Publications by authors named "Andrew P Maurice"
Background: Reoperation is often required after bariatric procedures. Single-anastomosis gastric bypass (SAGB) is increasingly utilized as a primary bariatric procedure. Few series document SAGB as a revisional bariatric procedure.
View Article and Find Full Text PDFBackground: The state of Queensland, Australia, is large (1.85 million km). The provision of bariatric care across the state is difficult as most major hospitals are concentrated in the capital city of Brisbane.
View Article and Find Full Text PDFA 31-year-old healthy man presented with right lower quadrant pain and tenderness, mild neutrophilia and clinical presentation consistent with appendicitis, despite undergoing a laparoscopic appendicectomy 5 years prior. CT scan demonstrated a caecal phlegmon, in the expected region of the appendiceal stump. The patient was taken for laparoscopy and a 2 cm inflamed appendiceal stump was encountered.
View Article and Find Full Text PDFBackground: Differentiating acute chest pain caused by myocardial ischaemia from other, potentially more benign causes of chest pain is a frequent diagnostic challenge faced by Emergency Department (ED) clinicians. Only 30% of patients presenting with chest pain will have a cardiac origin for the pain, and gastro-oesophageal disorders are one of the common sources of non-cardiac chest pain, yet remain clinically difficult to differentiate from cardiac pain.
Aim: A systematic review of the literature was conducted to locate and evaluate clinical trials comparing the use of an oral gastrointestinal (GI) cocktail (oral viscous lidocaine/ antacid ± anticholinergic) to standard diagnostic protocols (serial electrocardiograms (ECGs), serial biomarkers, imaging and/ or provocative testing) to differentiate emergency patients presenting with acute chest pain caused by gastro-oesophageal disease from those with other aetiologies.
Article Synopsis
- The discharge summary (DS) provides an overview of a patient's hospital stay and future care plans, but is often found to be incomplete or unclear.
- An electronic prompting system was introduced to improve the quality of the DS in hospitals by helping doctors accurately document important patient information.
- A study showed that the quality of DSs significantly improved after implementing this system, with better documentation of diagnoses and other clinical details, demonstrating the effectiveness of electronic prompts.
Article Synopsis
- The discharge summary (DS) is an important document summarizing a patient's hospital stay, but its completion is time-consuming for junior medical staff, leading to excessive overtime and costs for hospitals.
- A new program was implemented to automate the transfer of required information from existing electronic systems into the DS, significantly reducing the time needed to complete them.
- As a result, not only did the time spent on DS compilation and overtime decrease, but the completion rate of DSs within 48 hours also improved, potentially saving hospitals over $350,000 annually.