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Record W2159187378 · doi:10.1136/sti.77.6.453

Clinical governance and genitourinary medicine

2001· article· en· W2159187378 on OpenAlexaff
R N Thin

Bibliographic record

VenueSexually Transmitted Infections · 2001
Typearticle
Languageen
FieldMedicine
TopicClinical practice guidelines implementation
Canadian institutionsSt. Thomas Hospital
Fundersnot available
KeywordsVenereologyMedicineClinical governanceGenitourinary medicineCorporate governanceFamily medicineChristian ministryMedical educationHealth careManagementLawPathologyPolitical science

Abstract

fetched live from OpenAlex

This paper will briefly outline Harrison's contribution to venereology or genitourinary (GU) medicine, and show how his principles of good practice fulfil many of the principles of clinical governance. The paper will then outline some general principles of clinical governance and indicate how they relate to GU medicine. Harrison's early career was in the Royal Army Medical Corps. Here, he undertook general duties (general practice), clinical venereology, and laboratory work in which he demonstrated a flair for research and development. In the first world war he showed enormous organisational and administrative ability by setting up a venereology service for the British Army in north west Europe based on a hospital with 3000 beds. By the end of the war he was adviser in venereology to the War Office. He retired from the army in 1919 at the age of 43 years. The same year he was appointed adviser in venereology to the Ministry of Health and set up a model clinic at St Thomas's Hospital in London. His principles for the design of a clinic were: 1. Waiting periods were to be kept to a minimum 2. Patients should be examined in the greatest possible privacy and never in the presence of other patients 3. Ease of access of staff to patients 4. The distances covered by staff and the time occupied in obtaining drugs and instruments should be kept to a minimum. These principles still apply. Waiting periods were minimised by keeping his clinic open for 12 hours a day on weekdays and for nearly as long on Saturdays and Sundays. He had written guidelines for the content of case notes, including the source of infection, and guidelines for treatment. He reviewed the case notes of all patients for quality and the relation between the clinical features and laboratory results. He discussed any …

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.280
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.136
GPT teacher head0.463
Teacher spread0.327 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2001
Admission routes1
Has abstractyes

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