Service Delivery
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Includes topics such as staffing, improvement projects, patient safety
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Safety of service users with severe mental illness receiving inpatient care on medical and surgical wards
(2018-01)This review aimed to synthesize the evidence on the likelihood of harm and mortality on medical and surgical inpatient wards for people with severe mental illness (SMI). From 937 results identified through database ... -
The CORE service improvement programme for mental health crisis resolution teams: results from a cluster-randomised trial
(2019-02)Crisis resolution teams (CRTs) offer brief, intensive home treatment for people experiencing mental health crisis. CRT implementation is highly variable; positive trial outcomes have not been reproduced in scaled-up CRT ... -
Out-of-area placements in acute mental health care: the outcomes
(2019-02)Out-of-area placements (OAPs) are heavily relied upon by the NHS to meet growing demand but they are expensive, disruptive for patients, and may reduce quality of care and outcomes for patients. Here, the authors compared ... -
Stroke rehabilitation service quality improvement plan - a tale of two towns
(2019-01)Purpose: Oxford Health NHS Foundation Trust (OHFT) committed to a Stroke Quality Improvement (QI) Project to enhance the quality of rehabilitation for patients on the Oxfordshire Stroke Pathway. Following poor performance ... -
Barriers and facilitators to implementing dementia care mapping in care homes: results from the DCM™ EPIC trial process evaluation
(2019-02)Background: Psychosocial person-centred interventions are considered best practice for addressing complex behaviours and care needs such as agitation and anxiety, and for improving the quality of life of people with ... -
The Role of the Clinical Practice Educator in a large integrated NHS Trust
(2017-10)This article examines the work of a team of six clinical practice educators employed by a large integrated Mental Health and Community Health NHS Trust over a two year period. The article assesses how the role of the ... -
51 Doctor(noun, latin), to teach; transforming a working week into a teaching week
(2018)One of the prerequisites to successfully complete Core Medical Training in the UK is to acquire the Membership of the Royal College of Physicians (MRCP) title by passing the Practical Assessment of Clinical Examination ... -
105 Doctor (noun, latin), to teach; transforming a working week into a teaching week
(2018)One of the prerequisites to successfully complete Core Medical Training in the UK is to acquire the MRCP title by passing the Practical Assessment of Clinical Examination Skills (PACES). Due to work pressures and time ... -
Difficult conversations? Engaging patients in reducing waste in health care
(2016)Purpose – Reducing waste in health care can result in savings that could be used to meet the projected shortfall in NHS funding or to meet the care needs of vulnerable groups. Patients and their families can contribute ... -
Reducing waste in the NHS: an overview of the literature and challenges for the nursing profession
(2016-04-20)Waste in the NHS is estimated to account for 20% of health expenditure. This article examines the literature on reducing waste, analyses some approaches to waste reduction, and identifies the role that nurses and other ... -
Managing resources and reducing waste in healthcare settings
(2015-12)The NHS is under pressure to increase its effectiveness and productivity. Nurses are tasked with delivering effective and efficient care, as well as improving patient safety, experiences and results. The reduction of ... -
Adding value, reducing research waste, the role of the NHS research and development management community
(2018-02-23)Purpose – Research suggests that 85 per cent of health research is avoidably wasted. The research and development management community has an important role in the research process and can contribute to improving the ... -
Training and service provision for people with intellectual disability and mental illness: the views of psychiatrists
(2018-10-24)Objectives: The objectives of this mixed methods study are to 1) investigate the knowledge and skills of mainstream psychiatrists in managing patients with Intellectual Disability (ID) and comorbid mental health disorders, ... -
Sustainability in quality improvement: measuring impact
(2018-06)Sustainable value’ considers patient and population outcomes against environmental, social and economic costs or impacts, providing a framework for driving sustainable improvements in healthcare for current and ... -
Street triage services in England: service models
(2018)Aims and method: Street triage services are increasingly common and part of standard responses to mental health crises in the community, but little is understood about them. We conducted a national survey of mental health ... -
Network meta-analysis of antidepressants – Authors' reply
(2018-09-22)Comments on issues raised with Cipriani et al, 'Comparative efficacy and acceptability of 21 antidepressant drugs for the acute treatment of adults with major depressive disorder: a systematic review and network meta-analysis' ... -
The role of the assistant practitioner in the clinical setting: a focus group study
(2018-09-10)Background Assistant practitioners have knowledge and skills beyond the level of traditional support workers, and work in many clinical settings. However, some assistant practitioners lack a clearly defined role and may ... -
Living network meta-analysis compared with pairwise meta-analysis in comparative effectiveness research: empirical study
(2018-02-28)Objective:To examine whether the continuous updating of networks of prospectively planned randomised controlled trials (RCTs) (“living” network meta-analysis) provides strong evidence against the null hypothesis in comparative ... -
Patient and public involvement in reducing health and care research waste
(2018-01-08)Background: Eighty five per cent of health research expenditure is potentially wasted due to failure to publish research, unclear reporting of research that is published, and the failure of new research studies to ... -
Successful recruitment to trials: findings from the SCIMITAR+ Trial
(2018-01-19)Background: Randomised controlled trials (RCT) can struggle to recruit to target on time. This is especially the case with hard to reach populations such as those with severe mental ill health. The SCIMITAR+ trial, a trial ...
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