AIMS AND METHOD Modern mental healthcare providers must demonstrate service-level clinical effectiveness to key stakeholders.We introduced two performance indicators of clinical effectiveness based on outcome data from routinely collected Health of the Nation Outcome Scales (HoNOS) and HoNOS-secure assessments across St Andrew’s Healthcare, a charity providing in-patient services in Northampton...

Values-based indicators of risks to Indigenous health have the potential to improve the accuracy and quality of a wide range of decisions affecting Native lands and cultures. Current health impact assessment approaches often omit important health priorities rooted in the history, social structures, and cultural context of Indigenous communities. Insights and methods from the decision sciences c...

The acquisition of competences (the set of knowledge, skills and attitudes required to perform a job to a professional level) is considered a fundamental part of medical training. Dermatology competences should include, in addition to effective clinical interviewing and detailed descriptions of skin lesions, appropriate management (diagnosis, differentiation, and treatment) of common skin disor...

There have been recent calls for a shift to an evidence-based paradigm in environmental management, grounded in systematic monitoring and evaluation, but achieving this will be complex and difficult. Evaluating the educational components of environmental initiatives presents particular challenges, because these programs often have multiple concurrent goals and may value 'human outcomes', such a...

Test cases are crucial to help developers preventing the introduction of software faults. Unfortunately, not all tests properly designed or can effectively capture faults in production code. Some measures have been defined assess test-case effectiveness: most relevant one is mutation score, which highlights quality a test by generating so-called mutants, i.e., variations code that make it fault...