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  1. Article ; Online: Covid-19: Exploring medico-legal perceptions amongst orthopaedic surgeons and lawyers.

    Seraj, Shaikh S / Khadabadi, Nikhil A / Jawaid, Anam / Logan, Peter C / Moores, Thomas S / Hossain, Fahad S

    The Medico-legal journal

    2023  Volume 91, Issue 2, Page(s) 102–108

    Abstract: Introduction: British national guidelines and laws published by the British Orthopaedic Association and the new Coronovirus Act 2020 favoured treatment of trauma and orthopaedic conditions with non-operative alternatives.A survey was developed for both ... ...

    Abstract Introduction: British national guidelines and laws published by the British Orthopaedic Association and the new Coronovirus Act 2020 favoured treatment of trauma and orthopaedic conditions with non-operative alternatives.A survey was developed for both lawyers and trauma and orthopaedic clinicians to gauge their perceptions on guidelines related to protection of trauma and orthopaedic staff, and on prosecution with respect to future claims.
    Material and methods: Sixteen questions were designed for surgeons and 11 questions for lawyers. The level of experience and career stages were explored in other questions. A Likert scale (0-5) was used to capture these perceptions.
    Results: Clinicians envisaged themselves being less protected (mean = 2.6), forecasted a rise in negligence claims (mean = 3.4) and perceived little additional beneficial indemnity influence from the NHS (mean = 1.8). Lawyers felt that public perception would have more influence in negligence claim rates (mean = 2.6) and disapproved of complete immunity for clinicians (mean = 0.5). Disparities between different trauma and orthopaedic grades demonstrated sentiments of comfort with redeployment, preparedness in non-orthopaedic training and protection from litigation.
    Discussion: The results reflected the overall anxiety over litigation reprisal shared amongst trauma and orthopaedic staff. Issues with providing sub-optimal care can worsen this overall fear. Feeling unprotected from litigation reprisal can leave clinicians with an additional sense of emotional and professional burden. Redeployment into unfamiliar environments can leave senior clinicians in limbo in contrast to their juniors.
    Conclusion: Non-surgical options to treat orthopaedic conditions affect both patients and trauma and orthopaedic staff. Feedback from lawyers reassures trauma and orthopaedic clinicians that negligence claims should not rise due to the updated national guidelines.
    MeSH term(s) Humans ; Lawyers ; Orthopedic Surgeons ; COVID-19 ; Malpractice ; State Medicine
    Language English
    Publishing date 2023-01-25
    Publishing country England
    Document type Journal Article
    ZDB-ID 390918-9
    ISSN 2042-1834 ; 0025-8172
    ISSN (online) 2042-1834
    ISSN 0025-8172
    DOI 10.1177/00258172221146397
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: The Assessment and Management of the Arthritic Knee: An Update.

    Khan, Shehzaad / Logan, Peter C / Asokan, Ajay / Handford, Charles / Moores, Thomas

    Cureus

    2020  Volume 12, Issue 11, Page(s) e11582

    Abstract: Musculoskeletal disorders represent a significant primary care burden. Presentations pertaining to the painful knee are associated with a wide array of differentials; however, among these, osteoarthritis (OA) is the most common one in patients older than ...

    Abstract Musculoskeletal disorders represent a significant primary care burden. Presentations pertaining to the painful knee are associated with a wide array of differentials; however, among these, osteoarthritis (OA) is the most common one in patients older than 45 years. We have found that a significant number of onward secondary care referrals are misdirected. Therefore, there is a need for a comprehensive assessment and workup to ensure holistic patient care and timely input from specialist services. In this article, we highlight an approach to the management of the arthritic knee.
    Language English
    Publishing date 2020-11-19
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.11582
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Impact of COVID-19 Pandemic on Trauma Theatre Efficiency.

    Khadabadi, Nikhil Aravind / Logan, Peter C / Handford, Charles / Parekh, Kishen / Shah, Munawar

    Cureus

    2020  Volume 12, Issue 11, Page(s) e11637

    Abstract: Introduction A large transformation in the management of trauma has ensued following the COVID-19 (coronavirus disease 2019) pandemic. There has been an increase in reliance on guidance for decision-making and alterations in the working of the trauma ... ...

    Abstract Introduction A large transformation in the management of trauma has ensued following the COVID-19 (coronavirus disease 2019) pandemic. There has been an increase in reliance on guidance for decision-making and alterations in the working of the trauma theatre. This has largely been due to the safety measures implemented. Theatre efficiency has gained increasing importance over the years, and with the added pressure of the pandemic, it is essential that trauma theatres operate efficiently. There has been no data analysing the efficiency of trauma theatre during this pandemic. Methods and Results We retrospectively analyzed the data at our hospital and looked into the parameters to assess trauma theatre efficiency. It was noted that the operative time and anaesthetic time went up significantly in 2020 in comparison to 2019. Also, the change over time and the late start time was significantly high in 2020. A large proportion of cases did not start on time in 2020. This resulted in a decrease in the efficiency of theatre usage. Discussion Reduced productivity of the trauma theatre has been due to several reasons, many of which include implementation of safety measures, such as personal protective equipment (PPE), theatre cleaning, recovery of patients, using designated routes for transfer, and many others. The challenge lies in applying these new measures into our daily practice at the same time while providing efficient care. Conclusion Our study highlights the key areas of concern and improvement which need to be addressed in order to render effective trauma care.
    Language English
    Publishing date 2020-11-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.11637
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

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