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The authors measured perceptions of safety climate, motivation, and behavior at 2 time points and linked them to prior and subsequent levels of accidents over a 5-year period. A series of analyses examined the effects of top-down and bottom-up processes operating simultaneously over time. In terms of top-down effects, average levels of safety climate within(More)
Research in the areas of organizational climate and work performance was used to develop a framework for measuring perceptions of safety at work. The framework distinguished perceptions of the work environment from perceptions of performance related to safety. Two studies supported application of the framework to employee perceptions of safety in the(More)
BACKGROUND There is a paucity of data describing how general practitioners (GPs) label or record depression. AIMS To determine incidence and sociodemographic variation in GP-recorded depression diagnoses and depressive symptoms. METHOD Annual incidence rates calculated using data from 298 UK general practices between 1996 and 2006, adjusted for year of(More)
BACKGROUND The 'Hawthorne Effect' may be an important factor affecting the generalisability of clinical research to routine practice, but has been little studied. Hawthorne Effects have been reported in previous clinical trials in dementia but to our knowledge, no attempt has been made to quantify them. Our aim was to compare minimal follow-up to intensive(More)
BACKGROUND Medication-related admissions are an important cause of hospital admissions in older people. The scope for prevention is less clear. OBJECTIVES To characterize medication-related hospital admissions in older people and assess their preventability. METHODS This was a cross-sectional, observational study conducted over 3 months. A pharmacist(More)
OBJECTIVE To evaluate the impact of telling patients their estimated spirometric lung age as an incentive to quit smoking. DESIGN Randomised controlled trial. SETTING Five general practices in Hertfordshire, England. PARTICIPANTS 561 current smokers aged over 35. INTERVENTION All participants were offered spirometric assessment of lung function.(More)
In this study, the authors investigated how leader vision influences the change-oriented behaviors of adaptivity and proactivity in the workplace. The authors proposed that leader vision would lead to an increase in adaptivity for employees who were high in openness to work role change. In contrast, they proposed leader vision would be associated with an(More)
BACKGROUND Anxiety is common, with significant morbidity, but little is known about presentations and recording of anxiety diagnoses and symptoms in primary care. This study aimed to determine trends in incidence and socio-demographic variation in General Practitioner (GP) recorded diagnoses of anxiety, mixed anxiety/depression, panic and anxiety symptoms.(More)
OBJECTIVE To evaluate clinical effectiveness of a self management programme for arthritis in patients in primary care with osteoarthritis. DESIGN Randomised controlled trial. SETTING 74 general practices in the United Kingdom. PARTICIPANTS 812 patients aged 50 and over with osteoarthritis of hips or knees (or both) and pain or disability (or both). (More)
OBJECTIVE To assess whether the START (STrAtegies for RelatTives) intervention added to treatment as usual is cost effective compared with usual treatment alone. DESIGN Cost effectiveness analysis nested within a pragmatic randomised controlled trial. SETTING Three mental health and one neurological outpatient dementia service in London and Essex, UK.(More)