Hill, Trevor Alexander Crooks, Colin John West, Joe Morling, Joanne R
Published in
BMJ open gastroenterology
If non-invasive markers of liver fibrosis were recorded frequently enough in clinical practice, it might be feasible to use them for opportunistic community screening for liver disease. We aimed to determine their current pattern of usage in the national primary care population in Wales. Using the Secure Anonymised Information Linkage (SAIL) Databa...
Tavener, Christina Rose Kyriacou, Christopher Elmascri, Imene Cruickshank, Amy Das, Sabrina
Published in
BMJ Open Quality
The COVID-19 global pandemic dictated rapid change to outpatient services within our London-based maternity hospital. Coupled with long waiting times in the Consultant-led Antenatal clinic, we aimed to reduce hospital footfall and unnecessary contact with a clinically vulnerable patient population by reducing face-to-face consultations. Numerous sp...
Hennebry, Jennifer Stoneman, Sinead Jones, Breda Bambrick, Nicola Stroiescu, Andreea Crosbie, Ian Mulcahy, Riona
Published in
BMJ Open Quality
This paper describes a stroke quality improvement (QI) project in a primary stroke centre in a 431-bed hospital serving a local population of 114 000 people. Approximately 170 acute strokes are treated each year in a seven-bed stroke unit managed by three geriatricians with a subspecialty interest in stroke. 24-hour CT radiology service is availabl...
Kawamura, Hidemasa Komatsu, Yasuhiro Tanaka, Kazumi Kanamoto, Masafumi Tobe, Masaru Usami, Chisato Hinohara, Hiroshi Oshima, Kiyohiro Kitada, Yoko Tsuda, Kazuhisa
...
Published in
BMJ Open Quality
A rapid response system is required in a radiotherapy department for patients experiencing a critical event when access to an emergency department is poor due to geographic location and the patient is immobilised with a fixation device. We, therefore, rebuilt the response system and tested it through onsite simulations. A multidisciplinary core gro...
Arbizo, Joseph Christopher Dalal, Kajal Lao, Veronia Rosinia, Frank Adejuyigbe, Temiloluwa
Published in
BMJ Open Quality
Background Procedural time-outs and checklists are proven to be an effective means of improving teamwork and preventing wrong-sided procedures. The main objective of this study was to ensure that all regional nerve blocks being performed in the preoperative area at our hospital were executed with a proper time-out. The goal of this project was to i...
Rottmann, Eva I Cote, Jonida Thomas, Swana Grassi, Dante M Chronowski, Joseph Schroeder, Lisa L Pugliese, David Newman, Eric
Published in
BMJ Open Quality
Burn-out among US physicians has been on the rise in the past few decades. Similarly, rheumatologists in the Geisinger Health System have experienced professional dissatisfaction through significant administrative burden and in-basket work. We embedded pharmacists into our rheumatology team in 2019 with the aim of reallocating medication refills to...
McGuckin, Taylor Crick, Katelynn Myroniuk, Tyler W Setchell, Brock Yeung, Roseanne O Campbell-Scherer, Denise
Published in
BMJ Open Quality
High-quality data are fundamental to healthcare research, future applications of artificial intelligence and advancing healthcare delivery and outcomes through a learning health system. Although routinely collected administrative health and electronic medical record data are rich sources of information, they have significant limitations. Through fo...
Vas, Venessa North, Shirley Rua, Tiago Chilton, Daniella Cashman, Michaela Malhotra, Bharti Garrood, Toby
Published in
BMJ Open Quality
Background The COVID-19 pandemic has put health systems across the world under significant pressure. In March 2020, a national directive was issued by the National Health Service (NHS) England instructing trusts to scale back face-to-face outpatient appointments, and rapidly implement virtual clinics. Methods A multidisciplinary team of change mana...
Sullivan, M Brad Rentz, Abby Mathura, Pamela Gleddie, Megan Luthra, Tania Thiele, Allison T Kovacs Burns, Katharina Rich, Rebecca Sia, Winnie W
Published in
BMJ Open Quality
Background Patients in remote communities who risk premature delivery require transfer to a tertiary care centre for obstetric and neonatal care. Following stabilisation, many patients are candidates for outpatient management but cannot be discharged to their home communities due to lack of neonatal intensive care unit (ICU) support. Problem Withou...
Warstadt, Nicholus Michael Caldwell, J Reed Tang, Nicole Mandola, Staci Jamin, Catherine Dahn, Cassidy
Published in
BMJ Open Quality
Introduction Sepsis is a common cause of emergency department (ED) presentation and hospital admission, accounting for a disproportionate number of deaths each year relative to its incidence. Sepsis outcomes have improved with increased recognition and treatment standards promoted by the Surviving Sepsis Campaign. Due to delay in recognition and ot...
