Alexander Armstrong

ORCID: 0000-0003-0384-9686
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About
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Research Areas
  • COVID-19 and healthcare impacts
  • Infectious Diseases and Tuberculosis
  • Disaster Response and Management
  • Diversity and Career in Medicine
  • Climate Change Communication and Perception
  • Hospital Admissions and Outcomes
  • Dupuytren's Contracture and Treatments
  • Patient-Provider Communication in Healthcare
  • Nursing Roles and Practices
  • Oral and gingival health research
  • Digital Imaging in Medicine
  • Vascular Anomalies and Treatments
  • Clinical practice guidelines implementation
  • Leadership, Behavior, and Decision-Making Studies
  • Burn Injury Management and Outcomes
  • Healthcare Policy and Management
  • Musculoskeletal Disorders and Rehabilitation
  • Musculoskeletal synovial abnormalities and treatments
  • History of Medical Practice
  • Patient Safety and Medication Errors
  • Biomedical Ethics and Regulation
  • Surgical site infection prevention
  • Surgical Simulation and Training
  • Healthcare Systems and Challenges
  • Media Influence and Health

University Hospitals Plymouth NHS Trust
2023

John Radcliffe Hospital
2020-2021

Oxford University Hospitals NHS Trust
2020

Stoke Mandeville Hospital
2018-2019

Queen Alexandra Hospital
2016-2017

Royal Devon & Exeter NHS Foundation Trust
2013-2014

Musgrove Park Hospital
2012-2013

Liverpool Hospital
1936

Abstract Background Silver nitrate cautery and bipolar electrocautery are commonly used in the treatment of epistaxis. Currently, there no recommendations on optimum contact times or power for nasal cautery. ENT consultant practice UK has not previously been evaluated. Methods This study examined burn depth associated with silver (75 per cent concentration) porcine septum samples, using varying power. consultants completed a survey evaluating their practice. Results conclusion was shown to...

10.1017/s0022215119002056 article EN The Journal of Laryngology & Otology 2019-10-01

Decubitus ulcers (DU) are a common pathology with significant morbidity and financial implications for health services globally. This study aimed to compare the burden of DU across European Union (EU) 15+ countries between 1990 2017.Age-standardized incidence, mortality, disability-adjusted life-years (DALYs) rates per 100,000 were extracted from Global Burden Disease Study online data repository EU15+ (a group 19 comparable expenditure, including United States, Canada, Kingdom, Australia)....

10.1097/gox.0000000000003252 article EN cc-by-nc-nd Plastic & Reconstructive Surgery Global Open 2020-11-01

Study Design. A Case Report. Objective. We present a 15-year-old girl with an acute atypical scoliosis secondary to chronic recurrent multifocal osteomyelitis (CRMO). Summary of Background Data. CRMO is rare nonpyogenic inflammatory bone condition unclear aetiology. mainly affects the metaphyses long bones, pelvis, shoulder girdle, and less commonly spine. Methods. Our case presented 6-month history worsening thoracic back pain, asymmetry her shoulders abnormal posture. Whole spine...

10.1155/2013/649097 article EN cc-by Case Reports in Pediatrics 2013-01-01

Abstract Discharge summaries document key information after an in-patient care episode and hand back to the GP. Locally our orthopaedic department used carbon-copy paper as a discharge document. Anecdotally, these were thought be inaccurate, illegible of poor quality. Complaints from GPs became catalyst in assessing accuracy presenting it department. A baseline dataset inaccuracies was collected. This good starting point develop new improved system discharging patients. We proposed bespoke,...

10.1136/bmjquality.u201983.w1029 article EN cc-by-nc BMJ Quality Improvement Reports 2013-01-01

Significant disruptive events, such as wars and global pandemics, have catalyzed advances in health care since antiquity. The response of plastic surgery academic departments to coronavirus disease 2019 (COVID-19) has been two broad categories. First, contributing the main effort their institutions face COVID-19 crisis, by minimizing use vital anesthesia critical resources; second, streamlining own approaches delivering emergency surgical trauma cancer patients. need for rapid adaptation...

10.1097/prs.0000000000007219 article EN Plastic & Reconstructive Surgery 2020-06-01

A recent shift towards more collective leadership in the NHS can help to achieve a culture of safety, particularly through encouraging frontline staff participate and take responsibility for improving safety learning from error near misses. Leaders must ensure that they provide psychological organizational fairness systems feel confident raising concerns, have autonomy skills lead continual improvement, spreading this within across organizations.

10.12968/hmed.2017.78.7.402 article EN British Journal of Hospital Medicine 2017-07-02

A Trust level audit demonstrated that the trauma and orthopaedic department did not reach its own standards in adhering to antibiotic prescribing guidelines. Junior doctors are main prescribers of antibiotics during inpatient stays. Local policy states for all inpatients on antibiotics, start date, duration, indication must be documented drug card. Each patient card was reviewed by pharmacist it recorded whether documentation line with policy. monthly league table, coined 'The Champions...

10.1136/bmjquality.u201983.w1831 article EN cc-by-nc BMJ Quality Improvement Reports 2014-01-01

Metaphysial aclasis with tuberculous involvement of a joint A Cameron Armstrong Liverpool Search for other works by this author on: Oxford Academic Google Scholar British Journal Surgery, Volume 23, Issue 91, January 1936, Pages 674–675, https://doi.org/10.1002/bjs.1800239124 Published: 06 December 2005

10.1002/bjs.1800239124 article EN British journal of surgery 1936-01-01

10.5694/j.1326-5377.1947.tb81843.x article EN The Medical Journal of Australia 1947-12-01

10.1007/s00238-016-1197-3 article EN European Journal of Plastic Surgery 2016-05-04

Abstract Aim The consent form is a medico-legal document which seeks to reflect the quality of consenting process. We aim audit and improve completion surgical forms in plastic surgery department major trauma centre. Method Retrospective review Consent Form 1 for procedures completed May 2022. 3 aspects were audited: legibility, information sharing, seeking consent. An educational poster was created as intervention. repeated October A survey sent obtain clinicians' experience compare...

10.1093/bjs/znad258.519 article EN British journal of surgery 2023-08-30

An increase in training numbers and a general reduction opportunity have been well documented the recent literature. Over last few years involvement of independent sector providing NHS-funded healthcare has steadily increased. Since 2000, government implemented treatment centre (ISTC) programme, on which £2.7 billion NHS money spent. Current plans policy will further role healthcare. To date, dominated by ISTCs that were commissioned government. These directly from department Health,...

10.1308/147363512x13189526440870 article EN Bulletin of The Royal College of Surgeons of England 2012-04-01

10.1016/j.bjps.2020.10.057 article EN Journal of Plastic Reconstructive & Aesthetic Surgery 2020-11-05
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