{"id":294,"date":"2013-02-08T18:54:04","date_gmt":"2013-02-08T17:54:04","guid":{"rendered":"http:\/\/stg-blogs.bmj.com\/adc-archimedes\/?p=294"},"modified":"2013-03-15T17:15:00","modified_gmt":"2013-03-15T16:15:00","slug":"new-way-to-wee","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/adc\/2013\/02\/08\/new-way-to-wee\/","title":{"rendered":"New way to wee"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"margin-left: 10px;margin-right: 10px\" alt=\"Figure\u00a01\" src=\"http:\/\/adc.bmj.com\/content\/98\/1\/27\/F1.medium.gif\" width=\"115\" height=\"264\" \/>There&#8217;s a paper in the <a title=\"A New Urine Collection Technique for Babies\" href=\"http:\/\/adc.bmj.com\/content\/98\/1\/27.short\">Archives from January<\/a> which presents a &#8216;new&#8217; way of collecting urine from little babies. (I say &#8216;new&#8217; as it is startlingly similar to the method employed by the Matron at my first SHO appointment, back in the last millennium, but this version is scientifically tested.)<\/p>\n<p>How should we, as clinical scientisty doctor types, respond to technical innovation?<\/p>\n<p>A purist might to crack in with a demand for an RCT. A non-inferiority RCT, based on outcomes of contaminated urine specimens and containing a health economic analysis.<\/p>\n<p>The DIY bodger approach may be to just get on and do it. After all, you can quote a paper to show it works.<\/p>\n<p>It may be that you could combine with your colleagues and aim to undertake a change in practice and data evaluation (as part of a &#8216;Plan-Do-Study-Act&#8217; approach). I&#8217;m guessing you&#8217;ll be wanting to see lower contamination rates, perhaps quicker collections and some sort of patient\/parent satisfaction? See how it works, share the love, via this blog, as a crowdsourced prospective meta-analysis.<\/p>\n<p>(I promise if we get 4 or more groups offering their time-to-wee, repeat urine or contamination rates I&#8217;ll do a forest plot.)<\/p>\n<p>Archi.<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>There&#8217;s a paper in the Archives from January which presents a &#8216;new&#8217; way of collecting urine from little babies. (I say &#8216;new&#8217; as it is startlingly similar to the method employed by the Matron at my first SHO appointment, back in the last millennium, but this version is scientifically tested.) How should we, as clinical [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/adc\/2013\/02\/08\/new-way-to-wee\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[79],"tags":[],"class_list":["post-294","post","type-post","status-publish","format-standard","hentry","category-archimedes"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts\/294","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/comments?post=294"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts\/294\/revisions"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/media?parent=294"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/categories?post=294"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/tags?post=294"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}