Integrating mental and physical healthcare: Research, training and services (IMPARTS) — A flexible service development platform for general hospital teams

2015 ◽  
Vol 78 (6) ◽  
pp. 603 ◽  
Author(s):  
M. Hotopf ◽  
L. Rayner ◽  
A. Simpson ◽  
F. Matcham ◽  
Jo Taylor
Keyword(s):  
General Hospital ◽  
Research Training ◽  
Healthcare Research ◽  
Service Development ◽  
Development Platform ◽  
Hospital Teams

scholarly journals EP.FRI.175 Outcomes from the introduction of routine Geriatrician review for General Surgical patients over 65 years old undergoing Emergency Laparotomy at a large District General Hospital

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Amira Shamsiddinova ◽  
Joanne Kiang ◽  
James Jegard ◽  
Abhijit Bajracharya ◽  
Rebecca Himpson ◽  
...  
Keyword(s):  
General Hospital ◽  
District General Hospital ◽  
Service Development ◽  
Emergency Laparotomy ◽  
Medical Needs ◽  
Team Working ◽  
Surgical Critical Care ◽  
Expected Mortality ◽  
Service Data ◽  
National Emergency

Abstract Aims The National Emergency Laparotomy Audit (NELA) results show that only 28.8% of all patients over 65years having emergency laparotomy had Geriatrician input. Advancing age predisposes to more complex medical needs due to a higher prevalence of co-morbidities, polypharmacy, cognitive impairment, and physiological frailty. Introduction of perioperative geriatrician input has been demonstrated to significantly reduce post-operatively mortality (national average 9.5%, rising to 20-40% in older age). We introduced a Geriatrician led liaison team with the initial aim to reduce 30-day mortality in older patients undergoing emergency laparotomy. Methods Prospective database was maintained of all eligible patients reviewed by the new service. Data on Rockwood Clinical Frailty Score (CFS), NELA risk prediction score, length of stay, mortality and complications were analysed. In this service development pilot we specifically assessed age and frailty demographics, expected mortality, and actual mortality in the cohort. Results All NELA patients 65 and over were reviewed by the service between September and December 2020, 35 in total. Median age 77 years; Median CFS 3 (range 2-6); Median NELA mortality risk 12% (range 0.9%-55.8%). Inpatient mortality was 2.9% and 30-day mortality 2.9% during this study period, compared to 18% in the previous year.  Conclusion Our pilot study demonstrates that development of an embedded Geriatrician liaison service for patients undergoing emergency laparotomy is achievable in a district general hospital. Consistent with other larger scale studies we demonstrated significant mortality reduction in older adults undergoing emergency laparotomy with the new service offering enhanced inter-disciplinary Surgical, Critical Care and Geriatrician team-working.

scholarly journals The Toronto General Hospital Transitional Pain Service: development and implementation of a multidisciplinary program to prevent chronic postsurgical pain

2015 ◽  
pp. 695 ◽  
Author(s):  
Joel Katz ◽  
Aliza Weinrib ◽  
Samantha Fashler ◽  
Rita Katznelson ◽  
Bansi Shah ◽  
...  
Keyword(s):  
General Hospital ◽  
Toronto General Hospital ◽  
Service Development ◽  
Postsurgical Pain ◽  
Multidisciplinary Program ◽  
Chronic Postsurgical Pain

scholarly journals The Impact of Stakeholders on Health Services Development: An Empirical Investigation on the Surgical Department at King Fahd General Hospital, Saudi Arabia

2017 ◽  
Vol 9 (1) ◽  
pp. 129
Author(s):  
Ala’Eddin Mohammad Khalaf Ahmad
Keyword(s):  
Saudi Arabia ◽  
Health Service ◽  
Health Services ◽  
General Hospital ◽  
Service Providers ◽  
Service Development ◽  
Jeddah City ◽  
Health Service Providers ◽  
The Impact ◽  
Health Service Development

The current research investigates the stakeholders influencing health services development at King Fahd General Hospital KFGH in Jeddah city, Saudi Arabia. This study proposes and tests a six factors model that influences health services development. These factors include government regulations, competitors, suppliers, patients, public, and health service providers as independent variables; the dependent variable is health services development. In order to explore this issue, a quantitative method was used to collect primary data through a questionnaire, which was administered in KFGH in Jeddah city in Kingdom of Saudi Arabia. The researches targeted 141 surgeons in this research as a sample because of the small population. A purposive sample was used to choose the participants in this research. The research retrieves 130 valid questionnaires; representing 92%.The results confirm significant differences in the influence of these factors on health service development. The research concludes that there is a significant influence of governmental regulations, competitors, suppliers, patients, public, and health service providers on health services development. The research recommends enhancing the awareness of stakeholder factors by studying the effects of governmental regulations, competitors, suppliers, patients, public, and health service providers. The last is adopting and updating medical and non-medical technology to maintain health service development.

scholarly journals Deliberate self-harm: service development in Kettering

1995 ◽  
Vol 19 (8) ◽  
pp. 475-477 ◽  
Author(s):  
Catherine Gordon ◽  
Andrew Blewett
Keyword(s):  
General Hospital ◽  
Service Provision ◽  
Public Health Problem ◽  
District General Hospital ◽  
Service Development ◽  
Paracetamol Poisoning ◽  
Deliberate Self Harm ◽  
Threefold Increase ◽  
Self Harm ◽  
Recent Trends

Services for deliberate self-harm patients in the general hospital are unsatisfactory in many respects. A survey of activity and quality in a district general hospital confirmed recent trends observed elsewhere and highlights areas in which service provision can be improved.High rates of deliberate self-harm (DSH) are a public health problem. A study in Oxford showed rising rates among young women during the late 1980s, and a threefold increase in the proportion due to paracetamol poisoning between 1976 and 1990 (Hawton & Fagg, 1992). A multicentre European study found a trend of increasing peak age, a declining female to male ratio, and unexplained differences between regions (Platt, 1992). In the year following DSH, 9% repeat (Hawton & Fagg, 1992); and suicide rates reach 1.1 to 1.3% of patients in the three years following an episode of DSH (Owens et al. 1991).

Development of an operational manual for a consultation–liaison psychiatry service

2018 ◽  
Vol 26 (5) ◽  
pp. 503-507 ◽  
Author(s):  
Anne PF Wand ◽  
Swapnil Sharma ◽  
Lindsay J Carpenter ◽  
Mike Gatsi
Keyword(s):  
Mental Health ◽  
General Hospital ◽  
Service Planning ◽  
Service Development ◽  
Mental Health Systems ◽  
Liaison Psychiatry ◽  
Procedural Information ◽  
Hospital Executives ◽  
Consultation Liaison Psychiatry

Objectives: Consultation–liaison psychiatry (CLP) services sit between mental health and the general hospital, and risk being poorly understood by both systems. The aim of this study was to develop an operational manual for a CLP service, which defined functions and governance. Methods: The CLP literature was reviewed with a focus on descriptions of CLP roles, organisational processes, quality measures and service development. The CLP team held service planning meetings and met with members of the mental health and hospital executives. Site visits and collaboration with other CLP services occurred in defining the roles of the CLP service and organisational governance. Results: A CLP operational document was developed, including a description of the service, its functions, staff roles and governance. Procedural information such as the CLP timetable, referral process, triage and assessment, documentation, activity recording, quality assurance and relevant policies were outlined. Conclusions: The development of a dedicated operational manual for CLP clarified the roles, functions and governance of CLP within the general hospital and mental health systems. The development process facilitated the engagement of key clinicians and administrators of these systems, the determination of quality improvement targets and greater transparency and accountability.

Proposal of Framework Based on 4W1H and Properties of Robots and Objects for Development of Physical Service System

2014 ◽  
Vol 26 (6) ◽  
pp. 758-771 ◽  
Author(s):  
Yukihiro Nakamura ◽  
◽  
Shin-yo Muto ◽  
Yoshio Maeda ◽  
Makoto Mizukawa ◽  
...  
Keyword(s):  
Service System ◽  
Experimental Results ◽  
Service Development ◽  
Application Development ◽  
Development Platform ◽  
Service Information ◽  
Property Data ◽  
Heterogeneous Robots ◽  
Delivery Services ◽  
Service Application

<div class=""abs_img""><img src=""[disp_template_path]/JRM/abst-image/00260006/09.jpg"" width=""300"" />Service development platform</div> We propose a framework for forming the development of object delivery services provided through cooperation among heterogeneous robots and sensors. For this, we extended the previous framework based on 4W1H abstraction to develop informative and physical robotic services. The proposed framework abstracts information about sensors and robots as 4W data for users, objects and robots, robotic functions, and property data of robots and objects. We then develop physical services done one by one in combination with service information. We also describe the service application development platform based on the framework. Experimental results show that service applications can be efficiently developed by using the service application development platform. </span>

Morale of mental health professionals in Community Mental Health Services of a Northern Italian Province

2004 ◽  
Vol 13 (3) ◽  
pp. 191-197 ◽  
Author(s):  
Gian Maria Galeazzi ◽  
Sara Delmonte ◽  
Walid Fakhoury ◽  
Stefan Priebe
Keyword(s):  
Mental Health ◽  
Job Satisfaction ◽  
Community Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Research Training ◽  
Influential Factors ◽  
Service Development ◽  
Open Questions ◽  
Italian Province

SummaryAims — To explore morale of psychiatrists and psychiatric nurses working in Community Mental Health Centres (CMHC) in an Italian Province, and identify influential factors. Methods — Thirty psychiatrists and 30 nurses working in CMHCs in Modena completed questionnaires on burnout, team identity and job satisfaction. They also answered open questions about different aspects of their work. Answers were subjected to content analysis. Regression analyses were used to identify factors that predicted morale across groups. Results — Psychiatrists had higher scores on emotional exhaustion and depersonalisation. There were no significant differences between the two groups in job satisfaction and job or role perception. Professionals reported positive relationships with patients as the most enjoyable aspects of their job, whilst team conflicts and high workloads were seen as most difficult to cope with. Multivariate analyses showed that being a psychiatrist and perceiving team conflicts as a main cause of pressure in the job predicted higher burnout. Conclusions — Simple open questions coupled with quantitative measures appear a promising tool to investigate morale of mental health professionals and identify factors determining morale. Research, training and service development should focus on relationship aspects both with patients and within teams to reduce burnout in CMHCs.Declaration of InterestG.M.G. was employed by Modena local mental health service, but did not work in CMHCs. No other conflict of interest.

scholarly journals Massachusetts General Hospital Global Psychiatric Clinical Research Training Program: A New Fellowship in Global Mental Health

2015 ◽  
Vol 40 (4) ◽  
pp. 695-697 ◽  
Author(s):  
Jessica F. Magidson ◽  
Anne Stevenson ◽  
Lauren C. Ng ◽  
Rebecca S. Hock ◽  
Christina P. C. Borba ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Research ◽  
Training Program ◽  
General Hospital ◽  
Research Training ◽  
Massachusetts General Hospital ◽  
Global Mental Health ◽  
Research Training Program
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