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. 2019 Jan 31;2019(1):CD006471. doi: 10.1002/14651858.CD006471.pub4

Webster 2011.

Methods A single‐blind randomised controlled trial.
Participants 1231 patients admitted to internal medicine or oncology wards
Interventions Participants allocated to either of the following.
A. Waterlow (n = 411)
B. Ramstadius (n = 410)
C. Risk assessment using clinical judgement (n = 410)
Outcomes Incidence of hospital acquired pressure ulcers.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "A computer‐generated randomised list was used."
Allocation concealment (selection bias) Low risk Quote: "A phone randomisation method was used."
Blinding of participants (performance bias) Low risk Quote: "The patient was blinded to group assignment"
Blinding of personnel (performance bias) 
 All outcomes High risk Quote: "The only requirement of staff in the participating wards was to use only the instrument found in the chart".
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Quote: "The outcome assessor was blinded to group assignment."
Incomplete outcome data (attrition bias) 
 All outcomes Low risk The number of participants allocated to each group were analysed for the primary outcome.
Selective reporting (reporting bias) Low risk The authors report all outcomes alluded to in the paper.
Other bias Low risk The study was funded by research grants from the Queensland Nursing Council, the Royal Brisbane and Women’s Hospital Private Practice Fund, the Royal Brisbane and Women’s Hospital Research Foundation and a Queensland Health Nursing Research grant.