Delivery of evidence-based critical care practices across the United Kingdom: A UK-wide multi-site service evaluation in adult units.

Background: The ICU Liberation Bundle was developed to improve outcomes for patients admitted to critical care. Despite a lack of Bundle adoption in the UK, the individual evidence-based practices (EBPs) within the bundle are defined as standards of care by the UK Intensive Care Society. There are limited data on the delivery of these EBPs.

Primary care strategies to improve childhood immunisation uptake in developed countries: systematic review.

Objectives: To conduct a systematic review of strategies to optimize immunisation uptake within preschool children in developed countries.

Design: Systematic review.

Setting: Developed countries

Participants: Preschool children who were due, or overdue, one or more of their routine primary immunisations.

The WHO patient safety curriculum guide for medical schools.

Background: The urgent need for patient safety education for healthcare students has been recognised by many accreditation bodies, but to date there has been sporadic attention to undergraduate/graduate medical programmes. Medical students themselves have identified quality and safety of care as an important area of instruction; as future doctors and healthcare leaders, they must be prepared to practise safe healthcare. Medical education has yet to fully embrace patient safety concepts and principles into existing medical curricula.

What have we learned about interventions to reduce medical errors?

Medical errors and adverse events are now recognized as major threats to both individual and public health worldwide. This review provides a broad perspective on major effective, established, or promising strategies to reduce medical errors and harm. Initiatives to improve safety can be conceptualized as a "safety onion" with layers of protection, depending on their degree of remove from the patient.

Gender as a moderator of memory after traumatic brain injury in children.

Objective: To explore the possibility that gender has a moderating effect on memory after pediatric traumatic brain injury (TBI).

Design: Controlled group study. Gender effects between and within groups were evaluated by means of effect size comparisons and hierarchical regression analysis.

Generalizability of sensory and motor tests.

Differences between practitioners in the selection of tests of specific pathognomonic sensory and motor signs, administration procedures, and scoring criteria have resulted in inconsistencies that have confounded attempts to study the incidence and patterns of deficits. Tests of sensory-motor functioning have been standardized in the Dean-Woodcock Sensory-Motor Battery (D-WSMB; Dean and Woodcock, in preparation). This study used the D-WSMB to: (a) estimate the point-prevalence of pathognomonic signs in a normal adult; (b) identify items with difficulty levels likely to result in overidentification of abnormality; (c) estimate the interrater agreement and reliability for items; and (d) identify tests most vulnerable to subjective interpretation.