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  1. Article ; Online: Life-threatening chest drain insertion.

    Martins Mondim, Pedro Daniel / Ward, Kate / Townsend, Emma

    Emergency medicine journal : EMJ

    2023  Volume 40, Issue 2, Page(s) 119–150

    MeSH term(s) Humans ; Chest Tubes ; Drainage ; Pneumothorax
    Language English
    Publishing date 2023-01-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 2040124-3
    ISSN 1472-0213 ; 1472-0205
    ISSN (online) 1472-0213
    ISSN 1472-0205
    DOI 10.1136/emermed-2022-212400
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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    Jg. 1995 - 2021: Lesesall (1.OG)
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  2. Article ; Online: Reducing time to complete neuropsychological assessments within a memory assessment service and evaluating the wider impact.

    Donovan, Helen / Ellis, Emma / Cole, Laura / Townsend, Emma / Cases, Alejandra

    BMJ open quality

    2020  Volume 9, Issue 3

    Abstract: In 2016, the Older People's Mental Health Service (OPMHS) within Bedfordshire and Luton (provided by East London Foundation National Health Service Trust) faced considerable challenges in providing an accessible service for assessment of suspected ... ...

    Abstract In 2016, the Older People's Mental Health Service (OPMHS) within Bedfordshire and Luton (provided by East London Foundation National Health Service Trust) faced considerable challenges in providing an accessible service for assessment of suspected dementia. Those referred to the Memory Assessment Service (MAS) encountered waiting times exceeding national recommendations. A quality improvement (QI) project was initiated by OPMHS Psychologists within all four multidisciplinary MAS clinics in Bedfordshire and Luton. The project aimed to reduce the time from the date of referral for within-team neuropsychological assessment to finalisation of the report to 6 weeks (42 days) by April 2017. In parallel to the initiative, the wider impact of the QI project was investigated. Through the combination of change ideas tested and implemented, all four MAS clinics were successful in meeting the primary project aim. The combined mean time between referral received by psychology and report finalised reduced by 28.76 days from 65.1 to 36.34 days, and with reduced variation across the clinics. These changes were sustained throughout the duration of the project and beyond, and successful change ideas were incorporated into routine practice with control methods developed. Exploring the wider impact, a focus group with six psychology staff members involved in the project was also completed. Thematic analysis identified three themes from the focus group: staff impact, service impact and service user impact. Further subthemes were identified regarding both desirable and undesirable impact across the system. The approaches used may be useful for other services embarking on reduced wait time initiatives for access to care. Additionally, understanding ongoing areas of impact on staff, the wider service and service users can help reduce or mitigate undesirable or unintended consequences and work towards sustainability of such changes.
    MeSH term(s) Aged ; Aged, 80 and over ; Female ; Focus Groups/methods ; Humans ; London ; Male ; Memory ; Neuropsychological Tests/statistics & numerical data ; Qualitative Research ; Quality Improvement/statistics & numerical data ; Time Factors
    Language English
    Publishing date 2020-07-29
    Publishing country England
    Document type Journal Article
    ISSN 2399-6641
    ISSN (online) 2399-6641
    DOI 10.1136/bmjoq-2019-000767
    Database MEDical Literature Analysis and Retrieval System OnLINE

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