Although considerable work has been done in recent years to drive the state of art facial recognition towards operation on fully unconstrained imagery, research always restricted by a lack datasets public domain. In addition, traditional biometrics experiments such as single image verification and closed set do not adequately evaluate ways which face systems are used practice. The IARPA Janus Benchmark-C (IJB-C) dataset advances goal robust recognition, improving upon previous domain IJB-B...

Understanding the resilience of healthcare is critically important. A resilient system might be expected to consistently deliver high quality care, withstand disruptive events and continually adapt, learn improve. However, there are many different theories, models definitions most contested debated in literature. Clear unambiguous conceptual important for both theoretical practical considerations any phenomenon, no exception. large international research programme on Resilience Healthcare...

Recent critiques of incident reporting suggest that its role in managing safety has been over emphasized. The objective this study was to examine the perceived effectiveness improving mental health and acute hospital settings by asking staff about their perceptions experiences. Qualitative research design using documentary analysis semi-structured interviews. Two large teaching hospitals London; one providing other healthcare. Sixty-two healthcare practitioners with experience analysing...

There is little strong evidence relating to the impact of single-room accommodation on healthcare quality and safety. We explore all single rooms staff patient experience; safety outcomes; costs.Mixed methods pre/post 'move' comparison within four nested case study wards in a acute hospital with 100% rooms; quasi-experimental before-and-after two control hospitals; analysis capital operational costs associated rooms.Two-thirds patients expressed preference for comfort outweighing any...

Health systems worldwide are increasingly holding boards of healthcare organisations accountable for the quality care that they provide. Previous empirical research has found associations between certain board practices and higher patient care; however, little is known about how govern improvement (QI).We conducted fieldwork over a 30-month period in 15 provider England as part wider evaluation board-level organisational development intervention. Our data comprised member interviews (n=65),...

Resilience engineering (RE) is an emerging perspective on safety in complex adaptive systems that emphasises how outcomes emerge from the complexity of clinical environment. Complexity creates need for flexible adaptation to achieve outcomes. RE focuses understanding nature adaptations, learning success and increasing capacity. Although philosophy clear, progress applying ideas quality improvement has been slow. The aim this study test feasibility translating concepts into practical methods...

Prospective Hazard Analysis techniques such as Healthcare Failure Modes and Effects (HFMEA) Structured What If Technique (SWIFT) have the potential to increase safety by identifying risks before an adverse event occurs. Published accounts of their application in healthcare identified benefits, but reliability some methods has been found be low. The aim this study was examine validity SWIFT HFMEA comparing outputs process risk assessment, results with retrospective methods. setting a...

Escalation policies are used by emergency departments (EDs) when responding to an increase in demand (eg, a sudden inflow of patients) or reduction capacity lack beds admit patients). The aim maintain the ability deliver patient care, without compromising safety, modifying "normal" processes. study objective is examine escalation theory and practice.This was mixed-method involving conceptual analysis National Health Service (n=12) associated actions (n=92), as well detailed ethnographic situ...

Many quality and safety improvement methods in healthcare rely on a complete accurate map of the process. Process mapping is often achieved using sequential flow diagram, but there little guidance available literature about most effective type process to use. Moreover evidence that organisation information an external representation affects reasoning decision making. This exploratory study examined whether - or hierarchical practitioners' judgments.A community-based anti coagulation clinic...

Introduction This paper describes the evaluation of a 2-day simulation training programme for staff designed to improve teamwork and inpatient care compassion in an older persons’ unit. Objective The was people by using mixed modality exercises enhance empathetic compassionate care. Methods Healthcare professionals took part in: (a) 1-day human patient course with six scenarios (b) ward-based involving five 1-h integrated debriefing. A methods included observations programme, precourse...

Abstract – Objective: Dentofacial emergencies are a common presentation to the emergency department (ED) but there is little recent data on physicians’ knowledge, confidence and attitudes in handling these cases. Method: A questionnaire was administered 103 ED physicians. The sample primarily drawn from London hospitals as well smaller contribution around UK included physicians with range of experience at different grades. Results: majority 102 participants (76.5%) did not receive any formal...

Background New hospital design includes more single room accommodation but there is scant and ambiguous evidence relating to the impact on patient safety staff experiences. Objectives To explore of move a newly built acute with all rooms care delivery, working practices, experience, outcomes costs. Design (1) Mixed-methods study inform pre-/post-‘move’ comparison within hospital, (2) quasi-experimental in two control hospitals (3) analysis capital operational costs associated rooms. Setting...

All children attending General Dental Practice in Scotland are recommended to receive twice-yearly applications of sodium fluoride varnish prevent childhood caries, yet application is variable. Development complex interventions requires theorizing and modelling understand context. This study applies the Functional Resonance Analysis Method (FRAM) produce a sociotechnical systems model identify opportunities for intervention support application. The FRAM was used synthesise data which were:...

Introduction Over the past three decades, extensive research has been undertaken to understand elements of what constitutes high quality in healthcare. Yet, much this conducted on individual and their specific challenges. Hence, goals other than understanding complex factors that comprises healthcare have privileged. This lack progress led conclusion existing approaches are not able address inherent complexity systems as characterised by a significant degree performance variability within...

Access to high-quality palliative care is inadequate for most people living and dying with serious illness. Policies aimed at optimising delivery of end life are an important mechanism improve quality the dying. The extent which included in national health policies unknown. We identify priorities opportunities UK.Documentary analysis consisting 1) summative content describe referred and/or prioritised social policies, 2) thematic explore policy that widen access Relevant documents were...

Resilient healthcare research studies how systems and stakeholders adapt cope with challenges changes to enable high quality care. Team leaders are seen as central in coordinating clinical care, but detailing their contributions supporting adaptive capacity has been limited. This study aims explore describe hospital teams.