A RECORD OF A YEAR'S (1904) OPERATIONS IN CLARENCE WARD (GYNAECOLOGICAL) OF THE ROYAL VICTORIA HOSPITAL, BELFAST

BMJ ◽  
1905 ◽  
Vol 1 (2314) ◽  
pp. 982-983
Author(s):  
J. W. Byers ◽  
R. J. Johnstone
Keyword(s):  
Royal Victoria Hospital

scholarly journals Secondary care interface: optimising communication between teams within secondary care to improve the rehabilitation journey for older people

2021 ◽  
Vol 10 (1) ◽  
pp. e001274
Author(s):  
Sean Testrow ◽  
Ryan McGovern ◽  
Vicki Tully
Keyword(s):  
Information Sharing ◽  
Secondary Care ◽  
Royal Victoria Hospital ◽  
Treatment Plan ◽  
Electronic System ◽  
The Elderly ◽  
Communication Tool ◽  
Clinical Communication ◽  
Transfer Of Information ◽  
Intervention Clinic

Effective communication between members of the multidisciplinary team is imperative for patient safety. Within the Medicine for the Elderly wards at Royal Victoria Hospital (RVH) in Dundee, we identified an inefficient process of information-sharing between the orthopaedics outpatient department (OPD) at the main teaching hospital and our hospital’s rehabilitation teams, and sought to improve this by introducing several changes to the work system. Our aim was for all patients who attended the OPD clinic to have a plan communicated to the RVH team within 24 hours.Before our intervention, clinic letters containing important instructions for ongoing rehabilitation were dictated by the OPD team, transcribed and uploaded to an electronic system before the RVH team could access them. We analysed clinic attendances over a 4-week period and found that it took 15 days on average for letters to be shared with the RVH teams. We worked with both teams to develop a clinical communication tool and new processes, aiming to expedite the sharing of key information. Patients attended the OPD with this form, the clinician completed it at the time of their appointment and the form returned with the patient to RVH on the same day.We completed multiple Plan–Do–Study–Act cycles; before our project was curtailed by the COVID-19 pandemic. During our study period, seven patients attended the OPD with a form, with all seven returning to RVH with a completed treatment plan documented by the OPD clinician. This allowed rehabilitation teams to have access to clinic instructions generated by orthopaedic surgeons almost immediately after a patient attended the clinic, essentially eliminating the delay in information-sharing.The introduction of a simple communication tool and processes to ensure reliable transfer of information can expedite information-sharing between secondary care teams and can potentially reduce delays in rehabilitation.

scholarly journals Performance de glicosímetro utilizado no automonitoramento glicêmico de portadores de diabetes mellitus tipo 1

2006 ◽  
Vol 50 (3) ◽  
pp. 541-549 ◽  
Author(s):  
Giane Sprada Mira ◽  
Lys Mary Bileski Candido ◽  
Jean François Yale
Keyword(s):  
Diabetes Mellitus ◽  
Royal Victoria Hospital ◽  
Mcgill University

Este estudo prospectivo avaliou a dose mínima de sangue, precisão e exatidão da glicemia capilar obtidos em glicosímetro digital. Foram avaliados 108 portadores de diabetes mellitus tipo 1 (DM1), adolescentes e adultos, de ambos os sexos, recrutados junto à Clínica de Diabetes do Royal Victoria Hospital, McGill University, Canadá, durante 6 meses. No monitoramento capilar, foi utilizado glicosímetro AccuChek Compact (Roche). Para o volume, testaram-se 6 amostras de sangue, em três glicosímetros, utilizando o desenho cross-over (432 leituras). Para exatidão, comparou-se 100 amostras de sangue arterial e venoso, testadas no glicosímetro e no laboratório. Para precisão, testou-se repetidamente duas amostras de sangue venoso e soluções-controle. Os resultados demonstraram que o volume de 3,0 µL de sangue é suficiente para leitura reprodutível. Os resultados da glicemia venosa e capilar obtidos pelo glicosímetro e testadas no laboratório não apresentaram diferença estatisticamente significativa (p > 0,05). Comparação dos valores de glicemia capilar medida pelo glicosímetro com glicemia venosa e capilar medida no laboratório resultou em coeficientes de correlação de 0,9819 e 0,9842, respectivamente. Estes dados confirmam a alta exatidão e precisão do glicosímetro testado. O estabelecimento de punção digital de 3,0 µL pode ter impacto positivo na aderência ao automonitoramento.

scholarly journals A Footnote to Medical History: David Alexander Shirres on Spinal Cord Regeneration

1991 ◽  
Vol 18 (3) ◽  
pp. 361-362 ◽  
Author(s):  
Preston Robb
Keyword(s):  
Spinal Cord ◽  
Nervous System ◽  
Medical Journal ◽  
Medical History ◽  
General Hospital ◽  
Royal Victoria Hospital ◽  
Spinal Cord Regeneration ◽  
Montreal General Hospital ◽  
Neuronal Regeneration ◽  
Spinal Neurones

ABSTRACT:Little attention has been paid to an early Canadian experiment in neuronal regeneration and what may have been the world's first attempt to replace a damaged spinal cord with a transplant. In 1905, a paper entitled “Regeneration of the Axones of Spinal Neurones in Man” was published in the Montreal Medical Journal. It had been read at the Panamerican Congress in Panama. The author was David Alexander Shirres, a Scot who had trained in Aberdeen in neurology and neuropathology. He came to Canada in 1902 to assume the position of neurologist at the Montreal General Hospital, with the responsibility of establishing clinics and teaching undergraduates about the mysteries of the nervous system. To my knowledge, he was the first man in Canada to be appointed as a neurologist. (There were others, notably James Stewart, who devoted most of their time and writing to diseases of the nervous system but considered themselves to be internists. Stewart, for example, left the MGH to become the first chief of medicine at the Royal Victoria Hospital in Montreal.)

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