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  1. Article ; Online: Current use of procedure specific consent forms for laparoscopic cholecystectomy.

    Courtney, M J / Royle, T J

    Annals of the Royal College of Surgeons of England

    2018  Volume 100, Issue 6, Page(s) 446–449

    Abstract: Introduction Procedure specific consent forms (PSCFs) have been shown to improve consenting practice for a standardised list of complications. The aim of this study was to assess the current usage and quality of PSCFs in the National Health Service (NHS) ...

    Abstract Introduction Procedure specific consent forms (PSCFs) have been shown to improve consenting practice for a standardised list of complications. The aim of this study was to assess the current usage and quality of PSCFs in the National Health Service (NHS) for cholecystectomy, specifically comparing the listed complications with those mentioned on the NHS website. Methods A freedom of information request was sent to all NHS trusts asking whether they perform laparoscopic cholecystectomy and whether they have a PSCF for this. A copy of the PSCF was also requested. Complications stated on these forms were compared with those on the NHS Choices website. Results Overall, 162 (88%) of the 185 trusts responded, with 121 of these performing cholecystectomies. Among these, 20 (17%) currently use PSCFs; all provided a copy. Five (25%) of the PSCFs contained all eight risks mentioned on the NHS website. The number of risks listed varied from 4 to 18 per form. Only bile duct injury was listed on every PSCF. The least frequently mentioned complication (45% of forms) was the risk from general anaesthetic. Conclusions This study suggests that too few trusts are using PSCFs and that those PSCFs that are in use contain too little detail on the risks of cholecystectomy. The listed risks and incidences on each PSCF were highly variable. More trusts should begin to use PSCFs during the informed consent process and each PSCF should include a nationally standardised list of potential complications to act as a prompt for discussion (and documentation) of risk.
    MeSH term(s) Cholecystectomy, Laparoscopic ; Consent Forms/standards ; Consent Forms/statistics & numerical data ; Health Care Surveys ; Humans ; Postoperative Complications ; Risk ; State Medicine ; United Kingdom
    Language English
    Publishing date 2018-01-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 80044-2
    ISSN 1478-7083 ; 0035-8843
    ISSN (online) 1478-7083
    ISSN 0035-8843
    DOI 10.1308/rcsann.2018.0099
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Book ; Online: ?Isn't All This Bloody?'

    Royle, Trevor

    Scottish Writing from the First World War

    2014  

    Abstract: As in the rest of Britain, the outbreak of hostilities in 1914 was met in Scotland with excitement and relief. In the field of literature too, the initial response was positive. Kailyard fiction and the Celtic Twilight were left behind as artless verses, ...

    Abstract As in the rest of Britain, the outbreak of hostilities in 1914 was met in Scotland with excitement and relief. In the field of literature too, the initial response was positive. Kailyard fiction and the Celtic Twilight were left behind as artless verses, patriotic articles and short stories flooded into print. But as the war progressed things changed and a more complex picture emerged - the patriotism and braggadocio was counterpointed by writers who saw the futility and horror of war. In this book, acclaimed military historian Trevor Royle introduces a huge range of literary material - includ
    Language English
    Size Online-Ressource (424 p)
    Publisher Birlinn
    Publishing place New York
    Document type Book ; Online
    Note Description based upon print version of record
    ISBN 9781780272245 ; 1780272243
    Database Library catalogue of the German National Library of Science and Technology (TIB), Hannover

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  3. Article ; Online: Pre-made consent for elective inguinal hernia repair: the need for standardisation-a survey of all UK NHS Trusts.

    Courtney, M J / Royle, T J

    Hernia : the journal of hernias and abdominal wall surgery

    2017  Volume 22, Issue 3, Page(s) 549–553

    Abstract: Purpose: Elective inguinal hernia repair (IHR) is one of the most commonly performed operations in the UK. As with all procedures, informed consent is essential. Pre-made consent forms have been suggested to improve consenting practice. This study aimed ...

    Abstract Purpose: Elective inguinal hernia repair (IHR) is one of the most commonly performed operations in the UK. As with all procedures, informed consent is essential. Pre-made consent forms have been suggested to improve consenting practice. This study aimed to assess the usage and quality of pre-made hernia-specific consent forms (PCF) in the UK.
    Methods: A freedom of information request was sent to all UK NHS Trusts asking: (1) does the trust perform IHRs; (2) do they have a PCF; and (3) to send a copy. Complications lists on received forms were reviewed and compared to those listed on the British Hernia Society (BHS) "patient information" webpage.
    Results: 157/185 Trusts (85%) responded. 117/157 (75%) perform IHRs; 16/117 (14%) use PCFs. The number of reported risks was variable (range 4-18), as was the content of each form (28 different risks were listed). Quoted percentage risks were inconsistent (e.g. recurrence range < 1-5%). The frequency of each BHS-quoted risk was (open/laparoscopic): Bleeding 62/75%; infection 85/92%; seroma 31/42%; damage to testicular blood supply 69/75%; damage to abdominal contents NA/25%; haematoma 62/67%; venous thromboembolism 54/50%; recurrence 85/83%; chronic pain 77/58%; mesh infection 23/8%. Zero forms contained all BHS-quoted risks.
    Conclusions: Whilst the consent form only provides documentation of the consent process, this study suggests that PCFs do not improve the quality of consent as both the type and likelihood of quoted complications were highly variable between Trusts. As follow-up for elective procedures is rare, it is unlikely that this variability reflects actual measured outcomes.
    MeSH term(s) Consent Forms/standards ; Consent Forms/statistics & numerical data ; Elective Surgical Procedures/adverse effects ; Elective Surgical Procedures/methods ; Health Care Surveys ; Hernia, Inguinal/surgery ; Herniorrhaphy/adverse effects ; Herniorrhaphy/methods ; Humans ; Informed Consent/standards ; Informed Consent/statistics & numerical data ; Postoperative Complications/epidemiology ; State Medicine ; United Kingdom
    Language English
    Publishing date 2017-12-12
    Publishing country France
    Document type Journal Article
    ZDB-ID 1388125-5
    ISSN 1248-9204 ; 1265-4906
    ISSN (online) 1248-9204
    ISSN 1265-4906
    DOI 10.1007/s10029-017-1708-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Book ; Online: The Flowers of the Forest

    Royle, Trevor

    Scotland and the First World War

    2011  

    Abstract: Trevor Royle has done First World War History a great service' -- Gary Sheffield'Graphic, ably controlled ... the power of imaginative storytelling is Royle's endeavour' -- The Guardian'His exceptional talents at narration produce a work that is both ... ...

    Abstract 'Trevor Royle has done First World War History a great service' -- Gary Sheffield'Graphic, ably controlled...the power of imaginative storytelling is Royle's endeavour' -- The Guardian'His exceptional talents at narration produce a work that is both through-provoking and engaging. This is a vivid, solidly-written book, drawing upon the best in recent scholarship' -- International Review of Scottish StudiesOn the brink of the First World War, Scotland was regarded throughout the British Isles as 'the workshop of the Empire'. Not only were Clyde-built ships known the world over, Scotland produce
    Language English
    Size Online-Ressource (670 p.)
    Publisher Birlinn
    Publishing place New York
    Document type Book ; Online
    Note Description based upon print version of record
    ISBN 9781843410409 ; 1843410400
    Database Library catalogue of the German National Library of Science and Technology (TIB), Hannover

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  5. Article ; Online: Incidence and outcomes of aortic dissection for emergency departments in New South Wales, Australia 2017-2018: A data linkage study.

    Dinh, Michael M / Bein, Kendall J / Delaney, John / Berendsen Russell, Saartje / Royle, Tim

    Emergency medicine Australasia : EMA

    2020  Volume 32, Issue 4, Page(s) 599–603

    Abstract: Objective: The aims of the present study were to describe the age-specific incidence and 30-day mortality of aortic dissection patients presenting to the EDs in New South Wales (NSW).: Methods: This was a data linkage study involving emergency, ... ...

    Abstract Objective: The aims of the present study were to describe the age-specific incidence and 30-day mortality of aortic dissection patients presenting to the EDs in New South Wales (NSW).
    Methods: This was a data linkage study involving emergency, inpatient and death registry administrative data from NSW.
    Results: The present study found 273 instances of aortic dissection in NSW from July 2017 to July 2018. Calculated incidence was 3.47 per 100 000. Incidence increased exponentially with age. The 30-day mortality rate among this cohort was 35.53% (n = 97). Mortality was significantly associated with age and pre-existing comorbidity burden, but was not associated with gender, level of hospital or time of presentation.
    Conclusions: The present study found the incidence of aortic dissection within the NSW population to be 3.4 per 100 000. The incidence of aortic dissection in our population increased from 8.6 per 100 000 for people aged between 60 and 80 years to 32 per 100 000 for those aged over 80 years.
    MeSH term(s) Aged ; Aged, 80 and over ; Aneurysm, Dissecting/epidemiology ; Australia ; Emergency Service, Hospital ; Humans ; Incidence ; Information Storage and Retrieval ; Middle Aged ; New South Wales/epidemiology
    Language English
    Publishing date 2020-02-16
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2161824-0
    ISSN 1742-6723 ; 1742-6731 ; 1035-6851
    ISSN (online) 1742-6723
    ISSN 1742-6731 ; 1035-6851
    DOI 10.1111/1742-6723.13472
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Letter 1: randomized clinical trial comparing venous cutdown with the Seldinger technique for placement of implantable venous access ports (Br J Surg 2009; 96: 1129-1134).

    Royle, T J / Gannon, M X

    The British journal of surgery

    2010  Volume 97, Issue 2, Page(s) 295; author reply 296–7

    MeSH term(s) Catheters, Indwelling ; Humans ; Postoperative Complications/etiology ; Randomized Controlled Trials as Topic
    Language English
    Publishing date 2010-02
    Publishing country England
    Document type Comment ; Letter
    ZDB-ID 2985-3
    ISSN 1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
    ISSN (online) 1365-2168
    ISSN 0263-1202 ; 0007-1323 ; 1355-7688
    DOI 10.1002/bjs.6975
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Employment practices of multinationals in the Spanish and German quick-food sectors

    Royle, Tony

    European journal of industrial relations Vol. 10, No. 1 , p. 51-71

    low-road convergence?

    2004  Volume 10, Issue 1, Page(s) 51–71

    Author's details Tony Royle
    Keywords Schnellgastronomie ; Arbeitsbedingungen ; Arbeitsbeziehungen ; Multinationales Unternehmen ; Spanien ; Deutschland
    Language English
    Publisher Sage Publ.
    Publishing place London [u.a.]
    Document type Article
    ZDB-ID 1232566-1
    Database ECONomics Information System

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  8. Article ; Online: 'Playing the game': How do surgical trainees seek feedback using workplace-based assessment?

    Gaunt, Anne / Patel, Abhilasha / Rusius, Victoria / Royle, T James / Markham, Deborah H / Pawlikowska, Teresa

    Medical education

    2017  Volume 51, Issue 9, Page(s) 953–962

    Abstract: Objectives: Although trainees and trainers find feedback interactions beneficial, difficulties in giving and receiving feedback are reported. Few studies have explored what drives trainees to seek feedback. This study explores how workplace-based ... ...

    Abstract Objectives: Although trainees and trainers find feedback interactions beneficial, difficulties in giving and receiving feedback are reported. Few studies have explored what drives trainees to seek feedback. This study explores how workplace-based assessments (WBAs) influence the ways surgical trainees seek feedback and feedback interactions.
    Methods: Utilising a template analysis approach, we conducted 10 focus groups with 42 surgical trainees from four regions across the UK. Data were independently coded by three researchers, incorporating three a priori themes identified from a previous quantitative study. Further themes emerged from exploration of these data. The final template, agreed by the three researchers, was applied to all focus group transcripts. The themes were linked in a diagrammatical form to allow critical exploration of the data.
    Results: Trainees' perceptions of the purpose of WBA for learning or an assessment of learning, and their relationship with their trainer impacted upon how trainees chose to use WBA. Perceiving WBA as a test led trainees to 'play the game': seek positive and avoid negative feedback through WBA. Perceiving WBA as a chance to learn led trainees to seek negative feedback. Some trainees sought negative feedback outside WBA. Negative feedback was more important for changing practice compared with positive feedback, which enabled trainees to 'look good' but had less of an effect on changing clinical practice. The timing of feedback relative to WBA was also important, with immediate feedback being more beneficial for learning; however, delayed feedback was still sought using WBA.
    Discussion: Trainees' perceptions of the purpose of WBA and their relationship with their trainer informed when they chose to seek feedback. Trainees who perceived WBA as a test were led to 'play the game' by seeking positive and avoiding negative feedback. Outside of WBA, trainees sought negative feedback, which was most important for change in practice.
    Language English
    Publishing date 2017-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 195274-2
    ISSN 1365-2923 ; 0308-0110
    ISSN (online) 1365-2923
    ISSN 0308-0110
    DOI 10.1111/medu.13380
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Dominance effects from local competitors

    Royle, Tony / Ortiz, Luis

    BJIR : an international journal of employment relations Vol. 47, No. 4 , p. 653-675

    setting institutional parameters for employment relations in multinational subsidiaries ; a case from the Spanish supermarket sector

    2009  Volume 47, Issue 4, Page(s) 653–675

    Author's details Tony Royle and Luis Ortiz
    Language English
    Publisher Blackwell
    Publishing place Oxford [u.a.]
    Document type Article
    ZDB-ID 2983x
    Database ECONomics Information System

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  10. Article: Resistance is useless! The problems of trade union organization in the European fast-food industry: the case of McDonald's

    Royle, Tony

    Challenges for European management in a global context : experiences from Britain and Germany

    2002  

    Author's details Tony Royle
    Language English
    Publisher Palgrave Macmillan
    Publishing place Basingstoke [u.a.]
    Document type Article
    Note Literaturangaben
    Database ECONomics Information System

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