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BMJ 2006;332:121 (14 January), doi:10.1136/bmj.332.7533.121-c
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EditorThe paper by Lim et al has not taken account of the fact that teaspoons may reappear.1 What steps were taken in this study to identify individuals? It is our experience in this institution that teaspoons regularly go on awaydays, when there are, of course, no teaspoons available in the office at all, but they then return, and a full cohort may be available and ready for use in a couple of days' time. Clearly, if teaspoons are replaced during the short absence of an awayday, they will feel under no obligation to return. This may invalidate the findings of this paper on number needed to keep an institution supplied.
Katherine Darton, information officer
Mind, London E15 4BQ k.darton@mind.org.uk