3 e-Letters

published between 2007 and 2010

  • Reducing Complications of Central Venous Catheter Insertion
    Ros MacLeod

    Most Intensive Care Units (ICU) collect comprehensive data relating to patient demographics, diagnoses and complications and some use this information to benchmark and guide quality improvement activities aimed at improving patient outcomes and reducing iatrogenic complications. Ayas et. al. are to be commended for using routine information they collect in an attempt to identify trends and possible contributing factors t...

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  • Empowering the patients in patient safety program
    Rizaldy Pinzon

    It has been well recognized internationally that hospitals are not as safe as they should be. In order to redress this situation, health care services around the world have turned their attention to strategically implementing robust patient safety and quality care program to identify circumstances that put patients at risk of harm and then acting to prevent or control those risks In my hospital the patient safety program h...

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  • Randomized trials are necessary in quality improvement
    Per Winkel

    Recently Neuhauser and Dias raised an important question [1]: are randomised clinical trials (RCT) necessary in quality improvement?

    They conclude that “RCTs need to be embedded in generalized replicatable theory. Otherwise it is a scientific house without foundation” and argue that RCTs comparing drugs cannot be replicated for two reasons: (1) after a decade or two the control arm has changed and (2) replicati...

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