The BMJ: Leading Medical Research, News, Education, Opinion
WebHigh impact medical journal. Champion of better research, clinical practice & healthcare policy since 1840. For GPs, hospital doctors, educators, policymakers.
Management of pneumonia in critically ill patients | The BMJ
WebDec 6, 2021 · Severe pneumonia is associated with high mortality (short and long term), as well as pulmonary and extrapulmonary complications. Appropriate diagnosis and early initiation of adequate antimicrobial treatment for severe pneumonia are crucial in improving survival among critically ill patients. Identifying the underlying causative pathogen is also critical for antimicrobial stewardship. However ...
Delayed discharge: how are services and patients being affected?
WebJan 17, 2022 · As NHS hospitals in England contend with covid and winter illnesses, many are trying to free up capacity by clearing beds of patients who are fit for discharge. Matthew Limb looks at the challenges they face The latest figures, from 9 January 2022, show that NHS hospitals in England had 17 303 patients who no longer met the “criteria to reside.” Of these, 4907 were discharged, leaving 12 ...
Quality improvement into practice | The BMJ
WebMar 31, 2020 · Definitions of quality improvement. Improvement in patient outcomes, system performance, and professional development that results from a combined, multidisciplinary approach in how change is delivered. 3. The delivery of healthcare with improved outcomes and lower cost through continuous redesigning of work processes and systems. 4.
Essential tremor: diagnosis and management | The BMJ
WebAug 5, 2019 · Essential tremor is one of the most common movement disorders in adults and can affect both children and adults. An updated consensus statement in 2018 redefined essential tremor as an isolated action tremor present in bilateral upper extremities for at least three years. Tremor may also be present in other locations, commonly the neck or the vocal cords. Patients with additional neurologic ...
Virology, transmission, and pathogenesis of SARS-CoV-2 | The BMJ
WebOct 23, 2020 · SARS-CoV-2 is an enveloped β-coronavirus, with a genetic sequence very similar to SARS-CoV-1 (80%) and bat coronavirus RaTG13 (96.2%). 2 The viral envelope is coated by spike (S) glycoprotein, envelope (E), and membrane (M) proteins ( fig 1 ). Host cell binding and entry are mediated by the S protein. The first step in infection is virus ...
How to get started in quality improvement | The BMJ
WebJan 17, 2019 · The first step is to recruit your improvement team. Start with colleagues and patients, 32 but also try to bring in people from other professions, including non-clinical staff. You need a blend of skills and perspectives in your team. Find a colleague experienced in quality improvement who is willing to mentor or supervise you.
Corticosteroids for sore throat: a clinical practice guideline
WebSep 20, 2017 · What is the role of a single dose of oral corticosteroids for those with acute sore throat? Using the GRADE framework according to the BMJ Rapid Recommendation process, an expert panel make a weak recommendation in favour of corticosteroid use. The panel produced these recommendations based on a linked systematic review triggered by a large randomised trial published in April 2017.
Covid-19 vaccination hesitancy | The BMJ
WebMay 20, 2021 · ### What you need to know Rollout of covid-19 vaccination is well underway, with more than 700 million doses given worldwide as of April 2021.1 Vaccination is highly effective at reducing severe illness and death from covid-19. Vaccines for covid-19 are also safe, with extremely low risks of severe adverse events.234 A major threat to the impact of vaccination in preventing disease and death ...
Health equity in England: the Marmot review 10 years on
WebFeb 25, 2020 · Ten years after the landmark review on health inequalities in England, coauthor Michael Marmot says the situation has become worse Britain has lost a decade. And it shows. Health, as measured by life expectancy, has stopped improving, and health inequalities are growing wider. Improvement in life expectancy, from the end of the 19th century on, started slowing dramatically in 2011. Now in ...
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