NHS Resolution can help healthcare organisations deal with performance concerns
Rimmer’s article about supporting a colleague who is the subject of a formal investigation was…
Category: BMJ
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Synthesis without meta-analysis (SWiM) in systematic reviews: reporting guideline
Summary pointsSystematic reviews of health related interventions often use alternative methods of synthesis to meta-analysis…
Complaints: only 38% of hospitals in England report any action taken in response
Just over a third (38%) of NHS hospitals in England reported on any action taken…
Seven days in medicine: 8-14 Jan 2020
Emergency careNHS saw record low performance in DecemberEmergency departments in England experienced another record low…
NHS trust turned to mediation to calm tensions between paediatric urology consultants
Bosses at London’s Great Ormond Street Hospital have said that “successful mediation,” an away day,…
Shared decision making: doctors have expertise that patients want or need
The basic problem with shared decision making is that it has always been a matter…
Bad publicity prompts US medical centers to take corrective action
Several US medical centers that were named and shamed last week in this year’s “Shkreli…
Would decriminalising personal use of cannabis lead to higher rates of mental illness?
Yes—Bobby Smyth, Mary Cannon, Andrew MolodynskiHere we consider two main questions. Firstly, does cannabis use…
“Supported decision making” is a better term for emphasising doctors’ role
Why has progress in shared decision making been so slow?1 The clue is in the…
Shared decision making: improving doctor-patient communication
Maskrey asks why progress in shared decision making has been slow.1 Medicine has ignored insights…
Doctors slam “unacceptable” move after hospital asks clinicians to discharge patients early
Medical leaders have warned that doctors and patients are being placed at risk after it…
Planned earlier delivery for late pre-eclampsia may be better for mothers
The studyChappell LC, Brocklehurst P, Green ME, et al. Planned early delivery or expectant management…
Should we be worried about the NHS selling patient data?
Who owns the NHS’s patient data?There may be no meaningful answer to this. “Legally, there…
Post-discharge acute care and outcomes following readmission reduction initiatives: national retrospective cohort study of Medicare beneficiaries in the United States
AbstractObjectivesTo determine whether patients discharged after hospital admissions for conditions covered by national readmission programs…
The search for better vaccines against TB
Tuberculosis (TB) now causes more deaths than any other infectious disease, including AIDS and malaria,…
Is there a place for intra-articular corticosteroid injections in the treatment of knee osteoarthritis?
What you need to knowIntra-articular corticosteroid injections possibly improve pain and function in the short…
David Oliver: Handling complaints with realism and fairness to staff
From the launch of Channel 4 television in 1982, a programme called Right to Reply…
Northern Ireland nurses strike over safe staffing and pay parity
bmj;368/jan14_11/m145/FAF1faPaul Faith/Getty ImagesNurses and other healthcare workers in Northern Ireland have been taking strike action…
Sixty seconds on . . . London throat
Is that like a London accent?No. “London throat” actually refers to a health condition.Does it…
CQC review raises “serious concerns” over private provider running 113 mental health facilities
Staff working at mental health and adult social care services run by private provider Cygnet…
Sepsis recognition algorithms add to the toxic NHS working environment
Morgan and Majeed’s article raises valid points about the potential overdiagnosis of sepsis but ignores…
True candour about mistakes means full disclosure of system failures
I agree with Maskell that we should be honest and volunteer all information to people…
Peter Betts: saved many normal short children from unnecessary growth hormone treatment
bmj;368/jan14_6/m116/FAF1faPeter Betts undertook his paediatric training in Birmingham at a time when the many current…
Gender reassignment: High Court to say whether NHS guidance on hormone blockers can be legally challenged
The High Court in London has been asked to give the go ahead for a…
What do I need to do to become a consultant?
“Do some groundwork before you start”David Oliver, consultant in geriatrics and acute general medicine“My tips…
Could implanted medical devices be hacked?
“Many implantable devices, probably virtually all of them, have some sort of security vulnerability or…
Rammya Mathew: Why are doctors so unhappy?
I’ve always been curious as to why so few doctors recommend a career in medicine….
The patient who reports a drug allergy
What you need to knowNon-immunological adverse drug reactions are often incorrectly labelled “drug allergy”Unnecessarily labelling…
Inclisiran: UK to roll out new cholesterol lowering drug from next year
The UK government is to launch a major clinical trial of the novel cholesterol lowering…
Resistant behaviour in dementia might be due to hearing loss
Cook and colleagues summarise many deficiencies in the care of people with dementia but do…
Religion and spirituality in medicine: friend or foe?
bmj;368/jan13_7/m106/FAF1faIn December 2019 I attended a symposium in the Vatican on religion and medical ethics,…
Precocious puberty
What you need to knowThelarche and increased growth velocity before age 8 in girls and…
Release arrangements for immigration detainees are medically unsafe
NHS England now requires that prisoners must be registered with a general practitioner before their…
Paediatricians should talk to families about reducing exposure and contribution to air pollution
Paediatricians and other health professionals should talk to patients and families about how they can…
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Prostate cancer: only one in four men with metastatic disease gets recommended chemotherapy
A national audit shows that only one in four men with advanced prostate cancer receives…
US drug companies pledge to keep price rises “reasonable” as legislators try to rein in costs
Leaders in the pharmaceutical and biotechnology industries have signed a commitment to pricing that enables…
Gabapentinoids: has reclassification really solved the problem?
In October 2018, the UK government announced that it would be reclassifying gabapentin and pregabalin1—known…
Eva Raik
bmj;368/jan10_10/m91/FAF1faBorn in Prague, Eva Raik graduated from the Medical School of Sydney University in 1959….
John Bernard Michael Roberts
bmj;368/jan10_9/m44/FAF1faA Leeds graduate, John Bernard Michael Roberts (“Michael”) started work at Leeds General Infirmary. There…
Helen Salisbury: When is a consultation not a consultation?
“Why has this patient come to see me?” This is a question every doctor asks…
Elwyn Tudor Jones
bmj;368/jan10_7/m47/FAF1faElwyn Tudor Jones was a GP in rural north Wales for 30 years. During this…
Anthony Edgar Steel
bmj;368/jan10_6/m46/FAF1faAnthony Edgar Steel trained in London and held various positions, mainly at Hammersmith Hospital. In…
Calum Og MacRae
bmj;368/jan10_5/m48/FAF1faCalum Og MacRae originally intended a career in obstetrics but took over his uncle’s general…
Ernest Herbert Jellinek
bmj;368/jan10_4/m45/FAF1faFor generations of Edinburgh physicians, the answer to a complex neurological problem was to seek…
Alfred Myer (John) Burnford
bmj;368/jan10_3/m43/FAF1faAlfred Myer Burnford (“John”) was born in New Zealand. He was a month short of…
Clinicians prescribe antibiotics for childhood respiratory tract infection based on assessment, rather than parental expectation
The studyCabral C, Horwood J, Symonds J, et al. Understanding the influence of parent-clinician communication…
Life as a physician in general internal medicine
General internal medicine is mainly a hospital inpatient specialty, with some outpatient work in rapid…
UHC and climate provide rebels with a cause
Tedros Adhanom Ghebreyesus, the first African head of the World Health Organization, experienced universal health…
Health research is facing a “crisis” and must be protected, academy warns
Prominent NHS and academic leaders have warned that health research is facing a crisis that…
Tribunal must reconsider case of academic suspended for failing to declare private work, judge rules
A High Court judge has sent the case of a professor who undertook private work…