Service Delivery
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Includes topics such as staffing, improvement projects, patient safety
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R package to identify sudden gains
(PsyArXiv, 2019)Sudden gains are large and stable changes on an outcome variable between consecutive measurements, for example during a psychological intervention with multiple assessments. Researching these occurrences could help understand ... -
Evolutionary biology: an essential basic science for the training of the next generation of psychiatrists
(2019-06)Evolutionary science can serve as the high-level organising principle for understanding psychiatry. Evolutionary concepts generate new models and ideas for future psychiatric study, research, policy and therapy. The authors ... -
Combining Pharmacological and Nonpharmacological Interventions in Network Meta-analysis in Psychiatry
(2019-04)Network meta-analyses (NMAs) assess the comparative associations of 2 or more interventions even if they have not been compared in a randomized clinical trial.1 The validity of NMAs is founded on the assumption of transitivity ... -
Co‐producing research with youth: The NeurOx young people’s advisory group model
(2019-03)Context: The 1989 UN Convention on the Rights of the Child states that children have the right to be heard in all matters affecting them. The Convention inspired a surge in research that investigates young people's ... -
Barriers and incentives to recruitment in mental health clinical trials
(2019-05)Research provides valuable information that improves patients’ outcomes and should inform clinical decision-making.1 There are many research methodologies2 and randomised controlled trials (RCTs) are at the top of the ... -
Mixed effects approach to the analysis of the stepped wedge cluster randomised trial—Investigating the confounding effect of time through simulation
(2018-12)A stepped wedge cluster randomised trial (SWCRT) is a multicentred study which allows an intervention to be rolled out at sites in a random order. Once the intervention is initiated at a site, all participants within that ... -
Evaluating dementia training for healthcare staff
(2019-04)Purpose – The purpose of this paper is to report on a service evaluation of a competency-based dementia training programme for clinicians to establish its value in improving their knowledge and confidence of dementia ... -
G251(P) Quality improvement in training: establishing a paediatric-CAMHS collaborative learning programme
(2019-05)Introduction: Recent reports have suggested that nearly a quarter of girls aged 14 have self-harmed in the past year, and newspapers report a ‘crisis in children’s mental health’.1 With paediatricians seeing many more ... -
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 ... -
An evaluation of the characteristics and outcomes of users of a street triage service: retrospective case note review
(2019-03)Street triage services are now common but the population they serve is poorly understood. We aimed to evaluate a local service to determine the characteristics of those using it and their outcomes in the 90 day ... -
Preparing the workforce for frailty, an education intervention for allied health professionals and community nurses in primary and community healthcare
(2019-01)The Comprehensive Geriatric Assessment (CGA) is a multidisciplinary assessment that identifies the medical, psychosocial, and functional needs of older people. This service evaluation considers the impact of training allied ... -
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 ... -
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 ...
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