- Medical Malpractice and Liability Issues
- Patient Safety and Medication Errors
- Primary Care and Health Outcomes
- Patient-Provider Communication in Healthcare
- Healthcare Quality and Management
- Clinical practice guidelines implementation
- Health Policy Implementation Science
- Empathy and Medical Education
- Complementary and Alternative Medicine Studies
- Musculoskeletal pain and rehabilitation
- Health Sciences Research and Education
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Systems and Technology
- Electronic Health Records Systems
- Acupuncture Treatment Research Studies
- Mental Health and Patient Involvement
- Palliative Care and End-of-Life Issues
- Innovations in Medical Education
- Meta-analysis and systematic reviews
- Ethics in Clinical Research
- Healthcare professionals’ stress and burnout
- Healthcare Policy and Management
- Patient Satisfaction in Healthcare
- Mental Health and Psychiatry
- Joseph Conrad and Literature
University of York
2012-2024
Hull York Medical School
2012-2024
Johns Hopkins Hospital
2024
University of Edinburgh
2023
University of Maryland, Baltimore
2018-2020
University of Maryland Medical Center
2018
New York University Press
1998-2018
North Yorkshire County Council
2018
Western University
2015
The University of Sydney
2015
To assess the extent and pattern of implementation guidance issued by National Institute for Clinical Excellence (NICE).Interrupted time series analysis, review case notes, survey, interviews.Acute primary care trusts in England Wales.All prescribing, hospital pharmacies; a random sample 20 acute trusts, 17 mental health 21 trusts; senior clinicians managers from five trusts.Rates prescribing use procedures medical devices relative to evidence based guidance.6308 usable patient audit forms...
Health services internationally struggle to ensure health care is "person-centered" (or similar). In part, this because there are many interpretations of "person-centered care" (and near synonyms), some which seem unrealistic for patients or situations and obscure the intrinsic value patients' experiences delivery. The general concern behind calls person-centered an ethical one: Patients should be "treated as persons." We made novel use insights from capabilities approach characterize that...
Background: Previous studies indicate that yoga may be an effective treatment for chronic or recurrent low back pain. Objective: To compare the effectiveness of and usual care Design: Parallel-group, randomized, controlled trial using computer-generated randomization conducted from April 2007 to March 2010. Outcomes were assessed by postal questionnaire. (International Standard Randomised Controlled Trial Number Register: ISRCTN 81079604) Setting: 13 non–National Health Service premises in...
The Transtheoretical Model (TTM) has gained widespread popularity and acceptance, yet little is known about its effectiveness as a basis for health behavior intervention. A systematic review was conducted in order to evaluate the of TTM interventions facilitating health-related change. Thirty-five electronic databases, catalogues, internet resources were searched relevant studies. In addition, bibliographies retrieved references scanned further publications authors contacted information...
Evidence-informed patient choice involves providing people with research-based information about the effectiveness of health care options and promoting their involvement in decisions treatment. Although concept seems desirable, processes outcomes evidence-informed are poorly understood, it should be carefully evaluated.
Management of chronic neck pain may benefit from additional active self-care-oriented approaches.To evaluate clinical effectiveness Alexander Technique lessons or acupuncture versus usual care for persons with chronic, nonspecific pain.Three-group randomized, controlled trial. (Current Controlled Trials: ISRCTN15186354).U.K. primary care.Persons lasting at least 3 months, a score 28% on the Northwick Park Questionnaire (NPQ) and associated disability, no serious underlying pathology.12...
<h3>Objectives</h3> To explore patients9 and family members9 experiences of views about speaking up safety concerns at the point care. <h3>Design</h3> Qualitative study using 71 individual interviews 12 focus group discussions. <h3>Participants settings</h3> People with recent experience one five conditions or interventions associated different problems (childhood asthma, diabetes, breast cancer, elective joint replacement severe enduring mental health problems) people who had lodged...
Background Depression is a significant cause of morbidity. Many patients have communicated an interest in non-pharmacological therapies to their general practitioners. Systematic reviews acupuncture and counselling for depression primary care identified limited evidence. The aim this study was evaluate versus usual who continue experience care. Methods Findings In randomised controlled trial, 755 with (Beck Inventory BDI-II score ≥20) were recruited from 27 practices the North England....
Objective To evaluate the efficacy of Patient Reporting and Action for a Safe Environment intervention. Design A multicentre cluster randomised controlled trial. Setting Clusters were 33 hospital wards within five hospitals in UK. Participants All patients able to give informed consent eligible take part. Wards allocated intervention or control condition. Intervention The ward-level comprised two tools: (1) questionnaire that asked about factors contributing safety (patient measure (PMOS))...
Patient safety measurement remains a global challenge. Patients are an important but neglected source of learning; however, little is known about what patients can add to our understanding safety. We sought understand the incidence and nature patient-reported concerns in hospital.
Abstract The aim of this paper is to explore the consequences modernisation and regulatory processes for everyday lives doctors working UK National Health Service. We do by reporting on interview data generated as part a qualitative investigation into 47 doctors. analysis empirical findings informed two literatures: that which has sought theorise contemporary thrust regulation audit developed sociology embodiment. Doctors’ views are presented in relation four areas work have – loosest sense...
Vancomycin, a glycopeptide antimicrobial, is commonly employed for empirical and definitive treatment of infections due to resistant gram-positive pathogens, notably methicillin-resistant Staphylococcus aureus (MRSA). Given wide interpatient intrapatient pharmacokinetic variability coupled with exposure-dependent nephrotoxicity, vancomycin therapeutic drug monitoring has long been focus clinical pharmacy services. However, over time, the targets have evolved. Results from experimental murine...