scholarly journals Setting up an arthroplasty care practitioner-led virtual clinic for follow-up of orthopaedic patients

2019 ◽  
Vol 28 (20) ◽  
pp. 1326-1330 ◽  
Author(s):  
Sharon Ferdinandus ◽  
Lindsay K Smith ◽  
Hemant Pandit ◽  
Martin H Stone
Keyword(s):  
Patient Satisfaction ◽  
Teaching Hospital ◽  
Waiting Times ◽  
Cost Savings ◽  
University Teaching ◽  
Local Hospital ◽  
X Ray ◽  
Orthopaedic Patients ◽  
Set Up

This article provides an overview of the set up for an arthroplasty care practitioner (ACP)-led virtual orthopaedic clinic (VOC). Suitable patients attend a local hospital for an X-ray and complete a questionnaire, but do not physically attend a clinic. This has been running successfully in a university teaching hospital and has led to cost savings, a reduction in outpatient waiting times and high levels of patient satisfaction. Similar clinics have the potential to become normal practice across the NHS. This article outlines the steps necessary to implement a successful VOC. The lessons learnt during this exercise may be useful for other ACPs when setting up a VOC.

scholarly journals Aphakia Correction by Injection of Foldable Intra Ocular Lens in the Anterior Chamber

2013 ◽  
Vol 5 ◽  
pp. OED.S12672
Author(s):  
Kagmeni Giles ◽  
Moukouri Ernest ◽  
Domngang Christelle ◽  
Nguefack-Tsague Georges ◽  
Cheuteu Raoul ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Intraocular Pressure ◽  
Anterior Chamber ◽  
Teaching Hospital ◽  
Case Series ◽  
University Teaching ◽  
Case Series Study ◽  
The Mean ◽  
The University

We assessed the outcomes of the use of anterior chamber foldable lens for unilateral aphakia correction at the University Teaching Hospital of Yaounde. In this retrospective, non-comparative, consecutive case series study, we reviewed the records of patients who underwent an operation for aphakia correction by the means of injection of an angular supported foldable lens between January 2009 and December 2011 in the University Teaching Hospital Yaounde. Student's paired t-test was carried out to compare preoperative and postoperative visual acuity (VA) and intraocular pressure (TOP). P-values less than 0.05 were considered statistically significant. Twenty-one patients were included in the study; twelve were male (57.1%) and nine were female (42.9%). The mean age was 55.38 ± 17.67 years (range 9–75 years). The mean follow-up duration was 5.95 ± 3.14 months (range 2–12 months). The mean logMAR visual acuity was 1.26 ± 0.46 pre-operatively and 0.78 ± 0.57 post-operatively ( P = 0.003). The change in intraocular pressure was not statistically significant. Complications included intraocular hypertension (over 21 mmHg) in 3 patients (14.3%) and macular edema, pupillar ovalization, and retinal detachment in one patient each. The results indicate that injection of an angular support foldable lens in the anterior chamber is a useful technique for the correction of aphakia in eyes without capsular support. More extended follow-up, however, and a larger series of patients are needed to ascertain the effectiveness and safety of this procedure.

Investigation of aStreptococcus viridansPseudobacteremia Epidemic at a University Teaching Hospital

1989 ◽  
Vol 10 (9) ◽  
pp. 416-421 ◽  
Author(s):  
Deirdre L. Church ◽  
Heather E. Bryant
Keyword(s):  
Blood Culture ◽  
Teaching Hospital ◽  
Index Finger ◽  
Blood Cultures ◽  
University Teaching ◽  
Large Teaching Hospital ◽  
Disproportionate Number ◽  
Good Concordance ◽  
Contaminated Blood

AbstractFor several months in 1986, an outbreak of Streptococcus viridanspseudobacteremia occurred at a large teaching hospital. All sources of laboratory blood culture contamination were excluded. A retrospective epidemiological study indicated that one phlebotomist, “P,” collected a disproportionate number of the positive blood cultures. Further comparison of the paired blood culture results from the three months when the incidence was highest revealed a good concordance of results among all other phlebotomists (Kappa = 0.5), while P's results concurred with others less frequently than would be expected even by chance (Kappa < 0.0). Clinical follow-up showed that P did not routinely wear gloves while drawing blood and had eczema of the hands. Skin scrapings from the hands, right index finger/fingernail grew predominantlyS viridansspecies that were compatible with those recovered from contaminated blood cultures. This epidemic demonstrated the need for early detection of this source as a cause of nosocomial pseudobacteremia.

Development of a physiotherapy-led balance clinic: the Aintree model

2014 ◽  
Vol 128 (11) ◽  
pp. 966-971 ◽  
Author(s):  
A V Kasbekar ◽  
N Mullin ◽  
C Morrow ◽  
A M Youssef ◽  
T Kay ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Benign Paroxysmal Positional Vertigo ◽  
Waiting Times ◽  
Clinic Visit ◽  
Positional Vertigo ◽  
One Stop ◽  
Set Up ◽  
High Level ◽  
Referral Letters ◽  
Paroxysmal Positional Vertigo

AbstractObjective:To create a ‘one-stop’ clinic in which assessment, diagnosis, treatment and therapies for most patients presenting with balance and dizziness disorders are delivered simultaneously.Methods:Patients triaged via referral letters were selected to attend the balance clinic, which is led by specialist balance physiotherapists. Patients were seen by an audiologist, and a ‘balance’ ENT consultant was available for joint consultations when required. Further details of the clinic set up are discussed.Results:Over an 18-month period, 200 new ‘dizzy’ patients attended the clinic. Benign paroxysmal positional vertigo and labyrinthitis were the commonest diagnoses. Fifty per cent of all patients were discharged after a single clinic visit. Questionnaires showed that patient satisfaction was high.Conclusion:The physiotherapy-led balance clinic has reduced patient waiting times to be seen, has a high level of patient satisfaction and is economically beneficial.

Patient perceptions of the otolaryngology ward round in a teaching hospital

2006 ◽  
Vol 120 (4) ◽  
pp. 314-318 ◽  
Author(s):  
M-L Montague ◽  
S S M Hussain
Keyword(s):  
Patient Satisfaction ◽  
Teaching Hospital ◽  
Response Rate ◽  
Ward Round ◽  
Patient Perceptions ◽  
Information Giving ◽  
Large Size ◽  
Wide Range ◽  
Structured Questionnaire

Objective: This survey assesses patients' perceptions of a daily otolaryngology ward round in a teaching hospital.Methods: Initial, open-ended questionnaires generated themes from which a structured questionnaire was constructed. Patients' perceptions in a wide range of areas were examined by asking them to indicate on a Likert scale the extent to which they agreed or disagreed with a number of statements concerning various aspects of the ward round.Results: One hundred patients were surveyed. The response rate was 79 per cent. The findings showed overall patient satisfaction with the ward round, particularly in the areas of information-giving regarding diagnosis, treatment and follow-up arrangements. The large size of the ward round appeared to be intimidating and induced anxiety for approximately one-third of patients. Patients wished the roles of staff present to be better defined and to be informed of the presence of medical students. One-third of patients perceived staff to use language that was difficult to understand.Conclusions: The survey identified some improvement opportunities and will assist our department with its on-going endeavours to improve the ward round experience for both patients and staff.

scholarly journals Patient Satisfaction with HIV and AIDS Services in Mizan-Tepi University Teaching Hospital, Southwest Ethiopia

2020 ◽  
Vol Volume 12 ◽  
pp. 403-410
Author(s):  
Tadesse Nigussie ◽  
Temesgen Aferu ◽  
Yitagesu Mamo ◽  
Mulugeta Feyisa
Keyword(s):  
Patient Satisfaction ◽  
Teaching Hospital ◽  
Hiv And Aids ◽  
University Teaching ◽  
Southwest Ethiopia
Sign in / Sign up

Export Citation Format

Share Document