eLetters

26 e-Letters

published between 2003 and 2006

  • The junior doctor's perspective
    Waheeda Rahman

    Dear Editor

    In response to the recent article in QSHC by A Coulter,[1] as a junior ophthalmic surgeon in training it worries me to see such views expressed as it has seriously detrimental consequences on our training.

    It seems that Ms Coulter is suggesting that only Consultants or very senior, experienced surgeons should be operating on patients and any "junior" member operating would put a patient at ser...

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  • The reality of redesign
    Mark Lubliner

    Dear Editor

    Regarding the article by L Locock,[1] we would like to share our healthcare redesign experiences with you. In recognising that up to 19.4% of all adverse patient events are attributable to medication mishap, Bayside Health Service (Melbourne, Australia) has identified medication safety as a priority.[2-5] A multidisciplinary Drug Management Committee was established to identify systemic factors contr...

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  • Tracking adverse events in randomize control trials the lack of agreement among regulatory instituti
    Luis Manuel Santiago

    Dear Editor

    We need to do a better job of keeping track of potential side effects when designing randomized clinical trials (RCTs). Consider a RCT for a new drug tested for the main, or first order effect, the reduction of hypertension. Power calculations are carried out so that meaningful differences between the drug users and the controls can be detected on this effect. Second order effects, mortality in this case, a...

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  • Prescribing costs of dispensing doctors
    Michael Wilcock

    Dear Editor

    Watkins and colleagues[1] add to the growing literature on the many and varied influences on general practitioner prescribing behaviour and costs.[2,3] They argue, from the results of their analyses, that the dispensing status of the general practitioner is a statistically significant predictor associated with high prescribing costs, though it is unclear from their report exactly how many dispensing pract...

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  • GRiP: did it have an effect?
    Nick A Black

    Dear Editor

    Milne and Hill suggest the 'Getting Research into Practice' programme may have contributed to the decline in surgery for glue ear that we have reported. We cannot, however provide any evidence to support this suggestion. The rate of decline in surgery throughout England was similar to that observed in 13 former health districts in the Oxford/Anglia region. The ratio of change in rates after 1992 over the...

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  • Guidelines can be derived from research into quality programmes
    John A Ovretveit

    Dear Editor

    I would like to thank Dr Checkland for her thoughtful comments on our paper about evaluating quality programmes. I have some sympathy with her views and for the intriguing proposal about research in this area which she makes. I would agree that insufficient attention has been given to how features of organisations described in organisational theory influences how quality programmes are carried throu...

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