Journal of the Royal College of Physicians of London
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The protracted civil war in the Sudan has had an immense human and economic cost. The consequent collapse of infrastructure in the south of the country has disrupted the provision of basic health care, and primary health care schemes to eradicate trypanosomiasis and dracunculiasis have been rendered impossible. Operation Lifeline Sudan, an official United Nations umbrella organisation, has been in a unique position to provide long-term medical, agricultural, livestock, fishery and emergency food aid in both government held and rebel held areas over about the past decade.
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J R Coll Physicians Lond · May 1999
Review Practice Guideline GuidelineMaintaining good medical practice. Clinical governance and self regulation for physicians. A report of the Royal College of Physicians.
A high standard of medical practice is a prerequisite of good medical care and clinical governance is the means for ensuring that a high standard is maintained. In February of this year the College issued the following report to its Fellows and Members. The report states unequivocally the College's position on clinical governance and self-regulation and what it expects of individual physicians and their employers in implementing them. Some of the proposals have already been acted upon and are set in train; others will require additional resources and the commitment of the Department of Health and the Trusts.
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J R Coll Physicians Lond · May 1999
Unexpected deaths and referrals to intensive care of patients on general wards. Are some cases potentially avoidable?
(i) To determine the incidence of unexpected deaths occurring on general wards, and whether any were potentially avoidable; (ii) to assess whether the quality of care on general wards prior to admission to intensive care affected subsequent outcome. ⋯ Patients with obvious clinical indicators of acute deterioration can be overlooked or poorly managed on the ward. This may lead to potentially avoidable unexpected deaths or to a poorer eventual outcome following ICU admission. Early recognition and correction of abnormalities may result in outcome benefit, but this requires further investigation.