A5027398213- Sepsis Diagnosis and Treatment
- Emergency and Acute Care Studies
- Healthcare Technology and Patient Monitoring
- Hemodynamic Monitoring and Therapy
- Cardiac, Anesthesia and Surgical Outcomes
- Geriatric Care and Nursing Homes
- Smart Cities and Technologies
- Legal Issues in Education
- Education Systems and Policy
- Sleep and Work-Related Fatigue
- Workplace Health and Well-being
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Law in Society and Culture
- Non-Invasive Vital Sign Monitoring
- Legal Education and Practice Innovations
- Respiratory Support and Mechanisms
- Healthcare professionals’ stress and burnout
- Retinal Diseases and Treatments
- COVID-19 Clinical Research Studies
- Frailty in Older Adults
- Cardiac Arrest and Resuscitation
- Intensive Care Unit Cognitive Disorders
- Religious Freedom and Discrimination
- Legal Rights and Human Rights
- Retinal and Optic Conditions
Portsmouth Hospitals NHS Trust
2015-2024
University of Southampton
1989-2024
National Institute for Health Research
2017-2024
NIHR Applied Research Collaboration West
2024
Queen Alexandra Hospital
2016-2021
National Health Service
2021
UK Research and Innovation
2019
Bournemouth University
2019
Hampshire Hospitals NHS Foundation Trust
2019
University of Portsmouth
2018-2019
A prospective study of patients undergoing total knee replacement was carried out by using a combination 125I-fibrinogen scanning and phlebography, showed high incidence venous thromboembolic disease (TE). Ventilation-perfusion lung performed to detect pulmonary emboli in most patients. High doses aspirin an intermittent low-pressure pneumatic compression device (IPCD) were effective, even women, preventing TE. Low placebo equally ineffective Lung-scan abnormalities compatible with found six...
Background The recognition of patient deterioration depends largely on identifying abnormal vital signs, yet little is known about the daily pattern signs measurement and charting. Methods We compared VitalPAC Early Warning Score (ViEWS) data collected from admissions to all adult inpatient areas (except high care areas, such as critical units) a NHS district general hospital 1 May 2010 30 April 2011, hospital's clinical escalation protocol. Main outcome measures were hourly patterns ViEWS...
Background Low nurse staffing levels are associated with adverse patient outcomes from hospital care, but the causal relationship is unclear. Limited capacity to observe patients has been hypothesised as a mechanism. Objectives This study determines whether or not more likely occur after experience low levels, and missed vital signs observations mediate any relationship. Design Retrospective longitudinal observational study. Multilevel/hierarchical mixed-effects regression models were used...
Background Avoidable hospital mortality is often attributable to inadequate patient vital signs monitoring, and failure recognise or respond clinical deterioration. The processes involved with sign collection charting; their integration, interpretation analysis; the delivery of decision support regarding subsequent care are subject potential error and/or failure. Objective To determine whether introducing an electronic physiological surveillance system (EPSS), specifically designed improve...
older people with dementia admitted to hospital for acute illness have higher mortality and longer stays compared those without dementia. Cognitive impairment (CI) is common in people, they may also be at increased risk of poor outcomes.retrospective observational study unscheduled admissions aged ≥75 years. Admission characteristics, rates discharge outcomes were between three groups: (i) known diagnosis (DD), (ii) CI but no (iii) CI.of 19,269 (13,652 patients), 19.8% had a DD, 11.6% 68.6%...
To compare the ability of medical emergency team criteria and National Early Warning Score to discriminate cardiac arrest, unanticipated ICU admission death within 24 hours a vital signs measurement, quantify associated workload.Retrospective cohort study.A large U.K. Health Service District General Hospital.Adults hospitalized from May 25, 2011, December 31, 2013.None.We applied 44 sets database 2,245,778 (103,998 admissions). The Score's performance was assessed using area under...
Objectives: The Sepsis-3 task force recommended the quick Sequential (Sepsis-Related) Organ Failure Assessment score for identifying patients with suspected infection who are at greater risk of poor outcomes, but many hospitals already use National Early Warning Score to identify high-risk patients, irrespective diagnosis. We sought compare performance and in hospitalized, non-ICU without an infection. Design: Retrospective cohort study. Setting: Large U.K. General Hospital. Patients: Adults...
12-hour shifts worked by nurses on acute hospital wards have been associated with increased rates of missed care reported nurses. This study aimed to measure the association between working at least 12 hours and an objective care: vital signs observations taken time according acuity-based surveillance protocol.A retrospective observational using routinely collected data from March 2012 2015.32 general inpatient a large in England.658 628 nursing nested 24 069 ward days.The rate daily delayed...
Objective To investigate whether working 12 hr shifts is associated with increased sickness absence among registered nurses and health care assistants. Background Previous studies reported negative impacts on nurses' shifts; however, these used cross-sectional techniques subjective nurse-reported data. Methods A retrospective longitudinal study using routinely collected data across 32 general inpatient wards at an acute hospital in England. We generalized linear mixed models to explore the...
Abstract Background The National Early Warning Score (NEWS) is used to identify deteriorating patients in hospital. NEWS a better discriminator of outcomes than other early warning scores acute medical admissions, but it has not been evaluated surgical population. study aims were evaluate the ability discriminate cardiac arrest, death and unanticipated ICU admission admitted specialties, compare performance admissions specialties. Methods Hospitalwide data over 31 months, from adult...
The National Early Warning System (NEWS) is based on vital signs; the Laboratory Decision Tree Score (LDT-EWS) laboratory test results. We aimed to develop and validate a new EWS (the LDTEWS:NEWS risk index) by combining two evaluating discrimination of primary outcome unanticipated intensive care unit (ICU) admission or in-hospital mortality, within 24 h.
Older adults admitted to hospital are often cognitively impaired. It is not clear whether the presence of cognitive impairment conveys an additional risk for poor outcomes in this patient population.To determine hospitalised older independently associated with outcomes.Retrospective cohort study using electronic, routinely collected data from linked clinical and administrative databases.Large, acute district general England.21,399 incident emergency admissions people aged ≥75, screened...
Late recognition of patient deterioration in hospital is associated with worse outcomes, including higher mortality. Despite the widespread introduction early warning score (EWS) systems and electronic health records, still goes unrecognized.