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Found 231 results
  1. Content Article
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    Clinical trials run in the UK will be automatically registered from 2022, the country’s Health Research Authority has announced. The new system seeks to ensure that every single clinical trial with be listed on a trial registry from the outset. UK researchers have been formally required to register trials since 2013, but that rule was never enforced, and many trials remained unregistered. Trial registration is a key pillar of clinical trial transparency. It helps scientists to gain an overview of who is currently researching which treatments, preventing needless duplication of medica
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    Highlights Awareness of unintended consequences can help to balance a promissory discourse of digital health. Digital health technologies can disrupt power relations and lead to paradoxical outcomes. When digital health technologies fail staff can develop a general pessimism about innovations. When planning digital health technologies the ‘dark logic’ should be considered as well as to the potential. Accounts of unintended consequences make engaging stories for reflective, learning organisations.
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    Medication delays can risk life-threatening complications for patients with Parkinson's disease, including choking, aspiration pneumonia and neuroleptic malignant syndrome. In 2016, the spouse of a patient with Parkinson's disease wrote to LTHT to highlight that multiple medication delays and omissions had occurred during his recent admission. In response, LTHT formed a multidisciplinary quality improvement Collaborative to ensure patients with Parkinson's disease received their medication on time. Thanks to the project, between January 2016 and June 2020: mean delays in the time
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    The latest edition of the Wolters Kluwer Journal of Patient Safety has just been published. Original studies include: Is There a Mismatch Between the Perspectives of Patients and Regulators on Healthcare Quality? A Survey Study The Ideal Hospital Discharge Summary: A Survey of U.S. Physicians Impact of an Original Methodological Tool on the Identification of Corrective and Preventive Actions After Root Cause Analysis of Adverse Events in Health Care Facilities: Results of a Randomized Controlled Trial Detach Yourself: The Positive Effect of Psychological Detachme
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    The country’s largest clinical study is being launched in Greater Manchester to investigate the best gap between first and second Covid-19 vaccine doses for pregnant women. Led by St George’s, University of London, the Preg-CoV study will provide vital clinical trial data on the immune response to vaccination at different dose intervals – either four to six weeks or eight to 12 weeks. This data will help determine the best dosage interval and reveal more about how the vaccine works to protect pregnant mothers and their babies against Covid-19. Pregnant women are more likely to develo
  21. News Article
    New commentary interprets the data published in the national patient safety incident reports (NaPSIR) for England in September 2021. Access the commentary here (PDF, 20 pages)
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    Safety clutter is the accumulation of safety procedures, documents, roles, and activities that are performed in the name of safety, but do not contribute to the safety of operations. Safety clutter is a problem because of the opportunity cost of ineffective activity, because clutter results in cynicism and ‘surface compliance,’ and because clutter can hamper innovation and get in the way of getting work done. The authors of this paper identify three main mechanisms that generate clutter: duplication, generalisation, and over-specification of safety activities. These mechanisms in turn are
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