, pre-contact with a phonecall from a peer, personalised packages, sending mail on Friday, and using registered mail. Mail pre-contact may also improve response rates and have low costs. Improved reporting and further trials, including sequential mixed mode trials and social media, are required to determine the effectiveness of recruitment strategies on GPs' response rates to surveys.
Source: BMC Medical Research Methodology - Latest articles - June 6, 2014 Category: Research Authors: Sabrina PitTham VoSagun Pyakurel Source Type: research

The road ahead for #FOAMed
This is a guest post written by Aidan Baron, aka @ALittleMedic, student-prehospitalist, one of the youngest FOAMers around and author of The Little Medic’s BlogExplosive growth. Ever increasing content. Trailblazing innovations. FOAM is undoubtedly going places: the question is, where?What does the future hold for the FOAM movement?Only time will tellAnd that’s the most exciting part.Our FOAM world has come a very long way, though there are still challenges ahead.There is an inherent risk of information overload, the ongoing process of developing a distinct identity and a steady stream of critiques; ranging from re...
Source: Life in the Fast Lane - December 12, 2014 Category: Emergency Medicine Authors: Chris Nickson Tags: Education aidan baron content consolidation delivering diversity FOAM FOAMed information overload quality sourcing quality Source Type: blogs

Prevalence of group A streptococcal disease in North and Sub-Saharan Africa: a systematic review protocol
Introduction The true burden of group A streptococcal (GAS) disease in Africa is not known. GAS is a significant cause of mortality and morbidity on the global scale and in developing countries. According to Carapetis et al, the prevalence of severe GAS disease is at least 18.1 million cases with an incidence of at least 1.78 million cases per year. Methods and analyses We aim to provide a systematic review of studies measuring the prevalence of GAS infection among people in North and Sub-Saharan African countries. A comprehensive literature search of a number of databases will be undertaken, using an African search filte...
Source: BMJ Open - August 27, 2015 Category: Journals (General) Authors: Barth, D. D., Mayosi, B. M., Jabar, A., Engel, M. E. Tags: Open access, Epidemiology, General practice / Family practice, Infectious diseases, Public health Protocol Source Type: research

Costs, effects and implementation of routine data emergency admission risk prediction models in primary care for patients with, or at risk of, chronic conditions: a systematic review protocol
Introduction Emergency admission risk prediction models are increasingly used to identify patients, typically with one or more chronic conditions, for proactive management in primary care to avoid admissions, save costs and improve patient experience. Aim To identify and review the published evidence on the costs, effects and implementation of emergency admission risk prediction models in primary care for patients with, or at risk of, chronic conditions. Methods We shall search for studies of healthcare interventions using routine data-generated emergency admission risk models. We shall report: the effects on emergency a...
Source: BMJ Open - March 1, 2016 Category: Journals (General) Authors: Kingston, M. R., Evans, B. A., Nelson, K., Hutchings, H., Russell, I., Snooks, H. Tags: Open access, Epidemiology, General practice / Family practice, Health informatics, Health services research, Public health Protocol Source Type: research

Interventions to prevent or reduce the level of frailty in community-dwelling older adults: a protocol for a scoping review of the literature and international policies
Introduction With ageing comes increased vulnerability such that older adults’ ability to recover from acute illnesses, fall-related injuries and other stresses related to the physical ageing processes declines. This increased vulnerability, also known as frailty, is common in older adults and associated with increased healthcare service use and adverse health outcomes. Currently, there is no overview of available interventions to prevent or reduce the level of frailty (as defined by study's authors) which will help healthcare providers in community settings caring for older adults. We will address this gap by review...
Source: BMJ Open - March 2, 2016 Category: Journals (General) Authors: Puts, M. T. E., Toubasi, S., Atkinson, E., Ayala, A. P., Andrew, M., Ashe, M. C., Bergman, H., Ploeg, J., McGilton, K. S. Tags: Open access, Epidemiology, General practice / Family practice, Geriatric medicine Protocol Source Type: research

Nursing competency standards in primary health care: an integrative review
ConclusionGiven the potential value of competency standards, further work is required to develop and test robust standards that can communicate the skills and knowledge required of nurses working in primary health care settings to policy makers, employers, other health professionals and consumers. Relevance to clinical practiceCompetency standards are important tools for communicating the role of nurses to consumers and other health professionals, as well as defining this role for employers, policy makers and educators. Understanding the content of competency standards internationally is an important step to understanding ...
Source: Journal of Clinical Nursing - March 18, 2016 Category: Nursing Authors: Elizabeth Halcomb, Moira Stephens, Julianne Bryce, Elizabeth Foley, Christine Ashley Tags: Review Source Type: research

Making decisions at the end of life when caring for a person with dementia: a literature review to explore the potential use of heuristics in difficult decision-making
Conclusions The use of heuristics in palliative or end of life dementia care is not described in the research literature. However, this review identified important decision-making principles, which are largely a reflection of expert opinion. These principles may have the potential to be developed into simple heuristics that could be used in practice.
Source: BMJ Open - July 18, 2016 Category: Journals (General) Authors: Mathew, R., Davies, N., Manthorpe, J., Iliffe, S. Tags: Open access, General practice / Family practice, Geriatric medicine, Mental health, Palliative care Research Source Type: research

Investigating the epidemiology of medication errors and error-related adverse drug events (ADEs) in primary care, ambulatory care and home settings: a systematic review protocol
Introduction There is a need to better understand the epidemiology of medication errors and error-related adverse events in community care contexts. Methods and analysis We will systematically search the following databases: Cumulative Index to Nursing and Allied Health Literature (CINAHL), EMBASE, Eastern Mediterranean Regional Office of the WHO (EMRO), MEDLINE, PsycINFO and Web of Science. In addition, we will search Google Scholar and contact an international panel of experts to search for unpublished and in progress work. The searches will cover the time period January 1990–December 2015 and will yield data on t...
Source: BMJ Open - August 30, 2016 Category: Journals (General) Authors: Assiri, G. A., Grant, L., Aljadhey, H., Sheikh, A. Tags: Open access, Epidemiology, General practice / Family practice, Pharmacology and therapeutics, Public health Protocol Source Type: research