British journal of nursing (Mark Allen Publishing)
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This article reports the implementation and impact of a standardized systematic evidence-based predictive score for the initial assessment of acutely ill medical patients. The Simple Clinical Score (SCS) was introduced in the A&E department and the medical floor of the authors' hospital between June 2007 and July 2008. ⋯ This article describes the change process, the pilot evaluation and the training programme undertaken during the implementation of the SCS. It is hoped that this experience will be of value to other project teams who are undertaking similar initiatives.
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I have to confess that when the first reports of swine flu started circulating, I did have a strong sense of déjà vu - after all, we've been here before. Back in 2003, the world was under threat from another potentially lethal virus that began in an economically deprived part of the world among animal stocks and briefly (according to some anyway) threatened to turn into a global pandemic--Avian flu.