A5054891870- Patient Safety and Medication Errors
- Cardiac, Anesthesia and Surgical Outcomes
- Surgical Simulation and Training
- Health Policy Implementation Science
- Simulation-Based Education in Healthcare
- Medical Malpractice and Liability Issues
- Health Systems, Economic Evaluations, Quality of Life
- Innovations in Medical Education
- Diabetes Management and Education
- Anatomy and Medical Technology
- Hospital Admissions and Outcomes
- Chronic Disease Management Strategies
- Primary Care and Health Outcomes
- Evaluation and Performance Assessment
- Mental Health and Patient Involvement
- Complex Systems and Decision Making
- Simulation Techniques and Applications
- Digital Mental Health Interventions
- Diabetes Management and Research
- Emergency and Acute Care Studies
- Delphi Technique in Research
- Healthcare Quality and Management
- Healthcare Operations and Scheduling Optimization
- Mental Health Treatment and Access
- Clinical Reasoning and Diagnostic Skills
University Hospitals of Leicester NHS Trust
2008-2024
Universidad de Londres
2024
The King's College
2024
King's College London
2016-2023
Imperial College London
2009-2017
NIHR Imperial Biomedical Research Centre
2016-2017
National Institute for Health Research
2013-2015
United Nations Industrial Development Organization
2014
St Mary's Hospital
2011
Derriford Hospital
2010
In Brief Objective: To investigate whether distractions in the operating room (OR) are associated with higher mental workload and stress, poorer teamwork among OR personnel. Background: Engaging multiple tasks can affect performance. There is little research on effect of surgical team members' behavior cognitive processes. Methods: Ninety general surgery cases were observed real time. Cases assessed by a surgeon behavioral scientist using 4 validated tools: Distractions Assessment Form,...
Patient safety incident reporting systems (PSRS) have been established for over a decade, but uncertainty remains regarding the role that they can and ought to play in quantifying healthcare-related harm improving care.To establish international, expert consensus on purpose of PSRS monitoring learning from incidents developing recommendations their future role.After scoping review literature, semi-structured interviews with experts were conducted. Based these findings, survey-based...
Designing implementation research can be a complex and daunting task, especially for applied health researchers who have not received specialist training in science. We developed the Implementation Science Research Development (ImpRes) tool supplementary guide to address this challenge provide with systematic approach designing research. A multi-method multi-stage was employed. An international, multidisciplinary expert panel engaged an iterative brainstorming consensus-building process...
To develop guidelines for a faculty training program in nontechnical skill assessment surgery.Nontechnical skills the operating room are critical patient safety. The successful integration of these into workplace-based is dependent upon availability who able to teach and assess them. At present, no exist regarding requirements such surgical contexts.The development was carried out several stages: stage 1-a detailed literature review on current assessors; 2-semistructured interviews with...
To assess the feasibility of training clinical and nonclinical novice assessors to rate teamwork behavior in operating room with short-term structured using observational assessment for surgery (OTAS) tool.Effective is fundamental delivery optimal patient care (OR). OTAS provides a comprehensive robust measure surgery. date, background psychology/human factors have been shown be able use reliably after training. However, observer over short timescale accessibility wider community (ie, by...
Abstract The pragmatic (i.e., practical) quality of quantitative implementation measures has received increased attention in the science literature recent years. Implementation that are judged to be by stakeholders thought more likely applied research and practice. Despite need for measures, ambiguity uncertainty regarding what constitutes a measure remains. This study sought identify critically appraise published understand (i) how pragmatism is defined as measurement construct/quality...
To establish the efficacy of simulation-based training for improving residents' management postoperative complications on a surgical ward.Effective care is crucial determinant patient outcome, yet trainees learn this through Halstedian approach. Little evidence exists simulation in safety-critical environment.A pre-/postintervention design was employed with 185 residents from 5 hospitals. Residents participated 2 simulated ward-based scenarios consisting deteriorating patient. A debriefing...
The 'gender gap' in academic medicine remains significant and predominantly favours males. This study investigates gender disparities research performance an Academic Health Science Centre, while considering factors such as mentoring scientific collaboration.Professorial registry-based electronic survey (n=215) using bibliometric data, a perception social network analysis. Survey outcomes were aggregated with measures of (publications, citations h-index) collaboration (authorship position,...
There is a growing global need for scalable approaches to training and supervising primary care workers (PCWs) deliver mental health services. Over the past decade, World Health Organization Mental Gap Action Programme Intervention Guide (mhGAP-IG) associated implementation guidance have been disseminated more than 100 countries. On basis of opportunities provided by mobile technology, an updated electronic (e-mhGAP-IG) now being developed along with clinical dashboard use technology in supervision.