A5011536474- Primary Care and Health Outcomes
- Emergency and Acute Care Studies
- Chronic Disease Management Strategies
- Trauma and Emergency Care Studies
- COVID-19 and healthcare impacts
- Healthcare Policy and Management
- Child and Adolescent Health
- Nursing Roles and Practices
- COVID-19 and Mental Health
- Health Systems, Economic Evaluations, Quality of Life
- Migration, Health and Trauma
- Hip and Femur Fractures
- Healthcare cost, quality, practices
- Health disparities and outcomes
- Healthcare Systems and Challenges
- Disaster Response and Management
- Electronic Health Records Systems
- Healthcare Systems and Technology
- Healthcare Quality and Management
- Global Health Workforce Issues
- Hospital Admissions and Outcomes
- Global Health Care Issues
- Legionella and Acanthamoeba research
- Palliative Care and End-of-Life Issues
- Machine Learning in Healthcare
Swansea University
2016-2025
Institute of Life Sciences
2020
Gold Coast Hospital
2005-2011
The University of Queensland
2005
Liberian Institute for Biomedical Research
1973
Brooke
1885
Worcester Recovery Center and Hospital
1885
Background: Broad-spectrum antibiotics, particularly intravenous cephalosporins, are associated with Clostridium difficile diarrhoea. Diarrhoea due to C. is a growing problem in hospitals, especially among elderly patients.
Aim We evaluated the introduction of a predictive risk stratification model (PRISM) into primary care. Contemporaneously National Health Service (NHS) Wales introduced Quality and Outcomes Framework payments to general practices focus care on those at highest emergency admission hospital. The aim this study was evaluate costs effects introducing PRISM Methods Randomised stepped wedge trial with 32 in one Welsh health board. intervention comprised: software; practice-based training; clinical...
Asylum seekers and refugees (ASRs) often experience poor health in host countries. The United Nations High Commissioner for Refugees (UNHCR) requires hosts to ensure these sanctuary have access basic care.
To assess outcomes associated with shielding, introduced during the COVID-19 pandemic across UK to protect those at highest risk of harm. Linked data and questionnaires in matched cohorts from population Wales, UK. We compared individual-level linked routine self-reported between people identified for shielding (n = 123,293) comparators 120,997) by age, sex, previous health service utilisation. sent 1500 randomly sampled each cohort. At one year 6·1 % shielded had contracted SARS-CoV-2 6·2...
An ageing population increases demand on health and social care. New approaches are needed to shift care from hospital community general practice. A predictive risk stratification tool (Prism) has been developed for practice that estimates of an emergency admission in the following year. We present a protocol evaluation Prism. will undertake mixed methods progressive cluster-randomised trial. Practices begin as controls, delivering usual without receive Prism training randomly, thereafter be...
Background . Achieving knowledge translation in healthcare is growing importance but methods to capture impact of research are not well developed. We present an attempt a programme prehospital emergency care, aiming inform the development EMS models care that avoid, when appropriate, conveyance patients hospital for immediate care. Methods describe and its dissemination, examples influence on policy practice, internationally, analyse routine UK statistics determine whether practice has...
Abstract Objectives During the first wave of COVID‐19 pandemic in United Kingdom (UK), to describe volume and pattern calls emergency ambulance services, proportion where an was dispatched, conveyed hospital, features triage used. Methods Semistructured electronic survey all UK services (n = 13) a request for routine service data on weekly call volumes 22 weeks (February 1–July 3, 2020). Questionnaires were emailed chief executives research leads followed by email telephone reminders. The...
The UK shielding policy intended to protect people at the highest risk of harm from COVID-19 infection. We aimed describe intervention effects in Wales 1 year.
Background Ambulance services have a vital role in the shift towards delivery of health care outside hospitals, when this is better for patients, by offering alternatives to transfer emergency department. The introduction information technology ambulance electronically capture, interpret, store and patient data can support out-of-hospital care. Objective We aimed understand how electronic records be most effectively implemented pre-hospital context order safe effective from acute...
Abstract Background Healthcare and support workers play a pivotal role in delivering quality services to people seeking sanctuary who have experienced poor physical mental health linked previous trauma, relocation loss of freedoms. However, they often encounter various challenges their daily work, ranging from communication barriers resource constraints. This qualitative study seeks delve into the perspectives healthcare workers' experience workarounds, employed overcome providing care. Aim...
Background With a higher proportion of older people in the UK population, new approaches are needed to reduce emergency hospital admissions, thereby shifting care delivery out when possible and safe. Study aim To evaluate introduction predictive risk stratification primary care. Objectives (1) measure effects on service usage, particularly admissions hospital; (2) assess Predictive RIsk Stratification Model (PRISM) quality life satisfaction; (3) technical performance PRISM; (4) estimate...
Stratifying patient populations by risk of adverse events was believed to support preventive care for those identified, but recent evidence does not this. Emergency admission stratification (EARS) tools have been widely promoted in UK policy and GP contracts.To describe availability use EARS across the UK, identify factors perceived influence implementation.Cross-sectional survey UK.Online 235 organisations responsible primary care: 209 clinical commissioning groups (CCGs) England; 14 health...
Abstract Data were prospectively recorded on 1294 consecutive patients admitted to a General Medical Unit at the Gold Coast Hospital review caseload and prerequisite professional skills of general physician working as full‐time hospitalist. Based this review, hospitalist must possess expertise in management common medical conditions comorbidities, uncommon conditions, elderly patients, seriously ill, terminally psychiatric surgical with dermatologic, ophthalmic gynaecological problems. The...
Introduction Shielding aimed to protect those predicted be at highest risk from COVID-19 and was uniquely implemented in the UK during pandemic. Clinically extremely vulnerable people identified through algorithms screening of routine National Health Service (NHS) data were individually strongly advised stay home strictly self-isolate even others their household. This study will generate a logic model intervention evaluate effects costs shielding inform policy development delivery future...
Background Using computer software in general practice to predict patient risk of emergency hospital admission has been widely advocated, despite limited evidence about effects. In a trial evaluating the introduction Predictive Risk Stratification Model (PRISM), statistically significant increases admissions and use other NHS services were reported without benefits patients or NHS. Aim To explore GPs’ managers’ experiences incorporating PRISM into routine practice. Design setting...