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Saying 'I'm sorry' at the bedside: when and why should apologies following medical mishaps be protected from legal liability?
Med Law Rev
January 2025
Edinburgh Law School, University of Edinburgh, Edinburgh EH8 9YL, United Kingdom.
Patients harmed by medical mishaps are often driven to litigation because of a lack of apologies and candour rather than a desire for monetary compensation. Despite attempts at clinical negligence reform, patients continue to receive unsatisfactory responses. Physicians have cited fears of legal liability as a key reason for withholding apologies.
View Article and Find Full Text PDFResponse on Rapid Review to Inform Policy Guidance on Welsh Respiratory ECMO Provision.
Semin Cardiothorac Vasc Anesth
March 2025
Adult Critical Care Directorate, Cardiff and Vale University Health Board, Cardiff, UK.
Internationally, extracorporeal membrane oxygenation (ECMO) is now a core and standard organ support tool to provide tertiary critical care and cardiac services within a network of hospitals and a key tool for running an effective and efficient cardio-respiratory pathways. The letter aims to put the spotlight on some of the missing clinical evidence on respiratory ECMO and including them will help to arrive at a better-informed national ECMO policy decision.
View Article and Find Full Text PDFComparison of antibiotic provision associated with acute sore throat symptom management in community pharmacies in Wales and England: a natural policy experiment.
J Antimicrob Chemother
March 2025
Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK.
Background: Acute sore throat is managed in community pharmacies in England and Wales under different clinical pathways: Acute Sore Throat Pharmacy First (ASTPF) and Sore Throat Test and Treat (STTT), respectively. ASTPF launched in 2024 and allows antibiotic supply with FeverPAIN scores 4 and 5. STTT launched in 2018 and allows antibiotic supply with FeverPAIN ≥2 or Centor ≥3, if point-of-care testing confirms presence of group A Streptococcus (GAS).
View Article and Find Full Text PDFLow- and High-Energy Falls With Associated Traumatic Brain Injury: Epidemiology and Outcomes.
Cureus
March 2025
Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York City, USA.
Introduction: Falls are among the most common causes of injuries treated in emergency departments (ED), accounting for approximately 30% of all injury-related ED visits. Falls are also a significant cause of traumatic brain injury (TBI), a fact for individuals across the aging spectrum. Despite an abundance of information on the association between falls and TBI, limited investigation has occurred into the differences in population characteristics and outcomes based on fall energy (low-energy vs.
View Article and Find Full Text PDFProceedings of the National Cancer Institute Workshop on combining immunotherapy with radiotherapy: challenges and opportunities for clinical translation.
Lancet Oncol
March 2025
Fred Hutchinson Cancer Center, University of Washington, Seattle, WA, USA.
Radiotherapy both promotes and antagonises tumour immune recognition. Some clinical studies show improved patient outcomes when immunotherapies are integrated with radiotherapy. Safe, greater than additive, clinical response to the combination is limited to a subset of patients, however, and how radiotherapy can best be combined with immunotherapies remains unclear.
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