scholarly journals Healthcare-acquired clusters of COVID-19 across multiple wards in a Scottish health board

2021 ◽  
Author(s):  
S.J. Dancer ◽  
K. Cormack ◽  
M. Loh ◽  
C. Coulombe ◽  
L. Thomas ◽  
...  
Keyword(s):  
Health Board

Wrongful Pregnancy, Wrongful Birth and Wrongful Terminology

2002 ◽  
Vol 6 (1) ◽  
pp. 46-66 ◽  
Author(s):  
J K Mason
Keyword(s):  
University Hospital ◽  
Health Board ◽  
House Of Lords ◽  
The Family ◽  
Wrongful Birth

The article analyses the series of cases that have evolved following the House of Lords dicta in McFarlane v Tayside Health Board1 and which seek to circumvent the limitations imposed by that decision on recovery for the birth of an “uncovenanted” addition to the family. The majority of relevant actions have relied on the possible distinction of cases involving the birth of a disabled child which McFarlane admits. Claims for compensation for the upkeep of the child in such circumstances have been successful, but the author contends that the two types of action are, in fact, distinct. He concludes that the only true comparator to date is Parkinson v St James and Seacroft University Hospital NHS Trust2 and that the reasoning in this case may provide an opening for the House of Lords to reconsider its position.

Registered nurse prescribing: A descriptive survey of prescribing practices in a single district health board in Aotearoa New Zealand

2020 ◽  
Vol 36 (3) ◽  
pp. 61-72
Author(s):  
Melinda McGinty ◽  
◽  
Betty Poot ◽  
Jane Clarke ◽  
◽  
...  
Keyword(s):  
Primary Care ◽  
New Zealand ◽  
Registered Nurse ◽  
Health Conditions ◽  
Health Board ◽  
Prescribing Practices ◽  
District Health ◽  
Survey Tool ◽  
Aotearoa New Zealand ◽  
Descriptive Survey

The expansion of prescribing rights in Aotearoa New Zealand has enabled registered nurse prescribers (RN prescribers) working in primary care and specialty teams, to enhance nursing care, by prescribing medicines to their patient population. This widening of prescribing rights was to improve the population’s access to medicines and health care; however, little is known about the medications prescribed by RN prescribers. This paper reports on a descriptive survey of self-reported RN prescribers prescribing in a single district health board. The survey tool used was a Microsoft Excel spreadsheet to record nurse’s area of practice, patient demographic details, health conditions seen, and medicines prescribed and deprescribed. Simple data descriptions and tabulations were used to report the data. Eleven RN prescribers consented to take part in the survey and these nurses worked in speciality areas of cardiology, respiratory, diabetes, and primary care. Findings from the survey demonstrated that RN prescribers prescribe medicines within their area of practice and within the limits of the list of medicines for RN prescribers. Those working in primary care saw a wider range of health conditions and therefore prescribed a broader range of medications. This survey revealed that the list of medications available for RN prescribers needs to be updated regularly to align with the release of evidence-based medications on the New Zealand Pharmaceutical Schedule. It is also a useful record for both educational and clinical settings of the types of medications prescribed by RN prescribers.

scholarly journals Cervical pap smears and pandemics: The effect of COVID-19 on screening uptake & opportunities to improve

2021 ◽  
Vol 17 ◽  
pp. 174550652110170
Author(s):  
Hannah Masson
Keyword(s):  
Human Papilloma Virus ◽  
Cervical Screening ◽  
High Sensitivity ◽  
Health Board ◽  
Pap Smears ◽  
Local Health ◽  
Papilloma Virus ◽  
Face To Face ◽  
Screening Uptake ◽  
The Impact

Background: The Coronavirus disease 2019 (COVID-19) pandemic has led to an unprecedented upheaval within global healthcare systems and resulted in the temporary pausing of the National Health Service (NHS) Scotland Cervical Screening Programme. With several months of backlogs in appointments, there has not only been a reduction in primary samples being taken for human papilloma virus (HPV) testing but there have also been fewer women referred to colposcopy for investigation and treatment of precancerous or cancerous changes as a result. Encouraging uptake for cervical screening was always a priority before the pandemic, but it is even more important now, considering that the fears and barriers to screening that women may have are now exacerbated by COVID-19. Objectives: This article explores the impact of the pandemic on the uptake of cervical screening within NHS Ayrshire & Arran and evaluates potential strategies to improve uptake now and in future such as self-sampling and telemedicine. Methods: This article presents evidence-based literature and local health board data relating to cervical screening during the pandemic. Results: Human papilloma virus self-sampling carried out by the woman in her home has been shown to improve uptake, especially in non-attenders, whilst maintaining a high sensitivity and, crucially, reducing the need for face-to-face contact. Increased education is key to overcoming barriers women have to screening and telemedicine can strengthen engagement with women during this time. Conclusion: There are lessons to be learned from the pandemic, and we must use this opportunity to improve cervical screening uptake for the future.

scholarly journals The Patient Experience of Inpatient Care During the COVID-19 Pandemic: Exploring Patient Perceptions, Communication, and Quality of Care at a University Teaching Hospital in the United Kingdom

2021 ◽  
Vol 8 ◽  
pp. 237437352199774
Author(s):  
Thomas Key ◽  
Avadhut Kulkarni ◽  
Vikram Kandhari ◽  
Zayd Jawad ◽  
Angela Hughes ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Patient Experience ◽  
Health Care Professionals ◽  
Disease Transmission ◽  
Inpatient Care ◽  
University Teaching ◽  
Health Board ◽  
Experience Of Care

The coronavirus disease 2019 (COVID-19) pandemic has necessitated many rapid changes in the provision and delivery of health care in hospital. This study aimed to explore the patient experience of inpatient care during COVID-19 pandemic. An electronic questionnaire was designed and distributed to inpatients treated at a large University Health Board over a 6-week period. It focused on hospital inpatients’ experience of being cared for by health care professionals wearing personal protective equipment (PPE), explored communication, and patients’ perceptions of the quality of care. A total of 704 patients completed the survey. Results demonstrated that patients believe PPE is important to protect the health of both patients and staff and does not negatively impact on their care. In spite of routine use of PPE, patients were still able to identify and communicate with staff. Although visiting restrictions were enforced to limit disease transmission, patients maintained contact with their relatives by using various electronic forms of communication. Overall, patients rated the quality of care they received at 9/10. This single-center study demonstrates a positive patient experience of care at an unprecedented time.

scholarly journals Informing patients: The Bolam legacy

2020 ◽  
Vol 20 (2) ◽  
pp. 103-130
Author(s):  
Emma Cave ◽  
Caterina Milo
Keyword(s):  
Hospital Management ◽  
Medical Advice ◽  
Diagnosis And Treatment ◽  
Health Board ◽  
Management Committee ◽  
Patient Centred Care ◽  
Capacity To Consent ◽  
Incremental Development ◽  
The Uk ◽  
Treatment Alternatives

In the context of medical advice to patients, the UK decision in Montgomery v. Lanarkshire Health Board rejected the application of Bolam v. Friern Hospital Management Committee. This article argues that the rejection is neither complete nor settled. We explore doctrinal, conceptual and practical limitations of Montgomery to demonstrate the vestiges of Bolam’s relevance to medical advice. Medical advice does not end with disclosure of material risk but incorporates information on prognosis, diagnosis and treatment alternatives. Montgomery does not always apply in these cases, nor outside the medical mainstream or where patients lack capacity to consent. We identify ways in which the extension of patient-centred care in the giving of medical advice can be achieved through incremental development of Montgomery and application of the Bolitho gloss to require that processes conform to Montgomery principles of partnership and autonomy.

scholarly journals Relation between the Nature of the Carbohydrate in the Diet and Refection in Rats

1928 ◽  
Vol 27 (3) ◽  
pp. 321-327 ◽  
Author(s):  
Stanisłw Kazimierz Kon ◽  
Elsie Watchorn
Keyword(s):  
Research Council ◽  
Medical Research Council ◽  
Rockefeller Foundation ◽  
Potato Starch ◽  
Protective Action ◽  
International Health ◽  
Rice Starch ◽  
Vitamin B ◽  
Health Board ◽  
Arrowroot Starch

1. The phenomenon of refection has been confirmed.2. The incidence of spontaneous growth of rats on a vitamin B-free diet is very much greater when potato starch instead of rice starch is used in the diet.3. Raw arrowroot starch gave similar but not such good results.4. The protective action is largely destroyed by gentle cooking of the starch, and less so by extraction with alcohol.We wish to thank Prof. Sir F. G. Hopkins for his encouragement and interest during this work.One of us (S. K. K.) is indebted to the International Health Board of the Rockefeller Foundation for a fellowship, and the other (E. W.) is indebted to the Medical Research Council for a personal grant.

scholarly journals Geographical access to critical care services in Scotland

2017 ◽  
Vol 19 (1) ◽  
pp. 6-14 ◽  
Author(s):  
Philip Emerson ◽  
Naomi Dodds ◽  
David R Green ◽  
Jan O Jansen
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Rural Areas ◽  
Care Facility ◽  
Population Data ◽  
Small Towns ◽  
Health Board ◽  
Care Services ◽  
Geographical Access ◽  
Scottish Population

Background Critical illness requires specialist and timely management. The aim of this study was to create a geographic accessibility profile of the Scottish population to emergency departments and intensive care units. Methods This was a descriptive, geographical analysis of population access to ‘intermediate’ and ‘definitive’ critical care services in Scotland. Access was defined by the number of people able to reach services within 45 to 60 min, by road and by helicopter. Access was analysed by health board, rurality and as a country using freely available geographically referenced population data. Results Ninety-six percent of the population reside within a 45-min drive of the nearest intermediate critical care facility, and 94% of the population live within a 45-min ambulance drive time to the nearest intensive care unit. By helicopter, these figures were 95% and 91%, respectively. Some health boards had no access to definitive critical care services within 45 min via helicopter or road. Very remote small towns and very remote rural areas had poorer access than less remote and rural regions.

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