Patient experience feedback in UK hospitals: What types are available and what are their potential roles in quality improvement (QI)?: The comparative uses of different types of patient experience (PE) feedback as data within quality improvement (QI) are poorly understood. This paper reviews what types...
Source: wiley.com
Change in clinical practice is slow even when it is obvious change should occur. Changing to a generic drug took 8 months and it was 18 months for adopting a guideline on UTI. "Substantial variation was observed in the speed with which individual NHS general practices responded to warranted changes...
Source: bmj.com
Lift Weight, Not Too Much, Most of the Days. “Greasing the groove, as Tsatsouline explains it, means not working your muscles to the point of failure. A common idea in weightlifting is that you should lift until you can’t do another rep, purposely damaging muscle tissues so they grow back bigger....
Source: theatlantic.com
A Gentle Introduction to Joint, Marginal, and Conditional Probability: Probability quantifies the uncertainty of the outcomes of a random variable. It is relatively easy to understand and compute the probability for a single variable. Nevertheless, in machine learning, we often have many random variables...
Source: machinelearningmastery.com
Are there automation-resistant intelligences? The question we all want to ask is 'will my job be taken over by a robot?' "Our model predicts that most workers in transportation and logistics occupations, together with the bulk of office and administrative support workers, and labour in production occupations,...
Source: ox.ac.uk
Training medical students to manage difficult circumstances- a curriculum for resilience and resourcefulness?: In response to the growing prevalence of physical and emotional burnout amongst medical students and practicing physicians, we sought to find a new methodology to scope a five-year undergraduate...
Source: biomedcentral.com
The AI That Could Help Curb Youth Suicide: For many reasons, parents and teachers may fail to intervene when they spot signs of trouble in LGBT teens. Can Google help?
Source: theatlantic.com
Development of new antibiotics encouraged with new pharmaceutical payment system: The NHS will test the world's first ‘subscription’ style payment model to incentivise pharmaceutical companies to develop new drugs for resistant infections.
"The new trial will be led by the National Institute for...
Source: www.gov.uk
Rural Life in the past Was a Battle for Survival: People in preindustrial Europe generally lived a miserable, handtomouth existence which would be foolish to romanticize.
Source: humanprogress.org
Phrases of the day: selective exposure, selective perception, principles knowledge, vicarious trial, change agent, and cue-to-action. I’ve been reading Everett Rogers’ book Diffusion of Innovations with a ‘learning lens’ on. I’m fascinated that the adoption of innovations is so analogous to...
Source: amazon.co.uk
The 3 Reasons the U.S. Health-Care System Is the Worst: The head of the Commonwealth Fund, which compares the health systems of developed nations, pinpoints why American health care is so expensive and inefficient.
Source: theatlantic.com
Clopidogrel and Aspirin in Acute Ischemic Stroke and High-Risk TIA | NEJM: Abstract Background Combination antiplatelet therapy with clopidogrel and aspirin may reduce the rate of recurrent stroke during the first 3 months after a minor ischemic stroke or transient ischemic attack (TIA). A trial of combination...
Source: nejm.org
Early phase drug trial claims a breakthrough in Huntington disease. IONIS-HTT is an antisense "gene-silencing" compound, injected in to CSF and designed to reduce the production of all forms of the huntingtin (HTT) protein, which in its mutated variant (mHTT) is responsible for Huntington's Disease....
Source: reuters.com
What to Do When a Patient Has a 'Do Not Resuscitate' Tattoo: “We’ve always joked about this, but holy crap, this man actually did it.” This is a good account in The Atlantic and highlights the ethical debate about consent. Many doctor and medico-legal comments have been circulating on social media...
Source: theatlantic.com
Oral anticoagulants for prevention of stroke in atrial fibrillation: systematic review, network meta-analysis, and cost effectiveness analysis: Objective To compare the efficacy, safety, and cost effectiveness of direct acting oral anticoagulants (DOACs) for patients with atrial fibrillation.
Design...
Source: bmj.com
A model for the use of blended learning in large group teaching sessions: Although blended learning has the potential to enhance the student experience, both in terms of engagement and flexibility, it can be difficult to effectively restructure existing courses. To achieve these goals for an introductory...
Source: biomedcentral.com
Q&A: 'A chicken worth eating tastes like a chicken that had a life worth living': Maryn McKenna, author of Big Chicken, tells Lucy Rock how antibiotics created modern agriculture, changed the way we eat and gave rise to deadly superbugs
Source: theguardian.com
Testing blood procalcitonin levels to decide when to start and stop antibiotics in adults with acute respiratory tract infections | Cochrane
Source: cochrane.org
What If Everyone Ate Beans Instead of Beef?: What can an individual do about climate change? One dietary change could go a long way.
Source: theatlantic.com
NICE right to advise against antibiotics for most ear infections
Source: rcgp.org.uk