Sequence of mixed ophthalmic operating lists: A national survey of UK consultants

2021 ◽  
pp. 175045892110066
Author(s):  
Lyudmila Kishikova ◽  
Ahmed S Bardan ◽  
Elizabeth Hawkes ◽  
Rawya A Diab ◽  
Venkat Avadhanam ◽  
...  

Ophthalmic surgical operating lists include intraocular and extraocular procedures, as well as clean non-infectious and dirty infectious cases. Patient age, diabetic status, local or general anaesthesia must be considered during ophthalmic theatre scheduling. Traditionally children and ‘clean cases’ are prioritised. However, factors such as the need for an interpreter, patient transport and latex allergy affect the sequencing of ophthalmic lists. An electronic survey was sent to all UK ophthalmology consultants through the Royal College of Ophthalmologists registry, enquiring about their preference in sequencing mixed theatre lists, what operations they considered clean and dirty, and the presence of departmental protocol for list sequencing. There was a 16.9% response rate ( n = 222/1311). A majority of 75.2% ( n = 167/222) had mixed operating lists of intraocular and extraocular cases. Of those performing mixed operating lists, 44.3% ( n = 74/167) stated they would operate on intraocular cases before extraocular cases, and 92.8% ( n = 155/167) would perform ‘clean’ before ‘dirty’ cases. Fifty-nine per cent ( n = 98/167) have a departmental protocol to help determine list order. This survey has demonstrated that there is a trend to perform ‘clean’ before ‘dirty’ and intraocular before extraocular cases. Given the results of the survey, we outline our recommendation on how to sequence mixed ophthalmic theatre lists.

2000 ◽  
Vol 23 (4) ◽  
pp. 108 ◽  
Author(s):  
Robert Cook ◽  
Glenn Gardner ◽  
Anne Gardner

A telephone survey was conducted to describe current practices and policies of patient transport in Australian hospitals.The survey had a 94% response rate. Results showed considerable variability and ambiguity throughout the samplein both practice and policy. Findings also indicated that criteria used for transport practices were predominantlyshaped by physiological and technological considerations. Factors related to human and financial resources, as well aspsychological and emotional aspects of the patient's condition, received little attention.


2009 ◽  
Vol 33 (12) ◽  
pp. 454-457 ◽  
Author(s):  
Johan D. Jurgens ◽  
Maggie MacKinnon

Aims and MethodA national survey of members of the Scottish division of the Royal College of Psychiatrists to establish the training in neuropsychology they have received, their views on neuropsychology service provision and on potential formal postgraduate neuropsychology training opportunities.ResultsA 54% (n = 288) consultant psychiatrist response rate was achieved. the responses suggest that where specialist neuropsychology services exist, they are not perceived to be sufficient to deal with clinical demand. Consultant psychiatrists indicated that there are limited training opportunities in neuropsychology for psychiatrists, and this seems to be reflected in their limited confidence in interpreting basic recommended neuropsychological assessment tools. There seems to be a definite desire among consultant psychiatrists for postgraduate training opportunities.Clinical ImplicationsScottish psychiatrists desire an increase in formal neuropsychology training opportunities.


2002 ◽  
Vol 26 (1) ◽  
pp. 18-20
Author(s):  
Alison Napier

Aims and MethodA postal questionnaire was circulated to all consultants in old age psychiatry in Wales, examining provision of services with reference to the indicative service levels defined by the Royal College of Psychiatrists and Royal College of Physicians.ResultsThe response rate was 100%. Levels of staffing and resources overall fell well below recommendations and varied widely between services. The average population over 65 served by a whole time consultant was 22 995; more than twice that recommended. No association was found between morale or how well population needs were perceived as being met, and the size of the population served.Clinical ImplicationsConsiderable investment in staff and other resources is needed for the recommendations made by the royal Colleges concerning service levels and, by implication, service quality to be met.


2015 ◽  
Vol 9 (11-12) ◽  
pp. 420
Author(s):  
Vincent Trudeau ◽  
Alessandro Larcher ◽  
Paolo Dell'Oglio ◽  
Katharina Boehm ◽  
Mohamed Bishr ◽  
...  

<p><strong>Introduction: </strong>Local tumor ablation (LTA) is a recommended option for the treatment of localized kidney cancer in nonsurgical candidates. We performed a survey to describe the practice patterns of this procedure in Canada.</p><p><strong>Methods: </strong>An electronic survey was sent by email to all urologists registered to the Canadian Urological Association (CUA). Urologists were queried about general demographic information, LTA availability at their institution (and reasons of non-availability, if it was the case) as well as the type and context of LTA use. </p><p><strong>Results: </strong>Overall, 103 individual responses were obtained (response rate of 19.5%). Of those, 58 (56.3%) had access to LTA at their institution. Urologists who had access to LTA were more likely to work at an academic institution (69 vs. 16%, p&lt;0.001). Among individuals who did not use LTA, the main reasons were the lack of staff, such as radiologists, who can assist and/or perform the procedure (64%); and the lack of expertise with the procedure (62%). Among urologists who had access to LTA, percutaneous radiofrequency and cryoablation were the most commonly used (72% and 21%, respectively). However, urologists were rarely involved in those procedures (12%).</p><p><strong>Conclusions: </strong>In this national survey, we found that a significant proportion of Canadian urologists did not have access to LTA. We also found that when LTA was performed, urologists were rarely involved in the procedures. Those findings represent significant areas for improvement in the access to LTA. The conclusions of this study are limited by the low response rate.</p>


2011 ◽  
Vol 35 (9) ◽  
pp. 328-333 ◽  
Author(s):  
Catherine Manning ◽  
Andrew Molodynski ◽  
Jorun Rugkåsa ◽  
John Dawson ◽  
Tom Burns

Aims and methodTo ascertain the views and experiences of psychiatrists in England and Wales regarding community treatment orders (CTOs). We mailed 1928 questionnaires to members of the Royal College of Psychiatrists.ResultsIn total, 566 usable surveys were returned, providing a 29% response rate. Respondents were generally positive about the introduction of the new powers, more so than in previous UK studies. They reported that their decision-making regarding compulsion was based largely on clinical grounds.Clinical implicationsIn the absence of research evidence or a professional consensus about the use of CTOs, multidisciplinary input in decision-making is essential. Further research and training are urgently needed.


2019 ◽  
Vol 5 (1) ◽  
pp. e000572 ◽  
Author(s):  
Sarah O'Brien ◽  
Lucia Prihodova ◽  
Mairéad Heffron ◽  
Peter Wright

ObjectivePhysical activity (PA) counselling has been shown to raise awareness of the importance of PA and to increase the rate of PA engagement among patients. While much attention has been paid to examining the knowledge, attitudes and practice of general practitioners in relation to PA counselling, there is less literature examining such issues in hospital-based doctors in Ireland and further afield. This study aimed to explore doctors’ PA counselling practices and to analyse how this related to their level of PA knowledge, training and attitudes.MethodsAn invitation to participate in an online survey was sent to 4692 members of the Royal College of Physicians of Ireland who were listed as having an address in Ireland. Descriptive and explorative analyses of the data were performed using IBM SPSS V.22.0.ResultsA total of 595 valid responses were included (response rate 12.7%; 42.7% male, 42.6±12.1 years). The majority reported enquiring about PA levels (88.0%) and providing PA counselling (86.4%) in at least some of their patients. Doctors who saw it as their role and those who felt more effective/confident in providing PA counselling were significantly more likely to do so. A perceived lack of patient interest in PA and patient preference for pharmaceutical intervention were significant barriers to undertaking PA counselling.ConclusionThis study demonstrates the need for further education and training in PA counselling in Ireland with a particular focus on improving the attitudes and self-efficacy of doctors in this area at both undergraduate and postgraduate levels.


Author(s):  
Derar H Abdel-Qader ◽  
Esraa E Al Jomaa ◽  
Jennifer Silverthorne ◽  
Walid Shnaigat ◽  
Salim Hamadi ◽  
...  

Abstract Objectives Evaluating Jordanian pharmacists’ roles in psychiatry from psychiatrists perspective. Methods An electronic survey was sent to 100 psychiatrists registered in the Jordanian Psychiatrists Association. Statistical analysis included descriptive statistics and multivariate logistic regression. Key findings A total of 80 psychiatrists completed the survey (response rate 80%). Most psychiatrists thought that pharmacists are unable to give individuals with mental illness enough time to discuss their medications (62/80, 77.6%) and to monitor psychotropic medications (PM) efficacy (50/80, 62.6%). Around half of respondents thought that, in the future, pharmacists would not be able to suggest PM for patients (42/80, 52.6%), nor changes in PM dosages (37/80, 46.3%). Most psychiatrists emphasized the importance of psychiatric courses to improve pharmacists’ role. Conclusion Although psychiatrists were generally not satisfied with the current role of pharmacists, they had positive expectations about pharmacists’ competency to do certain activities and to assist them in designing drug therapy plans.


Retos ◽  
2021 ◽  
Vol 43 ◽  
pp. 107-116
Author(s):  
Manel Valcarce-Torrente ◽  
Oscar L Veiga ◽  
Ángela Arroyo-Nieto ◽  
Camilo Morales-Rincón

  El objetivo del presente estudio fue identificar y comparar las principales tendencias fitness para el año 2021 en Colombia con los hallazgos de la encuesta nacional realizada el año anterior y con los rankings español e internacional del año 2021. La información fue obtenida a través de una encuesta online replicando la metodología desarrollada por el Colegio Americano de Medicina el Deporte en las encuestas internacionales sobre tendencias en fitness. El cuestionario se envió a 3.800 profesionales de distintos departamentos deportivos y de regiones de Colombia obteniéndose un total de 1700 respuestas (tasa de respuesta del 32.07%). Los resultados sitúan en el top 5 de tendencias en Colombia las “clases remotas/online”, las “apps de ejercicios”, los “programas de ejercicio para combatir la obesidad en niños y adolescentes”, los “programas de ejercicio para poblaciones con enfermedades” y los “programas fitness para adultos mayores”. Dentro del top 20 se encuentran 14 tendencias coincidentes con la encuesta nacional del año anterior, con ligeros cambios de posición; 11 equivalencias con el ranking español y 9 con el ranking de la encuesta internacional de 2021. Los resultados muestran una relevancia de la práctica de actividad física con fines orientados a la salud y el bienestar, además de un creciente interés por el uso de la tecnología en el sector del fitness. Abstract. The aim of the current study was to identify the main trends for the year 2021 in Colombia with the findings of the national survey carried out the previous year and with the Spanish and international rankings for 2021. The information was obtained through a survey online replicating the methodology developed by the American College of Sports Medicine in international surveys on trends in fitness. The questionnaire was sent to 3,800 professionals from different sports departments and regions of Colombia, obtaining a total of 1,700 responses (response rate of 32.07%). The results place in the top 5 of trends in Colombia: “online training”, “exercise apps”, “exercise programs against children and adolescent obesity”, “exercise programs for populations with diseases” and “fitness programs for older adults ”. Within the top 20 there are 14 trends that coincide with the national survey of the previous year, with slight changes in position; 11 equivalences with the Spanish ranking and 9 with the 2021 international survey ranking. The results show a relevance of the practice of physical activity for health and well-being-oriented purposes, as well as a growing interest in the use of technology in the fitness sector.


Author(s):  
James Fowler ◽  
Christopher J. Chin ◽  
Emad Massoud

Abstract Background Rhinitis medicamentosa is a non-allergic form of rhinitis that is typically caused by prolonged use of topical nasal decongestants. This condition commonly affects young adults and treatment is not trivial. We aimed to survey Canadian Otolaryngologists to determine practice patterns and their opinions regarding this under-studied condition. Methods An electronic survey was sent to practicing Otolaryngologists within the Canadian Society of Otolaryngology – Head and Neck Surgery. The survey contained 16 questions pertaining to the diagnosis and treatment of rhinitis medicamentosa, as well as opinions on public and primary care awareness of proper use of nasal decongestants. Results The survey was distributed to 533 Otolaryngologists and 69 surveys were returned (response rate of 13%). Cessation and weaning of decongestant (96%), and intranasal steroids (94%) were the most common methods for treating RM. Intranasal saline rinses (55%) and oral steroids (25%) were also supported by some respondents. For those who recommended cessation/weaning, 61% also concurrently introduced an intranasal steroid during this process. The majority responded that current warnings on nasal decongestants were inadequate (75%), and were not visible enough (79%). Conclusions Rhinitis medicamentosa is a common, and very preventable condition. Although the literature lacks a standardized approach to RM, our survey has shown that many Otolaryngologists diagnose and treat RM in a similar manner. Treatment tends to focus on decongestant cessation, often with concurrent introduction of intranasal steroids. It was felt the warning labels on the topical medications are not currently satisfactory.


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