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Improving the likel...
Improving the likelihood of neurology patients being examined using patient feedback
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- Appleton, Jason Philip (författare)
- University Hospitals Birmingham
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- Ilinca, Andreea (författare)
- Lund University,Lunds universitet,Neurologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Landskrona Hospital
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- Lindgren, Arne (författare)
- Lund University,Lunds universitet,Neurologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital
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- Puschmann, Andreas (författare)
- Lund University,Lunds universitet,Neurologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital
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- Hbahbih, Majed (författare)
- King Hussein Medical Centre
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- A Siddiqui, Khurram (författare)
- Al Ain Hospital
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- de Silva, Rajith (författare)
- Queen’s Hospital
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- Jones, Matthew (författare)
- Salford Royal NHS Foundation Trust
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- Butterworth, Richard (författare)
- Milton Keynes Hospital
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- Willmot, Mark (författare)
- University Hospitals Birmingham
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- Hayton, Tom (författare)
- University Hospitals Birmingham
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- Lunn, Michael (författare)
- University College London
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- Nicholl, David (författare)
- University Hospitals Birmingham
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(creator_code:org_t)
- 2015-11-06
- 2015
- Engelska.
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Ingår i: BMJ Quality Improvement Reports. - : BMJ. - 2050-1315. ; 4:1
- Relaterad länk:
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http://dx.doi.org/10... (free)
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https://bmjopenquali...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- We aimed to establish whether recall of elements of the neurological examination can be improved by use of a simple patient assessment score. In a previous study we demonstrated that in-patients referred to neurology at two United Kingdom (UK) hospitals were not fully examined prior to referral; we therefore designed a larger quality improvement report with 80% power to detect a 10% increase in tendon hammer or ophthalmoscope use following an educational intervention. In-patients referred to neurology over a four month period (in hospitals in the UK (10), Jordan (1), Sweden (2), and the United Arab Emirates (1)) were asked whether they recalled being examined with a tendon hammer (T), ophthalmoscope (O), and stethoscope (S) since admission. The results were disseminated to local medical teams using various techniques (including Grand Round presentations, email, posters, discounted equipment). Data were then collected for a further four month period post-intervention. Pre-intervention and post-intervention data were available for 11 centres with 407 & 391 patients in each arm respectively. Median age of patients was 51 (range 13-100) and 49 (range 16-95) years respectively, with 44.72% and 44.76% being male in each group. 264 patients (64.86%) recalled being examined with a tendon hammer in the pre-intervention arm, which significantly improved to 298 (76.21%) (p<0.001). Only 119 patients (29.24%) recollected examination with an ophthalmoscope pre-intervention, which significantly improved to 149 (38.11%)(p=0.009). The majority of patients (321 (78.87%)) pre-intervention recalled examination with a stethoscope, which significantly improved to 330 (84.4%) to a lesser extent (p=0.045). Results indicate that most patients are not fully examined prior to neurology referral yet a simple assessment score and educational intervention can improve recall of elements of the neurological examination and thus the likelihood of patients being examined neurologically. This is the largest and - to our knowledge - only study to assess this issue. This has implications for national neurological educators.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
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- Journal Article
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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- Av författaren/redakt...
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Appleton, Jason ...
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Ilinca, Andreea
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Lindgren, Arne
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Puschmann, Andre ...
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Hbahbih, Majed
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A Siddiqui, Khur ...
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visa fler...
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de Silva, Rajith
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Jones, Matthew
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Butterworth, Ric ...
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Willmot, Mark
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Hayton, Tom
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Lunn, Michael
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Nicholl, David
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visa färre...
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