A5087401550- Maternal and Perinatal Health Interventions
- Assisted Reproductive Technology and Twin Pregnancy
- Maternal and fetal healthcare
- Pelvic floor disorders treatments
- Patient-Provider Communication in Healthcare
- Medical History and Innovations
- Ethics in Clinical Research
- Gastric Cancer Management and Outcomes
- Palliative Care and End-of-Life Issues
- Poisoning and overdose treatments
- Esophageal Cancer Research and Treatment
- Clinical practice guidelines implementation
- Trauma and Emergency Care Studies
- Neonatal Respiratory Health Research
- Digital Imaging in Medicine
- Disaster Response and Management
- Ureteral procedures and complications
- Anesthesia and Pain Management
- Child and Adolescent Health
- Cardiac, Anesthesia and Surgical Outcomes
- Restraint-Related Deaths
- Healthcare Decision-Making and Restraints
- Wireless Body Area Networks
- Head and Neck Surgical Oncology
- Dental Anxiety and Anesthesia Techniques
Southmead Hospital
2018-2024
North Bristol NHS Trust
2018-2024
Women's & Children's Health Research Institute
2022-2024
University of Bristol
2012-2023
Royal United Hospital
2014-2017
National guidelines recommend that fluorodeoxyglucose positron emission tomography-computed tomography (PET-CT) is performed in all patients being considered for radical treatment of oesophageal or oesophago-gastric cancer without computerised scan (CTS) evidence metastasis. Guidance also mandates with have decisions made within the context a multi-disciplinary team (MDT) meeting. Little known, however, about influence PET-CT on decision making MDTs. The aim this study was to assess role MDT...
No new method of assisting vaginal birth has been introduced into clinical practice since the development vacuum extractor in 1950s. The Odon Device is a device that employs circumferential air cuff over fetal head to assist birth. In this study, used for standard indications.
Assisted vaginal birth is a vital health intervention that can result in better outcomes for mothers and their babies when complications arise the second stage of labour. Unfortunately, instruments assisted (forceps ventouse) are often not utilised settings where there most clinical need, resulting maternal neonatal morbidity mortality which could have been prevented. The BD Odon Device new device may be able to address this unmet need. However, before dissemination, requires evaluation...
Abstract Background Designing RCTs in surgery requires consideration of existing evidence, stakeholders' views and emerging interventions, to ensure that research questions are relevant patients, surgeons the health service. When there is uncertainty about RCT design, feasibility work recommended. This study aimed assess how could inform design a future pilot (Bluebelle, HTA - 12/200/04). Methods was prospective survey dressings used cover abdominal wounds. Surgical trainees from 25...
Abstract Background Recruitment to intrapartum research is complex. Women are expected understand unfamiliar terminology and assess potential harm versus benefit their baby themselves, often when an urgent intervention required. Time pressures of interventions a major challenge for recruitment discussions taking place during labour, with midwives present, discuss answer questions whilst maintaining equipoise. However, little known about these interactions. An integrated qualitative study...
To ensure systems in hospitals improve to make patient care safer, learning must occur when things go wrong. Incident reporting is one of the commonest mechanisms used learn from harm events and near misses. Only a relatively small number incidents that are actually reported different groups staff have rates reporting. Nationally, junior doctors low reporters incidents, finding supported by our local data. We set out explore culture awareness around incident among doctors, rate within this...
BackgroundThe first feasibility study of the OdonAssist inflatable device for use in clinically indicated assisted vaginal birth reported a success rate 48% with no significant safety concerns. Additional studies exploring performance other clinical settings are warranted before definitive conclusions can be drawn about its and efficacy current practice.ObjectiveThis aimed to investigate conducting randomized controlled trial.Study DesignThis was an open-label, nonrandomized 104 women using...
The Odon Device™ is a new device for assisted vaginal birth that employs an air cuff around the fetal head traction. Assisted (AVB) vital health intervention can result in better outcomes mothers and their babies when complications arise second stage of labour. Unfortunately, instruments AVB (forceps ventouse) are often not used settings where there most clinical need due to lack training resources, resulting maternal neonatal morbidity mortality which could have been prevented. This trained...
Good interprofessional teamworking is essential for high quality, efficient and safe clinical care. Undergraduate training has been advocated many years to improve working. However, few successful initiatives have reported even fewer formally assessed their educational impact.
To investigate women's experiences of having a birth assisted by the Odon Device (an innovative device for vaginal birth) and participation in intrapartum research.Qualitative semistructured interviews observations undertaken context case study work embedded ASSIST feasibility study.A tertiary referral National Health Service (NHS) maternity unit Southwest England, between 8 October 2018 26 January 2019.Eight women, four operators 11 midwives participated with eight birth, women postnatal...
Decreasing rates of assisted vaginal birth have been paralleled with increasing cesarean deliveries over the last 40 years. The OdonAssist is a novel device for birth. Iterative changes to clinical parameters, design, and technique made improve efficacy usability.
Objective When novel devices are used ‘in human’ for the first time, their optimal use is uncertain because clinicians only have experience from preclinical studies. This study aimed to investigate factors that might optimise of Odon Device assisted vaginal birth. Design We undertook qualitative case studies within ASSIST Study, a feasibility Device. Each ‘case’ was defined as one device and included at least following: observation attempted birth, an interview with obstetrician, midwife or...
Gynaecological oncology place of care is often based on evolution services, along historical professional boundaries, rather than user needs or preferences. We aimed to assess existing evidence, gather views patients in the UK their preferred outpatient for gynaecological malignancies and evaluate alignment with preferences healthcare professionals (HCP).
Background When research involves procedures initiated in the intrapartum period, there is considerable variation information provision. If midwives are to optimise process of provision and facilitate good understanding research, we need understand how currently being provided. Aim To investigate feasibility acceptability an approach investigating for informed consent involving interventions during period. Methods Audio recordings seven study recruitment consultations six structured...
The Odon DeviceTM is an innovative investigational device for assisted vaginal birth (AVB) and has not yet been granted regulatory approval sale in any country. It the first innovation AVB since introduction of vacuum extractor 1950's designed use by different level trained health care providers. Efficacy studies are presently progress two centers: ASSIST II Study, Bristol, England, BESANCON Besançon, France. consists applicator, sleeve cuff. This original paper illustrates operating process...
Abstract Background Recruitment to intrapartum research is complex. Women are expected understand unfamiliar terminology and assess potential harm versus benefit their baby themselves, often when an urgent intervention required. Time pressures of interventions a major challenge for recruitment discussions taking place during labour, with midwives present, discuss, answer questions whilst maintaining equipoise. However, little known about these interactions. An integrated qualitative study...