We're following this up with a finer grained study to unearth the differences between experiences of winter pressures in ED and the picture provided by the data. We go into some of the possibilities behind this this in the discussion - we'd love your opinions on our thoughts about this!
Thrilled to share our new paper, now published in BMC HSR. This work suggests that emergency care facilities across the country now experience 'winter' levels of demand and pressure all year round.
Thanks to co-authors & @arc-yharc.bsky.social, @hdruk.bsky.social!
#UEC #NHS #WinterPressure
In exciting news, our recent paper as part of the @arc-yharc.bsky.social has been featured in an editorial! It's great that our message around the role of triaging in managing demand for urgent and emergency care is being emphasised.
#NHS #UEC #ResearchImpact #NIHR #EmergencyMedicine #PatientFlow
Art.
This does not scare me, for I laugh in the face of arbitrary thresholds.
A "methods primer" article in the journal "BMJ Medicine", titled "Factors associated with: problems of using exploratory multivariable regression to identify causal risk factors"
We wrote an article explaining why you shouldn't put several variables into a regression model and report which are statistically significant - even as exploratory research. bmjmedicine.bmj.com/content/4/1/.... How did we do?
Happily, we've had faster progress with another recent paper, just published! We use #CUREd data to show quite dramatic differences in how clinical & non-clinical NHS 111 staff handle calls about children: adc.bmj.com/content/earl... #NHS111 #BMJ #NHS @scharr-msg.bsky.social @arc-yharc.bsky.social
Oh good, I'm glad it got through in the end. Yes I'm very torn about starting again elsewhere, I'm really hoping we can nudge them into action 🤞
Hi, I've just discovered this post in a desperate attempt to figure out what is going on at BMC HSR. I'm in a similar position - did your paper ever get published or did you pull it?
I will say, at least the next REF is a couple of years out. Good thing too, if this is the way things are going.
It's a seasonal paper, looking at winter pressures in ED, so when we submitted in February, we did so with a mind to having it published before winter. Sadly that is looking unlikely.
I've had a revised article sitting on the editor's desk at BMC Health Services Research, following really positive first reviews, for over 4 months. I can't get more than a stock response from editors. Anyone else in same position? Help, please?! @springernature.com
The first 12 months of our project evaluating same-day emergency care (SDEC) is nearly over.
You can read about how the project is progressing on our website:
sites.google.com/sheffield.ac...
@fohsheffield.bsky.social @scharr-msg.bsky.social @arc-yharc.bsky.social
#SDEC #NHS #NIHR
12 hour waits for a bed in the ED used to be a red line, never to be crossed.
Now it is a just a part of life in ED.
For every 72 patients waiting 8-12 hours in ED there will be one excess death.
This is still unnacceptable.
@rcem.bsky.social
#resuscitateemergencycare
rcem.ac.uk/almost-300-d...
New paper published in Statistical Methods in Medical Research:
Comparison of statistical methods for the analysis of patient-reported outcomes in randomised controlled trials: A simulation study
journals.sagepub.com/doi/10.1177/...
My colleagues @beckiesimpson.bsky.social, @richardjacques.bsky.social and I had fun at
#EUSEM, though we are statisticians out of water among ED clinicians! We presented our work with NHS routine data: understanding avoidable admissions, winter pressures, and advisor skill-set & NHS111 performance.
Good question. I guess we're conceptualising of them as general health measures to be adjusted for - but as they're heavily inter-related (but different) it's difficult to justify either sitting before the other on a causal pathway. Measures are in routine data so can't be further decomposed.
A question for the #CausalInference community: best ways to include fairly generic measures of frailty and comorbidities (probably as a count) in a causal #DAG? #statsky #episky
Working with Taylor & Francis is simply unethical by this point. It’s unfortunately difficult to have AI use revoked from existing contracts but at least try, complain, if you have a book with them. And otherwise do not even consider.
My first... er, post(?) on here is a delightful one! Our new paper, a review of adaptive clinical trials and how their sample sizes are calculated and reported is live at BMC Medical Research Methodology. Unfortunately my fellow authors are not here yet.... #statsky #adaptivedesigns #clinicaltrials