Imaging in Acute Appendicitis: Lessons Learned from Appendicectomy Patients at Two District General Hospitals in the United Kingdom over a Six-year Period

2016 ◽  
pp. 118-125 ◽  
Author(s):  
OA Westerland ◽  
◽  
RK Singh ◽  
HC Nagraj ◽  
S Muthukumarasamy ◽  
...  
Keyword(s):  
United Kingdom ◽  
Acute Appendicitis ◽  
Lessons Learned ◽  
General Hospitals ◽  
The United Kingdom

scholarly journals Implementation and lessons learned from 2 online interprofessional faculty development programs for improving educational practice in the health professions in Chile and the United Kingdom from 2018 to 2021

2021 ◽  
Vol 18 ◽  
pp. 21
Author(s):  
Cesar Orsini ◽  
Veena Rodrigues ◽  
Jorge Tricio
Keyword(s):  
United Kingdom ◽  
Faculty Development ◽  
Learning Strategies ◽  
Interprofessional Education ◽  
Teaching Style ◽  
Educational Practice ◽  
Health Professions ◽  
Lessons Learned ◽  
Development Programs ◽  
The United Kingdom

This study presents the design, implementation, and lessons learned from 2 fit-for-purpose online interprofessional faculty development programs for educational practice improvement in the health professions in Chile and the United Kingdom from 2018 to 2021. Both programs were designed to enhance teaching and learning practices in an interprofessional environment based on 4 pillars: professional diversity, egalitarianism, blended/online learning, and active learning strategies. A multidisciplinary mix of educators participated, showing similar results. The 3 main lessons learned were that the following factors facilitated an interprofessional environment: a professions-inclusive teaching style, a flexible learning climate, and interprofessional peer work. These lessons may be transferable to other programs seeking to enhance and support interprofessionality. Faculty development initiatives preparing educators for interprofessional practice should be an integral component of health professions education, as delivering these courses within professional silos is no longer justifiable. As the relevance of interprofessional education grows, an effective way of promoting interprofessonal education is to train the trainers in formal interprofessional settings.

scholarly journals Emergency psychiatric referrals to a university hospital in Pakistan

1993 ◽  
Vol 17 (8) ◽  
pp. 471-472 ◽  
Author(s):  
Hashim Reza ◽  
Sajid Mahmood Choudhry ◽  
Murad Moosa Khan
Keyword(s):  
Emergency Department ◽  
United Kingdom ◽  
Psychiatric Patients ◽  
Psychiatric Services ◽  
University Hospital ◽  
General Hospitals ◽  
The United Kingdom ◽  
Accident And Emergency ◽  
Accident And Emergency Department

The role of the accident and emergency department in the care of psychiatric patients has been long recognised. Mindham et al (1973) reported that many psychiatric patients, at their first or subsequent contact, present themselves as emergencies, and therefore a suitable service must be provided for them. It is interesting that a large number of reports describe various aspects of one particular service in London, namely the Maudsley Emergency Clinic. Several recent reports describe emergency psychiatric services in different district general hospitals in the United Kingdom.

Review of paediatric cardiology services in district general hospitals in the United Kingdom

2015 ◽  
Vol 26 (3) ◽  
pp. 528-531 ◽  
Author(s):  
Hannah Andrews ◽  
Yogen Singh
Keyword(s):  
United Kingdom ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Response Rate ◽  
General Hospitals ◽  
Paediatric Cardiology ◽  
The United Kingdom ◽  
Picture Archiving And Communication ◽  
Design And Methods

AbstractFollowing the Safe and Sustainable review of Paediatric Services in 2012/2013, National Health Service England recommended that local paediatric cardiology services should be provided by specially trained paediatricians with expertise in cardiology in all non-specialist hospitals.AimTo understand the variation in local paediatric cardiology services provided across district general hospitals in the United Kingdom.Study design and methodsAn internet-based questionnaire was sent out via the Paediatrician with Expertise in Cardiology Special Interest Group and the Neonatologists with Interest in Cardiology and Haemodynamics contact databases and the National Health Service directory. Non-responders were followed-up via telephone.ResultsThe response rate was 80% (141 of 177 hospitals), and paediatricians with expertise in cardiology were available in 68% of those. Local cardiology clinics led by paediatricians with expertise in cardiology were provided in 96 hospitals (68%), whereas specialist outreach clinics were held in 123 centres (87%). A total of 11 hospitals provided neither specialist outreach clinics nor any local cardiology clinics led by paediatricians with expertise in cardiology. Paediatric echocardiography services were provided in 83% of the hospitals, 12-lead electrocardiogram in 96%, Holter electrocardiogram in 91%, and exercise testing in only 47% of the responding hospitals. Telemedicine facilities were established in only 52% of the centres, where sharing echocardiogram images via picture archiving and communication system was used most commonly.ConclusionThere has been a substantial increase in the availability of paediatricians with expertise in cardiology since 2008. Most of the hospitals are well-supported by specialist cardiology centres via outreach clinics; however, there remains significant variation in the local paediatric cardiology services provided across district general hospitals in the United Kingdom.

Designing for Usability with Cots: How Useful is a Style Guide?

1998 ◽  
Vol 42 (18) ◽  
pp. 1295-1299 ◽  
Author(s):  
Jo Hoffman ◽  
Catherine A. Cook
Keyword(s):  
United Kingdom ◽  
Software Development ◽  
Human Factors ◽  
Lessons Learned ◽  
Computer Interface ◽  
Human Computer Interface ◽  
The United Kingdom ◽  
Recent Increase ◽  
Cots Products ◽  
Commercial Off The Shelf

The recent increase in the use of Commercial Off The Shelf (COTS) equipment and software in future military procurements creates a variety of challenges for human factors practitioners to address. There is a need to tailor our approach in order to provide suitable human factors tools to support the design of COTS-based systems. The human factors approach adopted, and experiences gained, in the development of a command planning aid are reported. This system, which is currently under development, utilises a large number of COTS products together with significant bespoke software development. It is one of the first major procurements in the United Kingdom to be based heavily around the use of COTS. A major challenge has been to optimise the usability of the overall system by providing future users with as seamless as possible integration of the various COTS products, rather than a series of unrelated, separate applications. One of the main activities has therefore been the design of the human-computer interface (HCI). A comprehensive Style Guide was developed against which the proposed COTS products could be evaluated, and new bespoke software could be designed. This paper evaluates the utility of a Style Guide in this context, and reports a number of lessons learned from our experiences.

Lessons Learned and Experiences Shared From the Front Lines: United Kingdom

2020 ◽  
Vol 86 (6) ◽  
pp. 585-590
Author(s):  
Steven D. Wexner ◽  
Delia Cortés-Guiral ◽  
Neil Mortensen ◽  
Ara Darzi
Keyword(s):  
United Kingdom ◽  
Western Europe ◽  
Respiratory Illness ◽  
Senior Author ◽  
Lessons Learned ◽  
The United Kingdom ◽  
House Of Lords ◽  
American College Of Surgeons ◽  
Skilled Personnel ◽  
President Elect

This is the second installment of a series of interviews, conducted by the senior author (S.D.W.) and the American College of Surgeons (ACS), that feature international leaders in surgery telling of the challenges they faced during the global COVID-19 pandemic. The disease arrived in the United Kingdom with devastating effects within a few weeks of its spread to Western Europe from China. In Oxford, Professor Neil Mortensen used his position as the President-elect of the Royal College of Surgeons of England to help coordinate efforts among the 4 Royal Colleges in the United Kingdom (his own, London, Edinburgh, and Ireland) to mobilize and retrain surgeons for duty helping to support in the critical care of patients with respiratory illness from the virus. In London, Lord Ara Darzi, a colon and rectal surgeon and leading innovator in minimally invasive surgery, underwent re-education himself in respiratory care to help his medical colleagues. As a member of the House of Lords involved in matters regarding the National Health Service as former Parliamentary Undersecretary of Health, he facilitated legislative measures to increase the physician workforce necessary to meet the demand for skilled personnel. Professor Mortensen and Lord Darzi have been recognized as honorary fellows of the ACS for their contributions to surgery. “Lots of people do not think it can possibly happen to them”, Professor Mortensen said, “Our experience is that it will happen to you, and you cannot be prepared enough. Preparation, preparation, preparation is what you need to do.”

scholarly journals Delivering digital health and well-being at scale: lessons learned during the implementation of the dallas program in the United Kingdom

2015 ◽  
Vol 23 (1) ◽  
pp. 48-59 ◽  
Author(s):  
Alison M Devlin ◽  
Marilyn McGee-Lennon ◽  
Catherine A O’Donnell ◽  
Matt-Mouley Bouamrane ◽  
Ruth Agbakoba ◽  
...  
Keyword(s):  
United Kingdom ◽  
Qualitative Data ◽  
Sociological Theory ◽  
Digital Health ◽  
Well Being ◽  
Lessons Learned ◽  
Healthcare Settings ◽  
The United Kingdom ◽  
Prospective Longitudinal ◽  
Health And Well Being

Abstract Objective To identify implementation lessons from the United Kingdom Delivering Assisted Living Lifestyles at Scale (dallas) program—a large-scale, national technology program that aims to deliver a broad range of digital services and products to the public to promote health and well-being. Materials and Methods Prospective, longitudinal qualitative research study investigating implementation processes. Qualitative data collected includes semi-structured e-Health Implementation Toolkit–led interviews at baseline/mid-point ( n = 38), quarterly evaluation, quarterly technical and barrier and solutions reports, observational logs, quarterly evaluation alignment interviews with project leads, observational data collected during meetings, and ethnographic data from dallas events ( n > 200 distinct pieces of qualitative data). Data analysis was guided by Normalization Process Theory, a sociological theory that aids conceptualization of implementation issues in complex healthcare settings. Results Five key challenges were identified: 1) The challenge of establishing and maintaining large heterogeneous, multi-agency partnerships to deliver new models of healthcare; 2) The need for resilience in the face of barriers and set-backs including the backdrop of continually changing external environments; 3) The inherent tension between embracing innovative co-design and achieving delivery at pace and at scale ; 4) The effects of branding and marketing issues in consumer healthcare settings; and 5) The challenge of interoperability and information governance, when commercial proprietary models are dominant. Conclusions The magnitude and ambition of the dallas program provides a unique opportunity to investigate the macro level implementation challenges faced when designing and delivering digital health and wellness services at scale. Flexibility, adaptability, and resilience are key implementation facilitators when shifting to new digitally enabled models of care.

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