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"The ACCELERATE Plus (assessment and communication excellence for safe " by Mark Liu, Susan Whittam et al.

Background: Nurses play an essential role in patient safety. Inadequate nursing physical assessment and communication in handover practices are associated with increased patient deterioration, falls and pressure injuries. Despite internationally implemented rapid response systems, falls and pressure injury reduction strategies, and recommendations to conduct clinical handovers at patients’ bedside, adverse events persist. This trial aims to evaluate the effectiveness, implementation, and cost–benefit of an externally facilitated, nurse-led intervention delivered at the ward level for core physical assessment, structured patient-centred bedside handover and improved multidisciplinary communication. We hypothesise the trial will reduce medical emergency team calls, unplanned intensive care unit admissions, falls and pressure injuries. Methods: A stepped-wedge cluster randomised trial will be conducted over 52 weeks. The intervention consists of a nursing core physical assessment, str ....

New Zealand , Code Blue , Australian New Zealand Clinical Trials Registry , Clinical Handover , Cost Benefit Analysis , Evidence Based Nursing , Implementation Science , Learning Health System , Ultidisciplinary Handover Communication , Nursing Assessment , Patient Safety , Process Evaluation , Randomised Controlled Trial ,

Researchers unveil comprehensive database of published microbial signatures

Researchers unveil comprehensive database of published microbial signatures
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Chloe Mirzayi , Levi Waldron , Ludwig Geistlinger , Computational Biomedicine At Harvard Medical School , Institute For Implementation Science In Population Health , Experimental Factor , Nature Biotechnology , Implementation Science , Population Health , Computational Biomedicine , Harvard Medical , Professor Levi Waldron ,