NHS Tayside Assurance and Advisory Group : third progress report

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NHS Scotland redesign of urgent care - second national staging report : April – September 2021

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Improving Health and Social Care Service - Resilience over Public Holidays : The Public Holiday Review Report

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Examining the role of Scotland’s telephone advice service (NHS 24) for managing health in the community : analysis of routinely collected NHS 24 data

Date of Acceptance: 15/06/2015 Funding This work was supported by the Chief Scientist Office, ScottishExecutive (grant no. CZH/4/692). Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.Peer reviewedPublisher PD

Protocol for the effective feedback to improve primary care prescribing safety (EFIPPS) study : a cluster randomised controlled trial using ePrescribing data

High-risk prescribing in primary care is common and causes considerable harm. Feedback interventions to improve care are attractive because they are relatively cheap to widely implement. There is good evidence that feedback has small to moderate effects, but the most recent Cochrane review called for more high-quality, large trials that explicitly test different forms of feedback. The study is a three-arm cluster-randomised trial with general practices being randomised and outcomes measured at patient level. 262 practices in three Scottish Health Board areas have been randomised (94% of all possible practices). The two active arms receive different forms of prescribing safety data feedback, with rates of high-risk prescribing compared with a ‘usual care’ arm. Sample size estimation used baseline data from participating practices. With 85 practices randomised to each arm, then there is 93% power to detect a 25% difference in the percentage of high-risk prescribing (from 6.1% to 4.5%) between the usual care arm and each intervention arm. The primary outcome is a composite of six high-risk prescribing measures (antipsychotic prescribing to people aged ≥75 years; non-steroidal anti-inflammatory drug (NSAID) prescribing to people aged ≥75 without gastroprotection; NSAID prescribing to people prescribed aspirin/clopidogrel without gastroprotection; NSAID prescribing to people prescribed an ACE inhibitor/angiotensin receptor blocker and a diuretic; NSAID prescription to people prescribed an oral anticoagulant without gastroprotection; aspirin/clopidogrel prescription to people prescribed an oral anticoagulant without gastroprotection). The primary analysis will use multilevel modelling to account for repeated measurement of outcomes in patients clustered within practices. The study was reviewed and approved by the NHS Tayside Committee on Medical Research Ethics B (11/ES/0001). The study will be disseminated via a final report to the funder with a publicly available research summary, and peer reviewed publications

NHS Tayside Assurance and Advisory Group : staging report of findings and recommendations

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The Fanciest Dive

Clear Water Dives is an expatriate-owned Dive Resort located off the coast of Central America. This case study provides students with an opportunity to assume the role of the new resort owners who are in the process of undertaking a strategic audit of the external factors that will be influential on the resort’s operations in the next five years. With an emphasis on the cultural and ecological diversity of the region, the case challenges students to consider sustainable eco-tourism factors in the SWOT analysis

A Hybrid Course in Fundamentals of Building Construction Using Combination Archived Video and Live Session Distance Learning

A course in the Fundamentals of Building Construction has been a curricular requirement of the Civil Engineering Technology Program (CET) since its inception. This course was taught traditionally as an on-campus class. Over the last ten years, the CET program has expanded to contain an extensive distance learning component, with at least half of the enrollment located off campus. The model for the typical distance-learning class is to meet for three hours, once a week, with a fully interactive (voice) live class. In consideration of the demand of a growing distance learning system, it was decided to restructure this class into a hybrid class using archived video segments available online for student access through a distance learning system. A limitation of the system is that the fully live interactive courses require a separate classroom with special configuration at each remote site. Limitations on the number of the available classrooms at remote sites hinder the expansion of all programs. This change in format will permit a reduction in the time allocated to the live interactive component, with associated advantages and disadvantages for both the student and the system. This paper will discuss the presentation and organization of the hybrid class, the advantages and disadvantages of the approach and an assessment of the hybrid class outcomes compared o the fully interactive model