{'fraction_non_alphanumeric': 0.022275258552108195, 'fraction_numerical': 0.011933174224343675, 'mean_word_length': 5.197044334975369, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Anaesthetic awareness and hypnosis

although the experience of the doctor performing auscultation was not included in their results. Improvements in detecting murmurs may be possible using computer-aided auscultation and electronic stethoscopes, and it is perhaps surprising that this technology has not received greater attention. Excellence in hip fracture management, as in all areas of medicine, is determined by the sum of all the individual elements of care provided. We stand by our comments that current best-practice tariff criteria in England, despite improving process, are limited in their pursuit of excellence in performance with their focus on orthogeriatric involvement and time to theatre of less than 36 hours. We agree with Sneyd that comparison of adjusted 30-day mortality rates between hospitals should be encouraged. The 2011 National Hip Fracture Database Report [6] shows a funnel plot of 30-day mortality rates for the contributing hospitals, with the Royal Victoria Hospital, Belfast remaining two standard deviations below the average rate (8.7%) with a value of 5.9%. We continue with our policy of continuous improvement using ‘performance by the aggregation of marginal gains’ and we encourage others to join us in this quest.