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All patients received the standardised process of care map used at the Ottawa Hospital for joint arthroplasty.
Case reviewers liked how the standardised process directed the line of questioning and made it easier to extract the relevant information from case notes.
The standardised process we developed has meant the cartoons have been well-received by patients and clinicians and suggests that they are a medium through which engagement can be initiated and harnessed.
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This indicated a need for vigilance in regularly making staff aware of the standardised processes and their responsibility for adherence.
Many clinicians, and especially board members, saw the benefit of having a standardised process across the hospital to provide reassurance that all deaths were being reviewed in the same way.
Senior executives were asked what patient safety data they currently received; the role that M&M meetings played in providing that data; and how they perceived the potential for a standardised process for reviewing deaths in the hospital governance of patient safety.
The development of a standardised process of obtaining consent in situations such as these could lead to greater involvement of non-literate people in research in general.
This report outlines 1) our experiences with securing recruitment to a qualitative study investigating alternative methods of data collection, and 2) the development of a standardised process for obtaining informed consent from individuals from minority ethnic backgrounds whose main language does not have an agreed written form.
Another limitation reflecting the 'real world setting' of this study is the considerable number of participants who were not scheduled for surgery by the end of the 2.5 year data collection period (at the time of this study there was no standardised process at the study hospital for determining surgical priority and/or exit from the waiting list).
The clinical assessment of cytotoxic response to a chemotherapy agent or regimen is a relatively standardised process, involving the documentation of initial extent of disease and the use of serial measurement by clinical or radiological techniques (Husband et al, 2004).
Through the establishment of the CHRD's Technical and Ethical Review Board in 2010, a formal, standardised process has been developed to ensure that the rights and welfare of subjects participating in health research are fully protected.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com