Oxford Healthcare Improvement (OHI)
Recent Submissions
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Improving mealtimes for patients and staff within an eating disorder unit: understanding of the problem and first intervention during the pandemic—an initial report
(2021-04)Background Mealtimes occur six times a day on eating disorder (ED) inpatient units and are a mainstay of treatment for EDs. However, these are often distressing and anxiety provoking times for patients and staff. A product ... -
Building improvement capacity in mental health services
(2020-10)Improving the delivery of existing treatment may often bring much greater benefits than developing new treatments and technologies. To achieve this, clinical teams and organisations need to build capacity for sustained and ... -
Environmental changes to reduce self-harm on an adolescent inpatient psychiatric ward: an interrupted time series analysis
(2020-07)Existing interventions to reduce self-harm in adolescents admitted to psychiatric wards are usually focused on individual psychological treatments. However, the immediate ward environment in which treatment takes place is ... -
Building improvement capability in frontline staff: a UK perspective
(2020-06)This paper gives a narrative account of how the Oxford Healthcare Improvement Centre has embedded continuous quality improvement (CQI) across both mental health and community services in Oxford, UK. The aim of the centre ... -
Systematic review of interventions to improve constant observation on adult inpatient psychiatric wards
(2020-02)Constant observation is frequently conducted on inpatient psychiatric units to manage patients at risk of harming themselves or others. Despite its widespread use, there is little evidence of the efficacy of the practice ... -
Point-of- care blood tests during home visits by out-of- hours primary care clinicians; a mixed methods evaluation of a service improvement
(2020-01)Objectives We aimed to evaluate test usage and patient and clinician experience following the introduction of point-of- care (POC) blood tests into a primary care out-of- hours service. Design A mixed methods service ... -
Patient safety regulation in the NHS: mapping the regulatory landscape of healthcare
(2019-07)Objectives The current research project sought to map out the regulatory landscape for patient safety in the English National Health Service (NHS). Method We used a systematic desk-based search using a variety of sources ... -
Best Methods of Communicating Clinical Trial Data to Improve Understanding of Treatments for Patients with Multiple Sclerosis
(2018-07)Background Patients’ understanding of treatment risks and benefits is a prerequisite for shared decision making. Yet, patients with multiple sclerosis (MS) do not accurately understand treatment information provided in ... -
Paediatric enteral feeding at home: an analysis of patient safety incidents
(2019-06)Aims To describe the nature and causes of patient safety incidents relating to care at home for children with enteral feeding devices. Methods We analysed incident data relating to paediatric nasogastric, gastrostomy ... -
Usability of Health Information Websites Designed for Adolescents: Systematic Review, Neurodevelopmental Model, and Design Brief
(2019-04)Background: Adolescence is a unique developmental period characterized by biological, social, and cognitive changes, as well as an interest in managing one’s own health care. Many adolescents use the internet to seek health ... -
Social Scaffolding: Applying the Lessons of Contemporary Social Science to Health and Health Care
(2019)Using current societal dilemmas, this book explores how social factors and social identity influence our health and recovery from illness. It includes recent research to present practitioners, researchers, policymakers and ... -
Out-of-hours primary care end of life prescribing: a data linkage study
(2019-05)Objectives: Out-of-hours (OOH) primary care services are contacted in the last 4 weeks of life by nearly 30% of all patients who die, but OOH palliative prescribing remains poorly understood. Our understanding of prescribing ... -
Applying the triple bottom line of sustainability to healthcare research—a feasibility study
(2019-05)The triple bottom line (TBL) of sustainability is an important emerging conceptual framework which considers the combined economic, environmental and social impacts of an activity. Despite its clear relevance to the ... -
Predicting clinical deterioration after initial assessment in out-of-hours primary care: a retrospective service evaluation
(2017-01)Background: Accurate assessment of the need for admission is challenging in out-of-hours (OOH) primary care. Understanding more about patient contacts where the decision to continue care in the community may have been ... -
Characteristics of patients expressing an interest in ketamine treatment: results of an online survey
(2018-04)Off-label ketamine treatment has shown acute antidepressant effects that offer hope for patients with therapy-resistant depression. However, its potential for integration into treatment algorithms is controversial, not ... -
Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety
(2014)Patients, clinicians and managers all want to be reassured that their healthcare organisation is safe. But there is no consensus about what we mean when we ask whether a healthcare organisation is safe or how this is ... -
Absconding: reducing failure to return in adult mental health wards
(2016-11)Failing to return from leave from acute psychiatric wards can have a range of negative consequences for patients, relatives and staff. This study used quality improvement methodology to improve the processes around patient ... -
What proportion of patients at the end of life contact out-of-hours primary care? A data linkage study in Oxfordshire
(2018-04)Objectives: Out-of-hours (OOH) primary care services are a key element of community care at the end of life, yet there have been no previous attempts to describe the scope of this activity. We aimed to establish the ...