Publications by authors named "Carolyn McCrorie"
Implementing an artificial intelligence command centre in the NHS: a mixed-methods study.
Health Soc Care Deliv Res
October 2024
Article Synopsis
- The Bradford Royal Infirmary trialed a hospital command centre that uses digital technologies to enhance patient flow and safety, aiming to gather data on its effectiveness for future UK implementation.
- A mixed-methods study compared operational data from Bradford Royal Infirmary and Huddersfield Royal Infirmary, involving interviews and observations of 36 staff members to assess the command centre’s impact on patient care.
- Results showed improved staff confidence in operational control, with some tensions around decision-making and challenges in measuring the direct impact, especially during the COVID-19 pandemic.
Article Synopsis
- In developed countries, hospitals have been testing command centres over the past six years to enhance efficiency and patient care; this study examines their effects at the Bradford Royal Infirmary's A&E Department from January 2018 to August 2021.
- While patient flow improved slightly (up to 9.7 minutes reduction in waiting times), there were notable increases in time from treatment to consultation (up to 53.4 minutes), and the length of patient stays remained largely unchanged.
- Data quality issues persisted, with significant proportions of records missing treatment and assessment dates, indicating that while some improvements were observed, major challenges still exist in overall patient flow and data accuracy.
The Nursing and Midwifery Council recognises that using simulated practice learning within the pre-registration nursing curriculum is a valuable way for students to develop nursing knowledge and skills. The University of Huddersfield developed simulated placements in the pre-registration nursing curriculum in 2021. Simulated placements are now embedded within all fields of the BSc and MSc programmes, providing structured, innovative learning experiences that embrace online technology in supporting the development of skills and knowledge relevant to all fields of nursing.
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- Command centres in hospitals have been studied for their effects on patient safety, but no comprehensive evaluations existed prior to this research.
- A study at two hospitals in the UK utilized a retrospective analysis to assess the impact of command centres on patient outcomes from 2018 to 2021, revealing marginal improvements in mortality and readmissions but no significant changes in postoperative sepsis rates.
- The results indicated minor positive impacts on patient safety in the intervention hospital, but similar trends appeared in a control hospital, suggesting more research is needed to evaluate the true effects of command centres on various patient safety outcomes.
Objectives: The Computer-Aided Risk Score for Mortality (CARM) estimates the risk of in-hospital mortality following acute admission to the hospital by automatically amalgamating physiological measures, blood tests, gender, age and COVID-19 status. Our aims were to implement the score with a small group of practitioners and understand their first-hand experience of interacting with the score in situ.
Design: Pilot implementation evaluation study involving qualitative interviews.
Patient Safety Informatics: Meeting the Challenges of Emerging Digital Health.
Stud Health Technol Inform
June 2022
Article Synopsis
- The fourth industrial revolution emphasizes the integration of cyber-physical systems and connected devices, raising concerns about patient safety as digital health technologies become more widespread.
- A workshop identified six key patient safety challenges linked to emerging digital health technologies and proposed recommendations to tackle these issues.
- Addressing these challenges requires an interdisciplinary approach that combines social, technical, and regulatory aspects of patient safety informatics, promoting proactive and systemic strategies for improved health outcomes.
Article Synopsis
- This study evaluates a new real-time hospital command centre in the UK, aiming to improve decision-making and patient safety in healthcare delivery.
- It employs a mixed-methods approach, combining interviews, ethnographic observations, and quantitative analysis of health records to assess the impact of this complex intervention.
- The research is ethically approved and results will be shared through academic publications and ongoing communications with local health stakeholders.
Background: Global evidence suggests a range of benefits for introducing electronic health record (EHR) systems to improve patient care. However, implementing EHR within healthcare organisations is complex and, in the United Kingdom (UK), uptake has been slow. More research is needed to explore factors influencing successful implementation.
View Article and Find Full Text PDFObjectives: To examine trends in opioid prescribing in primary care, identify patient and general practice characteristics associated with long-term and stronger opioid prescribing, and identify associations with changes in opioid prescribing.
Design: Trend, cross-sectional and longitudinal analyses of routinely recorded patient data.
Setting: 111 primary care practices in Leeds and Bradford, UK.
Background: Despite the availability of evidence-based guidance, many patients with type 2 diabetes do not achieve treatment goals.
Aim: To guide quality improvement strategies for type 2 diabetes by synthesising qualitative evidence on primary care physicians' and nurses' perceived influences on care.
Design And Setting: Systematic review of qualitative studies with findings organised using the Theoretical Domains Framework.
Background: The place of opioids in the management of chronic, non-cancer pain is limited. Even so their use is escalating, leading to concerns that patients are prescribed strong opioids inappropriately and alternatives to medication are under-used. We aimed to understand the processes which bring about and perpetuate long-term prescribing of opioids for chronic, non-cancer pain.
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