Publications by authors named "Tessa Cox"
To determine the safety and efficacy of phytonadione in patients with an elevated international normalized ratio (INR) secondary to chronic liver disease without active bleeding. This retrospective chart review compared hospitalized patients from 2015 to 2022 with a diagnosis of chronic liver disease, a baseline INR of 1.2 to 1.
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- A study compared mental health outcomes between women who had induced abortions and those who experienced natural pregnancy losses, revealing differences in mental health service utilization.
- Results showed that women who had natural losses had higher mental health service usage before their pregnancy outcomes, but the abortion group saw significant increases in usage after the procedure.
- The findings suggest that the increased mental health services following an abortion are not just due to pre-existing mental health issues, as the natural loss group did not experience similar post-outcome increases.
Recent studies have shown improved outcomes with the initiation of earlier subcutaneous (SQ) basal insulin. The purpose of this study was to examine the effects of early SQ basal insulin administration on hospital length of stay in patients with mild to moderate diabetic ketoacidosis (DKA). This was a retrospective, single-center study from a large community teaching hospital that included patients 18 years or older with mild to moderate DKA, identified using ICD-10 codes, who received intravenous (IV) insulin.
View Article and Find Full Text PDFDiabetic ketoacidosis (DKA) remains a significant challenge for healthcare systems due to prolonged lengths of stay and rising costs. The current American Diabetes Association (ADA) guidelines recommend starting basal insulin after resolution of DKA. However, these guidelines have not been updated since 2009, which can potentially limit optimal care.
View Article and Find Full Text PDFOur Developing Perioperative Practice service improvement project, sponsored by the Royal Bournemouth Hospital, addressed whether the remarkably simple idea of putting names and roles on hats in theatre would improve communication and patient care. We were inspired by our own experiences as a group of student Operating Department Practitioners: unfamiliarity with members of the team, wanting to feel included in the work but not out of our depth, and by social media campaigns such as the '#TheatreCapChallenge' and '#hellomynameis', aiming to humanise care and increase patient safety. Researching, clinically trialling and presenting this project gave us a systematic approach to improving the quality of care within the theatre environment.
View Article and Find Full Text PDFObjective: To evaluate the effectiveness of 15 minutes of immobilisation versus immediate mobilisation after intrauterine insemination.
Design: Randomised controlled trial. Setting One academic teaching hospital and six non-academic teaching hospitals.
Objective: To assess the time to spontaneous ongoing pregnancy after a previous miscarriage in subfertile couples.
Design: A prospective cohort study.
Setting: The study was conducted in 38 fertility centers in the Netherlands.