Vague, unsure or imprecise?

Trials and tribulations we all have. The not-knowing of the future can create anxiety, distress and an unhealthy desire for chocolate. Some days, knowing what’s for tea can provide the only concrete grounding in an otherwise fluctuant universe. And along with that, the naming of things can sometimes be enlightening. So, for un-knowing, you could […]

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ADCE3 – Nothing seems right

 There are some times when it seems that no decision can be the right decision but doing nothing is as much as a decision as doing something. Admittedly, it’s rare you’re faced with shooting a killer in cold blood to prevent him murdering a not-so-innocent man. But sometimes the triadic nature of paediatric & adolescent […]

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Quality Improvement: Why it’s not turfing the RCT to the long grass

We’ve started to publish a fair few quality improvement reports in the Archives recently, aiming for 1200 words, 5 references and a readable SQUIRE-compliant paper that gets across the key messages about how a #QI project was undertaken. These aren’t trials, don’t have control arms, and may suffer from significant publication bias. (It’s not surprising to […]

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More than numbers: The biology of complex interventions

“Yes” said the slightly cross voice, clearly meaning ‘no’, not ‘yes’ … “Yes, I can see how that might be nice to know, but what we actually care about is ‘does handing out the information sheets actually get the parents to do the right thing?’ ” [A mildly fictionalised account of a research group encounter] Sometimes it’s tricky to […]

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