Debra de Silva

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Active travel to school can be an important contributor to the total physical activity of children but levels have declined and more novel approaches are required to stimulate this as an habitual behaviour. The aim of this mixed methods study was to investigate the feasibility of an international walk to school competition supported by novel swipecard(More)
To cite: Marshall M, de Silva D, Cruickshank L, et al. BMJ Qual Saf Published Online First: [please include Day Month Year] doi:10.1136/bmjqs-2016006143 INTERVENING TO CHANGE HEALTH SYSTEM PERFORMANCE FOR THE BETTER It is temptingly easy to treat improvement interventions as if they are drugs—technical, stable and uninfluenced by the environment in which(More)
BACKGROUND Allergic reactions to plant and animal derived food allergens can have serious consequences for sufferers and their families. The associated social, emotional and financial costs make it a priority to understand the best ways of managing such immune-mediated hypersensitivity responses. Conceptually, there are two main approaches to managing food(More)
BACKGROUND The European Academy of Allergy and Clinical Immunology is developing guidelines about how to prevent and manage food allergy. As part of the guidelines development process, a systematic review is planned to examine published research about the prevention of food allergy. This systematic review is one of seven inter-linked evidence syntheses that(More)
BACKGROUND Understanding the cultural characteristics of healthcare organisations is widely recognised to be an important component of patient safety. A growing number of vulnerable older people are living in care homes but little attention has been paid to safety culture in this sector. In this study, we aimed to adapt the Manchester Patient Safety(More)
OBJECTIVES There is an increasing focus on improving outcomes for populations. General practice has a key role to play in achieving better patient outcomes. A programme in population health management was developed for GP trainees in their fourth year. The objective was to evaluate this educational intervention for impact upon learners, and lessons learned(More)