Delivering electronic prescribing and medicines administration in challenging areas such as paediatrics and maternity at King's College Hospital NHS Foundation Trust.
PMID: 26026029 [PubMed - as supplied by publisher] (Source: Clinical Medicine)
Source: Clinical Medicine - June 1, 2015 Category: Journals (General) Authors: Sahota H, Hughes P, Barrass C, Fidler B Tags: Clin Med Source Type: research
Teaching prescribing skills to foundation trainees: a pilot study evaluating the impact of a prescribing training session for foundation year two doctors.
PMID: 26026030 [PubMed - as supplied by publisher] (Source: Clinical Medicine)
Source: Clinical Medicine - June 1, 2015 Category: Journals (General) Authors: Willis E, Williams S, Baker P Tags: Clin Med Source Type: research
Intravenous therapy.
PMID: 26026031 [PubMed - as supplied by publisher] (Source: Clinical Medicine)
Source: Clinical Medicine - June 1, 2015 Category: Journals (General) Authors: Haydar S, Asota F, McGinty M Tags: Clin Med Source Type: research
Developing a clinical screening tool for frailty in the acute care setting.
PMID: 26026032 [PubMed - as supplied by publisher] (Source: Clinical Medicine)
Source: Clinical Medicine - June 1, 2015 Category: Journals (General) Authors: Oo M, Chan Y, Chamberlain H, Ho S Tags: Clin Med Source Type: research
Is it time to replace the Abbreviated Mental Test Score as a screening tool for dementia?
PMID: 26026033 [PubMed - as supplied by publisher] (Source: Clinical Medicine)
Source: Clinical Medicine - June 1, 2015 Category: Journals (General) Authors: Willmott M Tags: Clin Med Source Type: research
Hinchingbrooke revisited.
PMID: 25824059 [PubMed - in process] (Source: Clinical Medicine)
Source: Clinical Medicine - April 1, 2015 Category: Journals (General) Authors: Hodgson H Tags: Clin Med Source Type: research
Identifying reasons for delays in acute hospitals using the Day-of-Care Survey method.
Abstract
This paper describes a new tool called 'Day-of-Care Survey', developed to assess inpatient delays in acute hospitals. Using literature review, iterative testing and feedback from professional groups, a national multidisciplinary team developed the survey criteria and methodology. Review teams working in pairs visited wards and used case records and bedside charts to assess the patient's status against severity of illness and service intensity criteria. Patients who did not meet the survey criteria for acute care were identified and delays were categorised. From March 2012 to December 2013, nine ac...
Source: Clinical Medicine - April 1, 2015 Category: Journals (General) Authors: Reid E, King A, Mathieson A, Woodcock T, Watkin SW Tags: Clin Med Source Type: research
Compassion.
Abstract
The term 'compassion' has been much used and little discussed. I argue that compassion is a virtue in the Aristotelian sense, one of a family of other-regarding properties and belongs to the affective qualities of a moral agent. Its exercise is an essential component of good medical care in many situations and requires grounding in moral principles. Although our dispositions vary, compassion is a quality that can be developed in all of us.
PMID: 25824061 [PubMed - in process] (Source: Clinical Medicine)
Source: Clinical Medicine - April 1, 2015 Category: Journals (General) Authors: Saunders J Tags: Clin Med Source Type: research
False interpretation of diagnostic serology tests for patients treated with pooled human immunoglobulin G infusions: a trap for the unwary.
We present two example cases of clinical situations where this could cause concern. We tested multiple IgG products with a range of serological tests performed in infective or autoimmune conditions, including hepatitis B, syphilis, human immunodeficiency virus, human T-lymphotropic virus, anti-neutrophil cytoplasmic antibody (ANCA), anti-nuclear antibody (ANA), anti-cardiolipin antibodies and anti-double stranded DNA (dsDNA) antibody. We found positivity within these products for hepatitis B surface and core antibody, syphilis, ANCA, ANA, anti-cardiolipin IgG and dsDNA antibody, which may result from specific or non-specif...
Source: Clinical Medicine - April 1, 2015 Category: Journals (General) Authors: Bright PD, Smith L, Usher J, Donati M, Johnston SL, Gompels MM, Unsworth DJ Tags: Clin Med Source Type: research
Cerebral involvement in IgG4-related disease.
Abstract
IgG4-related disease is a recently recognised multi-system disease. Common organ involvement includes the pancreas, biliary tree and salivary glands. Central nervous system involvement has been infrequently reported. In a single-centre cohort of 84 patients, we report cerebral involvement in three (4%) patients. Details of cerebral involvement in these patients are outlined, including pituitary involvement in two patients and a diffuse autoimmune-like encephalopathy in the other.
PMID: 25824063 [PubMed - in process] (Source: Clinical Medicine)
Source: Clinical Medicine - April 1, 2015 Category: Journals (General) Authors: Joshi D, Jager R, Hurel S, Pereira SP, Johnson GJ, Chapman M, Fowler R, Winstanley A, Losseff N, Webster GJ Tags: Clin Med Source Type: research
Teaching a 'good' ward round.
Abstract
Ward rounds are a vital part of hospital medicine and junior doctors play a key role in their delivery. Despite the importance of ward rounds to patient care and experience, we believe that junior doctors may lack the training and skills to carry them out most effectively. We designed a simulation-based training session focusing on ward round skills themed to key patient safety issues and have delivered the training to over 100 learners (medical students and foundation year one doctors). Few learners had any prior training in ward rounds. The session was highly valued by all participants and surve...
Source: Clinical Medicine - April 1, 2015 Category: Journals (General) Authors: Powell N, Bruce CG, Redfern O Tags: Clin Med Source Type: research
Surveillance for hepatocellular carcinoma in a mixed-aetiology UK cohort with cirrhosis: does α-fetoprotein still have a role?
Abstract
Mortality from hepatocellular carcinoma (HCC) in people with cirrhosis is increasing whereas mortality from other causes is declining. Surveillance appears to reduce mortality but the optimal strategy is uncertain. Current guidelines differ by recommending ultrasonography alone or with α-fetoprotein (αFP). Records in three UK hospitals were analysed from 2006 to 2011. Of 111 HCC cases identified, 24 (47.1%) of those eligible were under surveillance: 21 (87.5%) were under combined ultrasonography-αFP, 2 (8.3%) ultrasonography-only and 1 (4.2%) αFP-only surveillance. αFP was elevated in 19 (86....
Source: Clinical Medicine - April 1, 2015 Category: Journals (General) Authors: Webb GJ, Wright KV, Harrod EC, Gorard DA, Collier JD, Evans AK Tags: Clin Med Source Type: research
Vitamin B12 deficiency - A 21st century perspective .
Abstract
Vitamin B12 deficiency is a common condition which can present with non-specific clinical features, and in severe cases with neurological or haematological abnormalities. Although classically caused by pernicious anaemia, this condition now accounts for a minority of cases and vitamin B12 deficiency occurs most often due to food-bound cobalamin malabsorption. Since missing the diagnosis can result in potentially severe complications, including degeneration of the spinal cord and pancytopaenia, vitamin B12 deficiency must be diagnosed early and managed appropriately. Intramuscular injections have b...
Source: Clinical Medicine - April 1, 2015 Category: Journals (General) Authors: Shipton MJ, Thachil J Tags: Clin Med Source Type: research
Mental health in young adults and adolescents - supporting general physicians to provide holistic care.
Abstract
In the era of an ageing population, young adults on medical wards are quite rare, as only 12% of young adults report a long-term illness or disability. However, mental health problems remain prevalent in the younger population. In a recent report, mental health and obesity were listed as the most common problems in young adults. Teams set up specifically for the needs of younger adults, such as early intervention in psychosis services are shown to work better than traditional care and have also proven to be cost effective. On the medical wards, younger patients may elicit strong emotions in staff,...
Source: Clinical Medicine - April 1, 2015 Category: Journals (General) Authors: Jurewicz I Tags: Clin Med Source Type: research
Drug therapies in older adults (part 2).
Abstract
In this, the second of two articles, we continue our evaluation of drug therapies in older adults. Having previously described the pharmacokinetic and pharmacodynamic consequences of physiological ageing, along with the challenge of appropriate prescribing, we proposed four key questions which should be considered when prescribing for this cohort of the population. Does this agent reflect the priorities of the patient? Are there alternatives - with greater efficacy, effectiveness or tolerability - that might be considered? Are the dose, frequency and formulation appropriate? How does this prescrip...
Source: Clinical Medicine - April 1, 2015 Category: Journals (General) Authors: Mukhtar O, Jackson SH Tags: Clin Med Source Type: research
