Clin Med
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The NHS is arguably entering its most challenging era. It is being asked to do more for less and, in parallel, a cultural shift in response to its described weaknesses has been prescribed. ⋯ Identification of leaders within the workforce and dissemination of a purposeful and strategic quality improvement agenda, in part defined by the general workforce, are important components in establishing the change that the organisation currently requires. We are implementing this approach locally by identifying and developing grassroots networks linked to a portfolio of safety and quality projects.
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Clinical decision support systems are interactive software systems designed to help clinicians with decision-making tasks, such as determining a diagnosis or recommending a treatment for a patient. Clinical decision support systems are a widely researched topic in the computer science community, but their inner workings are less well understood by, and known to, clinicians. ⋯ It also describes some of the challenges to implementing these systems in clinical environments and posits some reasons for the limited adoption of decision-support systems in practice. It aims to engage clinicians in the development of decision support systems that can meaningfully help with their decision-making tasks and to open a discussion about the future of automated clinical decision support as a part of healthcare delivery.
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The abuse of adults who are vulnerable or at risk is an important cause of harm to patients. Doctors have a duty to act on concerns about abuse and to seek to protect those in need. We discuss two case examples of how abuse can present in a general hospital setting and use these to consider the steps clinicians should take in the interests of patients. We also describe definitions in relation to safeguarding adults and illustrate principles with which to approach safeguarding practice.
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The possibility for one generation to eradicate a disease is very motivating. It is also very difficult. ⋯ The early stages of a well-planned eradication campaign generally go well; it is the last stage where technical, biological, social and political problems occur. This paper considers the opportunities and pitfalls in planning for eradication of a disease.