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Thinking time directive (Onslow's law)

Thinking time directive (Onslow's law)
Conference time

Thinking time directive (Onslow's law)


Everyone seems to be talking about the new EU working time directive. This limits the number of hours a week we are allowed to work and will have a negative effect on healthcare services. No-one seems to have considered how those same healthcare services would benefit from a thinking time directive. Bandolier 's vision is for such a directive, to declare protected hours for people to be able to think about what they are or should be doing.

A little skilling goes a long way, even more today when the electronic tools available to us are so powerful. So if Bandolier has any theme this month, it is about how to think, and how to use information.

The first example is one on handwashing to reduce hospital acquired infection. Here the issue is not one of finding the information, but using it. We take an extremely good example, from Geneva, and explore how to use the information to model the likely impact in our hospital.

The second example is finding and using information about treatments for genital warts . A BMJ editorial recommends them (the treatments), but without the bottom line. So it's a question of a bit of searching, a bit of reading, a bit of data extraction, a back of envelope calculation, and voilà, an NNT.

new test is announced in the newspapers. So we show how it is possible to do some swift information retrieval and evaluation to work out whether or not it is important.

Conference time


When space permits Bandolier likes to carry announcements about important conferences. Four this month, three in the paper version and one more on the net. In January is the PRICCE conference in Canterbury on NSFs for heart disease. The Centre for Evidence-Based Medicine in Oxford has its annual jamboree on how to practice EBM in April . If you like the idea of the Blue Ridge mountains in the Spring, go for "Information Mastery: An Evidence-Based Approach to Information Management" in Charlottesville, also in April. Details at www.med.virginia.edu/ed-programs/cme/ebm

ICECAP in Alicante in September. The International Collaboration of Evidence-based Critical Care, Anaesthesia and Pain, is in association with the Cochrane review group on pain, palliative and supportive care, and the IASP special interest group on systematic reviews.


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