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Novel pathways for headache via neurology same day emergency care: admission avoidance, prevention of lumbar punctures and reduced length of stay in hospital.
BMJ Open Qual
December 2024
Neurology Same Day Emergency Care, University College London Hospitals NHS Foundation Trust, London, UK.
There are various models for acute neurology services in the UK, with considerable variation in practice. Patients are often admitted unnecessarily for neurology review, leading to delay in diagnosis and treatment. Alternative models, such as the Neurology Same Day Emergency Care service (Neuro-SDEC) at University College London Hospital provide a pathway that can prevent admissions and streamline patient care.
View Article and Find Full Text PDFRole of Strong Opioids in an Effective Discharge for Lower-Limb Large Joint Arthroplasty Patients: A Patient-Based Analysis.
Cureus
November 2024
Orthopaedics and Trauma, Russells Hall Hospital, Dudley, GBR.
Background/objective: Adequate postoperative analgesics are an essential element in the recovery and rehabilitation of large joint lower-limb arthroplasty patients in their acute postoperative phase. In this study, we will establish that strong opioids like morphine should be included as postoperative analgesics to improve patient satisfaction. Material: This retrospective cross-sectional study was conducted in the Arthroplasty Ward, Trauma, and Orthopaedics Department in a district general hospital of the United Kingdom.
View Article and Find Full Text PDFA Care Bundle Aiming to Reduce the Risk of Obstetric Anal Sphincter Injury: A Survey of Women's Experiences.
BJOG
December 2024
Obstetrics and Gynaecology, Croydon University Hospitals NHS Trust, Croydon, UK.
Objective: To study experiences of women who gave birth in maternity units that have implemented a 'care bundle' quality improvement initiative to reduce obstetric anal sphincter injury (OASI) and associated morbidity.
Design: Postnatal electronic questionnaire.
Setting: Twenty-nine maternity units across England, Scotland and Wales.
A Retrospective Study to Assess the Clinical Benefit of Ultrasound Scans Alone in the Diagnosis of Acute Appendicitis With Normal Biochemical Findings.
Cureus
November 2024
Surgery, New Cross Hospital, Wolverhampton, GBR.
Introduction Acute appendicitis can affect patients of any age, although it is uncommon in the extremes of age. Timely diagnosis and management of acute appendicitis can have a significant positive effect on both patient care and the local population's wider health. A variety of different imaging modalities exists to investigate possible appendicitis including ultrasound (US) scan, computed tomography (CT) scan, and magnetic resonance imaging (MRI).
View Article and Find Full Text PDFNeoadjuvant chemotherapy in breast cancer: a retrospective pathway assessment in a regional cancer centre.
Intern Med J
November 2024
Townsville Cancer Care Centre, Townsville University Hospital, Townsville, Queensland, Australia.
Background: The optimal care pathway (OCP) for people with breast cancer provides a framework for investigation and management of patients with breast cancer, with delays previously identified regionally.
Aim: With emphasis on the neoadjuvant pathway, the primary aim of this study was to assess the practicality of implementing the breast cancer OCP timeframes regionally in comparison to nationally referenced standards.
Methods: A retrospective institutional audit was performed for patients undergoing neoadjuvant therapy for breast cancer.
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