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Clinical judgments, not algorithms, are key to patient safety—an essay by David Healy and Dee Mangin

When it comes to detecting harms related to drugs, clinicians’ and patients’ judgment trumps trials, say David Healy and Dee Mangin. Failure to realise this is the greatest threat to the safety of medicines

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Number of prospective meta-analyses (PMAs) over time

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A guide to prospective meta-analysis

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Blood markers for cancer

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The complicated, political, expensive, seemingly eternal US healthcare debate explained

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Research paper

Non-alcoholic fatty liver disease and risk of incident acute myocardial infarction and stroke

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A painful experience

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Assisted suicide

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Allowing Dignity in Death

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Why so unhappy?

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One hundred years ago: Should milk be boiled?

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HIV drug under review as firm withdraws FDA application

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Bush to drop medical records privacy clause

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Australian government forced to bail out medical malpractice insurer

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Staff shortages threaten public health in London

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Mental health services: CQC warns of “perfect storm”

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US hospital is accused of keeping vegetative patient alive to boost its transplant survival rate

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Vaping: UK experts defend safety in face of US lung injury cases

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Physician shortage worsened by cuts in job ads and lack of trainees, colleges warn

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Downing St adviser had links to Babylon Health, investigation finds

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New red meat guidelines are undermined by undisclosed ties and faulty methods, say critics

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Bacon rashers, statistics, and controversy

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Why I . . . sing

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Chronically ill prisoners risk of being transferred without medication because of gaps in care

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Psychiatrist plans to leave NHS if his mother is refused permission to stay in UK

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Mandatory childhood vaccination could cause “irreparable damage,” says expert panel

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Research news

Most fatal opioid overdoses are not caused by prescription drugs, US study finds

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US jury orders Johnson & Johnson to pay $8bn to man with gynaecomastia linked to risperidone

Practice

Can surgery be avoided in patients with symptomatic gallstone disease and no complications?

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HRT and breast cancer risk

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Non-alcoholic fatty liver disease and risk of incident acute myocardial infarction and stroke: findings from matched cohort study of 18 million European adults | The BMJ

Mandatory childhood vaccination could cause “irreparable damage,” says expert panel | The BMJ

Risks of ischaemic heart disease and stroke in meat eaters, fish eaters, and vegetarians over 18 years of follow-up: results from the prospective EPIC-Oxford study | The BMJ

Reporting harms more transparently in trials of cancer drugs | The BMJ

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