A5022237952- Clinical Reasoning and Diagnostic Skills
- Patient-Provider Communication in Healthcare
- Healthcare professionals’ stress and burnout
- Patient Safety and Medication Errors
- Health Systems, Economic Evaluations, Quality of Life
- Medical Malpractice and Liability Issues
- Health Policy Implementation Science
- Genomics and Rare Diseases
- Chronic Disease Management Strategies
- Global Cancer Incidence and Screening
- Palliative Care and End-of-Life Issues
- Clinical practice guidelines implementation
- Patient Satisfaction in Healthcare
- Prenatal Screening and Diagnostics
- Primary Care and Health Outcomes
- Psychology of Social Influence
- Empathy and Medical Education
- Electronic Health Records Systems
- Psychosomatic Disorders and Their Treatments
- Healthcare cost, quality, practices
- Genetic Syndromes and Imprinting
- Diversity and Career in Medicine
- Sepsis Diagnosis and Treatment
- Urinary Bladder and Prostate Research
- Mental Health Treatment and Access
Bradford Teaching Hospitals NHS Foundation Trust
2019-2024
University of Bradford
2015-2022
Bradford Royal Infirmary
2015-2017
University of Leeds
2009
There are recognised gaps between evidence and practice in general practice, a setting posing particular implementation challenges. We earlier screened clinical guideline recommendations to derive set of 'high-impact' indicators based upon criteria including potential for significant patient benefit, scope improved amenability measurement using routinely collected data. Here, we explore health professionals' perceived determinants adherence these indicators, examining the degree which were...
Objectives The aims of the study were (1) to explore whether primary care physicians (general practitioners [GPs]) perceive burnout and well-being impact on quality safety patient (2) determine potential mechanisms behind these associations. Method Five focus groups with 25 practicing GPs conducted in England, either participants’ practice or a private meeting room outside their workplace. An interview schedule prompts was followed questions asking how participants GP poor could delivery....
Primary care physicians are particularly prone to high levels of burnout and poor well-being. Despite this, no qualitative studies have specifically investigated the best ways improve well-being prevent in primary physicians. Previous interventions within been person-oriented mainly focused on mindfulness, but there has prior research whether general practitioners (GPs) deem this be approach. To explore strategies that could GP reduce or burnout, based perceptions workplace factors affect...
Introduction Length of hospital inpatient stays have reduced. This benefits patients, who prefer to be at home, and hospitals, which can treat more people when are shorter. Patients may, however, leave sicker, with ongoing care needs. The transition period from home risky, particularly for older patients complex health social Improving patient experience, especially through greater involvement, may improve outcomes is a key indicator quality safety. In this research, we aim to: capture the...
The study had two aims-to assess the components considered important for patient involvement in diagnosing cancer earlier primary care and to acceptability, feasibility, cost burden of three safety-netting interventions terms their potential become a sustainable component standard improve diagnostic outcomes setting.Fifteen interviews were conducted with patients GPs/Nurse Practitioners. Findings fed back at workshop 18 stakeholders who helped conceptualise an intervention. Interviews...
Several rare diseases are regularly identified during the prenatal and perinatal periods, including dysmelia. How these communicated to parents has a marked emotional impact, but minimal research investigated this. The purpose of this study was explore parent experiences preferences when their baby diagnosed with Mothers fathers were interviewed. Data analyzed using thematic analysis. overriding emotion experienced shock, extent influenced by several factors previous experience disability....
Background Dissemination of clinical guidelines is necessary but seldom sufficient by itself to ensure the reliable uptake evidence-based practice. There are further challenges in implementing multiple and practice recommendations pressurised environment general Objectives We aimed develop evaluate an implementation package that could be adapted support a range guideline sustainably integrated within systems resources. Over five linked work packages, we developed ‘high-impact’ quality...
Objectives There is growing evidence that patients can provide feedback on the safety of their care. The 44-item Patient Measure Safety (PMOS) was developed for this purpose. While valid and reliable, length questionnaire makes it potentially challenging routine use. Our study aimed to produce revised, shortened versions PMOS (PMOS-30 PMOS-10), which retained psychometric properties longer version. Participants To a diagnostic measure, we analysed data from 2002 who completed PMOS-44,...
SUMMARY Background It is increasingly acknowledged that patients can provide direct feedback about the quality and safety of their care through patient reporting systems. The aim this study was to explore feasibility patients, healthcare professionals researchers working in partnership develop a patient‐led system within an existing electronic health record (EHR), known as Renal PatientView (RPV). Methods Phase 1 (inception) involved focus groups (n = 9) phase 2 (requirements) cognitive...
Safety netting in primary care may help diagnose cancer earlier, but it is unclear what the format and content of an acceptable safety-netting intervention would be. This project aimed to co-design a with for patients staff.This work sought address how be implemented practice; and, if all stakeholders.Patient representatives, GPs, nurse practitioners were invited series workshops. Patients who had not received diagnosis practices took part separate focus groups.Three workshops using creative...
This study investigated the illness perceptions of patients with interstitial cystitis (IC) and their experience psychological distress using Revised Illness Perceptions Questionnaire (IPQ-R). The extent to which this measure adequately captures representations group was also evaluated through semi-structured interviews. Forty-four IC attending an out-patient clinic at a large UK hospital completed questionnaire booklet comprising IPQ-R General Health Questionnaire-28 (GHQ-28). Fifteen took...
Whether a diagnosis is correct or incorrect often used to determine diagnostic performance despite there being no valid measure of accuracy. In this paper we draw on our experience conducting research error and discuss some the challenges that focus accuracy brings field research. particular, whether can be captured what does not tell us about judgement. We these points argue may limit progress in suggest which tries understand more factors influence decision making during process useful...
The unprecedented public health crisis of the Covid-19 pandemic resulted in a significant challenge to delivery healthcare that has rarely been experienced before. stress already faced by staff working National Health Service (NHS) further exacerbated during Covid-19, putting them at risk adverse mental outcomes. Through lens clinical psychologists who had provided support frontline pandemic, this study aimed better understand stressors and uplifts impact these on wellbeing patient care,...
Background Diagnosing cancer earlier broadens treatment options and improves survival outcomes. When symptoms do not indicate a diagnosis referral, evidence suggests patients could play an important role in achieving faster by assisting with symptom follow-up review. Little is known about how to engage what safety-netting intervention involving primary care might entail. Aim Stage 1 assessed components considered for patient involvement diagnosing explored three possible strategies. 2 aimed...
Explore the feasibility of renal patients, healthcare professionals and researchers working in partnership to develop a patient-led quality safety feedback system within an existing electronic health record (EHR), known as Renal Patient View (RPV). Adapt RPV accommodate collect range qualitative data from patients staff establish main components prototype assess usability. This study was informed by Catwell Sheikh's model designed evaluate eHealth interventions. acted co-creators,...