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We need to focus on the area of harm and not just on the inert, potential harm.
It states that there should generally be no more than three specified primary outcomes which should normally include at least one potential benefit and at least one potential area of harm.
This suggests that expert opinion in the area of harm minimisation has not changed greatly over the past 6 years, and that it is an area that is difficult to provide advice in, with no consensus on whether first aiders should remove self-injury instruments, provide sterile instruments or ensure medical first aid supplies are available.
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The trust said within hours of the inspection it had made safe the potential areas of harm identified by the CQC in the mental health ward and since June had restarted its previously abandoned estates management programme to refurbish two operating theatres and move outpatient services to other sites.
The challenge, across all areas of harm, is now to create and use data on upstream low-harm occurrences to test the resilience of safety practices and systems.
35 Franklin et al (ref. 19, p.770) state that "The challenge, across all areas of harm, is now to create and use data on… low-harm occurrences to test the resilience of safety practices and systems".
"It's shared with anglers so swimmers are asked to stick to a central area, out of harm's way.
Furthermore, the particular groups that outreach aims to engage have historically been identified within 'classic' areas of harm-reduction (sexual health, HIV risk-reduction, substance abuse and mental health).
"This is an area of increasing harm, it's a problem across Greater Manchester," he said.
The research area of drug harm is like any other in this respect.
Indeed, the recently-elected Australian Government has convened a National Preventive Health Taskforce that has a specific mandate in the area of alcohol harm reduction that sits within the Government's agenda on social inclusion [ 16].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com