Future hospital journal最新文献

英文中文

The effect of blended front door on condition-specific length of spell in hospital: an analysis on pulmonary embolism. 混合前门对肺栓塞患者住院时间长短的影响。

Future hospital journal

Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2s-s32

Natalie Ring, Pradeep Mallisetty, Biman Chakraborty, Dee Narga, Govindan Raghuraman, Rahul Mukherjee

引用次数: 0

Improving safety and quality of care for the local care home population through integrated working in the community between primary and secondary care. 通过在社区开展初级和二级护理的综合工作，提高本地护理院人口的安全和护理质量。

Future hospital journal

Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2s-s33

Katie Athorn, Anna Folwell

引用次数: 0

Quality improvement programmes: a model for clinical leadership training for foundation doctors. 质量改进方案:基础医生临床领导力培训模式。

Future hospital journal

Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2s-s34

Kimberly Tagle, Soo Yoon, Ranu Malhi, Ana Sofia Da Silva, Archana Depala, Ronan Doherty, Samantha Greenfield, Anthony James, Dominic Sparkes, Aarthy Uthayakumar, Liam Watson, Howell Jones, Li Wu, Fiona Pathiraja

引用次数: 0

'An hour on call' - simulated medical education. "一小时随叫随到"模拟医学教育

Future hospital journal

Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2s-s41

Natasha Ramsden, Joseph Newman, Raphael Cooper, Alexander Wilson

引用次数: 0

Health changing conversations: clinicians' experience of health coaching in the East of England. 健康改变对话:临床医生的健康教练在英格兰东部的经验。

Future hospital journal

Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2-147

Penny Newman, Andrew McDowell

ABSTRACT The changing nature of healthcare and the challenge of long-term conditions require a paradigm shift in the mindset and behaviours of professionals. Central to this is the quality of clinician–patient communication, which determines how responsibility is shared. Health coaching training for clinicians provides them with new mindsets, communication skills and behaviour change techniques that transform the clinician–patient relationship and enables patients to become more active participants in their care. This training improves patient experience and health behaviours, provides self-management support and can reduce demand and costs. This article describes the East of England health coaching training programme and provides an overview of the evidence, required competencies and challenges clinicians experience when putting health coaching into practice. It illustrates that health coaching is a mechanism to deliver person-centred care. More must be done to provide clinicians with these much-needed skills especially in the management of long-term conditions.

医疗保健性质的变化和长期条件的挑战需要专业人员的思维模式和行为的转变。其核心是医患沟通的质量，这决定了责任的分担方式。针对临床医生的健康指导培训为他们提供了新的思维方式、沟通技巧和行为改变技术，从而改变了临床医生与患者的关系，并使患者成为他们护理的更积极参与者。这种培训可改善患者体验和健康行为，提供自我管理支持，并可减少需求和成本。这篇文章描述了英格兰东部的健康教练培训计划，并提供了证据的概述，所需的能力和挑战临床医生的经验，当把健康教练付诸实践。它表明，健康指导是一种提供以人为本的护理的机制。为临床医生提供这些急需的技能，特别是在长期疾病管理方面，必须做更多的工作。

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引用次数: 7

Specialist advice for primary care: an evaluation of a gastroenterology email advice service. 初级保健专家建议:胃肠病学电子邮件咨询服务的评估。

Future hospital journal

Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2-90

Alice L Fulton, Horace Rt Williams, Jayshree Shah, Lucy Phillips, Jonathan Fluxman, Jonathan M Hoare

Communication between primary and secondary care -physicians is often unreliable and one sided in the form of clinic letters. Alternatively, general practitioners (GPs) may have difficulty contacting an on-call specialist via outdated hospital paging services. At Imperial College Healthcare NHS Trust, a gastroenterology email advice line was set up to promote dialogue and potentially help GPs deal with issues within their practices. The service has been evaluated both objectively through analysis of enquiries and subjectively through a -survey of GPs' views. Analysis showed a very high level of satisfaction among users of the service. There is also good evidence to suggest that the service has helped to streamline patient management and led to the avoidance of some outpatient appointments.

初级保健医生和二级保健医生之间的沟通往往是不可靠的，而且以门诊信件的形式是片面的。另外，全科医生(全科医生)可能很难通过过时的医院寻呼服务联系到随叫随到的专家。在帝国理工学院医疗保健NHS信托基金，建立了一条胃肠病学电子邮件咨询热线，以促进对话，并可能帮助全科医生处理他们实践中的问题。通过对查询的客观分析和对全科医生意见的主观调查，对该服务进行了评估。分析显示，用户对这项服务的满意度非常高。也有充分的证据表明，该服务有助于简化患者管理，并导致避免一些门诊预约。

引用次数: 3

Ambulatory care for older people living with frailty: an innovative use of the medical day hospital. 对身体虚弱的老年人的流动护理:医疗日间医院的创新使用。

Future hospital journal

Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2-106

Sally Jones, Mary Maxwell

Medical day hospitals (MDH) provide multidisciplinary care to older people living with frailty in an outpatient or day-case setting. Given the pressures on UK emergency departments (ED) combined with the rising numbers of frail older adults presenting as emergencies, we hypothesised that it would be possible for our MDH to be used to provide multidisciplinary ambulatory care for a subset of older patients presenting to ED. With adequate resources, this could potentially provide comprehensive geriatric assessment in an older-friendly environment with the additional benefit of improved flow within the ED. This paper discusses outcomes for the first 100 patients transferred from the ED to be assessed and managed within the MDH instead. Clinical judgement was used to select older patients who were likely to be able to go home the same day after assessment and multidisciplinary input within the MDH. As expected with a highly selected cohort, of the 100 patients transferred, 92% were discharged, noting that medical admission had already been planned for 31% of these patients prior to the involvement of the geriatrician. In conclusion, it is feasible for a cohort of older patients presenting to the ED to be managed within the MDH instead with additional potential for reducing avoidable admissions.

医疗日间医院(MDH)在门诊或日间环境中为生活虚弱的老年人提供多学科护理。考虑到英国急诊科(ED)面临的压力，以及越来越多体弱多病的老年人作为急症患者出现，我们假设，我们的MDH有可能被用来为急诊科的一部分老年患者提供多学科的门诊护理。这可能会在一个对老年人友好的环境中提供全面的老年评估，并改善急诊科的流量。本文讨论了从急诊科转到MDH进行评估和管理的前100名患者的结果。在MDH内进行评估和多学科输入后，使用临床判断来选择有可能在同一天回家的老年患者。正如经过高度筛选的队列所预期的那样，在转移的100名患者中，92%出院，注意到在老年病专家参与之前，这些患者中有31%已经计划住院。总之，在MDH内管理到急诊科就诊的老年患者队列是可行的，而不是有额外的减少可避免入院的潜力。

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引用次数: 2

Improving discharge advice given to patients with spontaneous pneumothorax in accordance with British Thoracic Society (BTS) guidelines. 根据英国胸科学会(BTS)指南改进自发性气胸患者的出院建议。

Future hospital journal

Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2s-s20

Andrew Achaiah, Suresh Babu

引用次数: 0

Quality improvement project addressing small cell lung cancer wait time from histological diagnosis to first treatment. 解决小细胞肺癌从组织学诊断到首次治疗的等待时间的质量改进项目。

Future hospital journal

Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2s-s2

Louise Karsera, Michael Lind

引用次数: 0

Developing the junior doctor handover database: improving patient safety and fluidity of staff transition. 建立初级医生交接数据库:提高患者安全和人员交接的流动性。

Future hospital journal

Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2s-s8

Florence Chamberlain, Laura Davis, Jonathan Kentley, Ruth Yates, Dhanupriya Sivapathsuntharam

引用次数: 0

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