How publication decisions are made

Editorial policy

Our standards for source selection, generated summaries, clinical safety, review, corrections, and accountable publication.

Source before summary

The database record and linked source are the foundation of every research page. Supplementary context may explain background, but it must not be presented as a finding from the source paper.

  • Reject retracted, withdrawn, unverifiable, rights-blocked, or non-nursing records.
  • Hold non-English or uncertain-language records outside the English publication flow.
  • Keep links and identifiers so readers can inspect the original source.

Automation has limits

Automation supports discovery, organization, drafting, and consistency checks. It does not make a page clinically authoritative. Thin source records receive a lean source page; derived learning tools are withheld when the evidence is not detailed enough.

  • Do not invent methods, populations, outcomes, or causal claims.
  • Do not lengthen a thin record by guessing.
  • Do not present educational content as patient-specific advice.

Review and accountability

Publication status is recorded in the system. Medical-review labels appear only when a named contributor and review date are present. Readers should still confirm current guidelines, local policy, and the original evidence.

  • Language, provenance, rights, and safety concerns can block publication.
  • Material corrections update the page and its modified date.
  • Editorial and medical review are distinct roles.