A5038837818- Palliative Care and End-of-Life Issues
- Electronic Health Records Systems
- Medical Coding and Health Information
- Healthcare Systems and Technology
- Autopsy Techniques and Outcomes
- Grief, Bereavement, and Mental Health
- Patient Dignity and Privacy
- Primary Care and Health Outcomes
- Pharmaceutical Practices and Patient Outcomes
- Healthcare Policy and Management
- Patient Safety and Medication Errors
- Patient-Provider Communication in Healthcare
- Distributed and Parallel Computing Systems
- Chronic Disease Management Strategies
- Healthcare Systems and Challenges
- Respiratory viral infections research
- Clinical practice guidelines implementation
- Patient Satisfaction in Healthcare
- Clinical Reasoning and Diagnostic Skills
- Family and Patient Care in Intensive Care Units
- Healthcare cost, quality, practices
- Scientific Computing and Data Management
- Medical Malpractice and Liability Issues
- Pneumonia and Respiratory Infections
- Pediatric health and respiratory diseases
Henry Morrison Flagler Museum
2019-2022
Supercomputación Castilla y León
2015-2016
Leeds General Infirmary
1996-1997
<h3>Objectives</h3> This study aimed to establish the association between timing and provision of palliative care (PC) quality end-of-life indicators in a population patients dying cancer. <h3>Setting</h3> uses linked cancer patient data from National Cancer Registry, electronic medical record system used primary (SystmOne) within specialist regional centre. The resided single city Northern England. <h3>Participants</h3> Retrospective 2479 adult decedents who died January 2010 February 2012...
Objectives In England, Electronic Palliative Care Coordination Systems (EPaCCS) were introduced in 2008 to support care coordination and delivery accordance with patient preferences. Despite policy supporting their implementation, there has been a lack of rigorous evaluation EPaCCS it is not clear how they have translated into practice. This study sought examine the current national implementation EPaCCS, including intended impact on service outcomes, barriers facilitators for...
Background: The need to improve coordination of care at end life has driven electronic palliative systems implementation across the United Kingdom and internationally. No approaches for evaluating use in practice have been developed. Aim: This study outlines applies an evaluation framework examining how when documentation advance planning is occurring services. Design: A pragmatic, formative process approach was adopted. drew on Project Review Objective Evaluation methodology guide design,...
Data sharing of Electronic Health Records from general practices to secondary care in Leeds occurs through the so-called Care Records, which collects a specific set codes primary care, known as ‘Active Problems’, and presents it user. Variability on its content is issue. To explore practitioners’ views their use Problems’ data, so lessons could be learnt how homogenise improve shared data. Assessing two parallel processes (60 online surveys 17 interviews). General practitioners feel they do...
Background: Digital approaches are being explored internationally to support the elicitation, documentation and sharing of advance care planning information. However, views experiences patients carers little understood, impeding development impact digital strengthen palliative end-of-life care. Aim: To explore perspectives with progressive illness their on planning, anticipated from use expectations for future development. Design: A qualitative study employing thematic framework analysis...
Palliative care aims to improve the quality of life for people with life-limiting illnesses. Advance planning conversations that establish a patient's wishes and preferences are part person-centered approach. Internationally, electronic health record systems digital interventions used share patients' advance plans across services settings. They aim provide tools support information sharing coordination. Within United Kingdom, Electronic Care Coordination Systems (EPaCCS) an example this....
Primary care in UK is expected to use tools such as the electronic Frailty Index (eFI) identify patients with frailty, which should be then validated and coded accordingly.To assess influence of organisation software on how eFI score direct clinical validation occurs across practices Leeds.The 'minimum necessary' anonymised patient data required for study (recorded scores frailty codes - mild, moderate or severe their dates entry) was requested Health Care Hub NHS Leeds Clinical...
An efficient exploitation of the Distributed Computing Infrastructures (DCIs) is specially needed to deal with data deluge that scientific community, in particular Astrophysics one, facing. This requires a good understanding underlying DCIs. Science Gateways (SGs) provide users an environment eases interaction As previous step, IT skilled should populate SGs friendly but advanced tools (e.g. Workflows, visualization tools) not only support scientists build their own experiments also adapt...
Considerable interest exists on using general practice electronic health records (EHR) for research and other uses. There is also concern their quality.We suggest a simple test to assess errors of commission in consequence overall EHR data quality that can be done periodical basis.Patient with simultaneous entries three different stages smoking were studied. The codes "Never smoked tobacco", "smoker" "ex-smoker" should follow this chronological order. It then possible extrapolate the level...
Objectives First, to assess if Electronic Palliative Care Coordination Systems (EPaCCS) was used by different organisations as a tool share information; second, whether there measurable benefit with patients dying at their preferred place of death. Methods A retrospective analysis the 65 decedents from last 12 months in registered list single practice Leeds conducted. Results EPaCCS present 24 (36.9%). It more than one organisation 17 cases (70.9%). facilitated death 19 20 (95%) were...
Background: Digital advance care planning systems are used internationally to document and share patients’ wishes preferences inform delivery. However, their use is impeded by a limited understanding of factors influencing implementation evaluation. Aim: To develop mid-range programme theory account for technological, infrastructure human factor influences on digital systems. Design: Exploratory qualitative research design incorporating Theory Change workshops that explored contextual...
After anterior decompression and interbody fusion with biocompatible osteoconductive polymer (BOP) for cervical degenerative disease it is common practice to perform early radiography evaluate the results, as a questionnaire sent 136 consultants neurosurgeons in UK demonstrated. Radiographs of 39 patients following procedure were analysed was concluded that no value.
In February 2018, our practice came under scrutiny by an inquest regarding the death of a patient who choked to while detained section 3 Mental Health Act. A year before fatal event had been referred speech and language therapy at local hospital but failed attend (DNA) appointment. The coroner considered possibility avoidable death: general was expected follow up outcome that referral.1 Ultimately, is be safety net for mismanagement error, it assess whether not-attended appointments are...