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Atrial Fibrillation

Atrial fibrillation (AF) is the most common cardiac arrhythmia. It is rarely a one-time event. Patients who develop AF once tend to be predisposed to developing it again & again. Current research indicates that this is primarily due to a change in the expression of ion channels that is caused by fibrillation (which may be mediated by changes in intracellular …

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Emergency Department Clinical Quality Indicators

Emergency Department Clinical Quality Indicators

The Department of Health introduced five new headline Emergency Department (ED) clinical quality indicators from the 1 April 2011 with three supporting measures. The five headline measures are: Unplanned re-attendance rate – Patients who return to A&E within seven days of the original attendance are classed as an unplanned reattendance if they have not been specifically asked to re-attend. Total …

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Functions, Role and Regulations of Care Quality Commission (CQC)

Functions of Care Quality Commission

CQC is England’s health and social care services regulator. They make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage them to improve. CQC’s principles are to: Put people who use services at the heart of its work Have an open and accessible culture Be independent, rigorous, fair and consistent Work in partnership …

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RCEM Guidelines

RCEM Guidelines

This page contains guidelines and statements produced by the Royal College of Emergency Medicine's Quality in Emergency Care (QEC) committee. All links take you to college site or specific download page. Ebola Guidance EPRR CRG Opinion on emergency care for Ebola (24 October 2014) RCEM Ebola Guidance revised December 2014 RCEM / NPIS Guideline on Antidote Availability for Emergency Departments (Dec 2013) Antidote …

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Critical Appraisal Practice Paper 4 (Diagnostic)

Critical Appraisal Practice Paper 4

Total marks: 23 Time allowed: 90 mins Paper: Mallampati test as a predictor of laryngoscopic view Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2010 Dec;154(4):339-43. 1. Provide a summary / abstract for the paper. (Up to 5 marks) 2. Give three weaknesses of the study design and suggest improvements for these (up to 3 marks) 3. Name one checklist which …

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Quality Checklist for Randomized Clinical Trials

Randomised Controlled Trials

The following are 11 quality checklist to go through when critically appraise RCT's The study population included or focused on those in the ED. The patients were adequately randomised. The randomisation process was concealed. The patients were analysed in the groups to which they were randomised. The study patients were recruited consecutively (i.e. no selection bias). The patients in both …

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