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Future hospital journal最新文献

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Recognition and management of sepsis by junior doctors. 初级医生对脓毒症的认识与处理。
Future hospital journal
Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2-99
Sarah L Cowan, Jonathon Aa Holland, Ian Frost, Andrew D Kane

There is growing evidence that outcomes in sepsis are improved by early recognition and treatment. In this study, we assessed junior doctors' ability to recognise and manage sepsis. We also explored junior doctors' perceptions regarding barriers to delivering timely sepsis care. From 46 respondents, only 4% were able to list the systemic inflammatory response syndrome (SIRS) criteria, 50% could define sepsis and 46% could list the Sepsis Six. Following further teaching on sepsis, 35% could list the SIRS criteria, 87% correctly defined sepsis, and 91% could state the Sepsis Six. Junior doctors perceived time pressure when on call to be the greatest barrier in treating sepsis, and their own knowledge to be the least important barrier. Our data suggest that knowledge of sepsis among junior doctors is poor and that there is a lack of insight into this competency gap.

越来越多的证据表明，早期识别和治疗可以改善败血症的预后。在这项研究中，我们评估了初级医生识别和处理败血症的能力。我们还探讨了初级医生对及时提供败血症护理障碍的看法。在46名受访者中，只有4%的人能够列出全身性炎症反应综合征(SIRS)标准，50%的人可以定义败血症，46%的人可以列出败血症六级。在脓毒症的进一步教学后，35%的人能列出SIRS标准，87%的人能正确定义脓毒症，91%的人能说出脓毒症六级。初级医生认为随叫随到的时间压力是治疗败血症的最大障碍，而他们自己的知识是最不重要的障碍。我们的数据表明，初级医生对败血症的了解很差，而且缺乏对这种能力差距的认识。
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引用次数: 6
Increasing the acuity of community services: rapid response. 提高社区服务的敏锐度:快速反应。
Future hospital journal
Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2s-s29
Christopher Bell, Ruth Hartley, Selina Lim, Elizabeth Heitz, Aisling Vaugh
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引用次数: 0
Measuring the patient experience on an acute medical unit using a validated tool and identifying areas for improvement - results from a small district general hospital. 使用经过验证的工具测量急症医疗单位的患者体验并确定需要改进的领域——来自小型地区综合医院的结果。
Future hospital journal
Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2s-s30
Christopher Asplin, Shirine Boardman, Fanwell Mamvura
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引用次数: 0
How much of a doctor's on-call shift is spent searching for equipment and paperwork? A mixed methods study. 医生的值班时间有多少是花在寻找设备和文书工作上的?混合方法研究。
Future hospital journal
Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2s-s1
Heather Milne, Miles Rogers, Jesse Blum, James Pinchin, John Blakey
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引用次数: 2
Partnership working and new roles and responsibilities. 伙伴关系工作和新的角色和责任。
Future hospital journal
Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2-123
Elisabeth Davies

However you choose to define partnership working, it comes down to the changing relationship between patients and physicians. We're unlikely to see a sudden step change in patient behaviour but the degree of change for some physicians should not be underestimated. Montgomery has shone a spotlight on the cultural shift that lies at the heart of partnership working and, with it, a reminder of how challenging it is to communicate risk. Learning from the legal services sector reinforces the importance of this in the evolving role of the professional. Partnership working fundamentally comes down to the ability, skills and capacity to have a conversation. Better information has set a new framework for the conversation but, while essential for partnership, it is not a panacea. A conversation is needed in which a patient's thoughts, concerns and their preferences are placed equally alongside the clinician's expertise, experience and skills.

无论你选择如何定义合作伙伴关系，它都归结为患者和医生之间不断变化的关系。我们不太可能看到病人的行为突然发生变化，但对一些医生来说，这种变化的程度不应该被低估。蒙哥马利将焦点放在了合作伙伴关系核心的文化转变上，并借此提醒人们，沟通风险是多么具有挑战性。向法律服务部门学习加强了这在专业人员不断发展的作用中的重要性。有效的伙伴关系从根本上归结为进行对话的能力、技巧和能力。更好的信息为对话建立了一个新的框架，但虽然对伙伴关系至关重要，但它不是万灵药。病人的想法、担忧和他们的喜好需要与临床医生的专业知识、经验和技能平等地放在一起。
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引用次数: 2
Hospitals should be at the heart of Britain's world-beating partnership with patients in research. 医院应该是英国与患者在研究方面的世界一流合作伙伴关系的核心。
Future hospital journal
Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2-139
Simon Denegri

The Royal College of Physicians Future Hospital Commission report and recommendations highlighted the importance of clinical research to its definition of the hospital of tomorrow. But why should hospitals put research at the centre of what they do and how can they make it happen in practice? This opinion piece sets out a vision of a 'research hospital' from a patient and public perspective. It argues that patients will increasingly value those hospitals that: visibly focus on research to improve quality of care and treatment; actively enable their patients to contribute to this endeavour; and help to make the results of this research more accessible to its public.

英国皇家医师学院未来医院委员会的报告和建议强调了临床研究对未来医院定义的重要性。但是，为什么医院要把研究放在他们工作的中心，他们如何才能在实践中实现这一目标?这篇评论文章从病人和公众的角度阐述了“研究型医院”的愿景。它认为，患者将越来越重视那些医院:明显专注于研究以提高护理和治疗质量;积极地使病人为这一努力作出贡献;并帮助公众更容易获得这项研究的结果。
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引用次数: 0
Training in a physician-led level 2 care setting in a district general hospital in the UK: benefits for foundation doctors - a 3-year study. 在英国地区综合医院接受医生领导的二级护理培训:基础医生的福利-一项为期3年的研究。
Future hospital journal
Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2s-s17
Andrew Pinder, Oliver Oxenham, Manish Pagaria, Darshan Pandit
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引用次数: 2
Junior doctors' perceptions of ward rounds. 初级医生对查房的看法。
Future hospital journal
Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2s-s18
Christopher Bell, Joseph Sawyer
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引用次数: 0
Confidence of junior doctors in prescribing and using patient-controlled analgesia and epidurals, and the impact on patient satisfaction. 初级医生处方和使用病人控制镇痛和硬膜外麻醉的信心及其对病人满意度的影响。
Future hospital journal
Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2s-s19
Cath Huang
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引用次数: 0
A stress echocardiography service in a district general hospital: can we ensure quality without quantity? 地区综合医院应力超声心动图服务:保质保量吗?
Future hospital journal
Pub Date : 2016-06-01 DOI: 10.7861/futurehosp.3-2s-s3
Nikhil Ahluwalia, Lucia Chen, Vinay Bhatia
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引用次数: 0
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