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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
{"title":"Recognition and management of sepsis by junior doctors.","authors":"Sarah L Cowan,&nbsp;Jonathon Aa Holland,&nbsp;Ian Frost,&nbsp;Andrew D Kane","doi":"10.7861/futurehosp.3-2-99","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2-99","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 2","pages":"99-102"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465838/pdf/futurehosp-3-2-99.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37250657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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
{"title":"Increasing the acuity of community services: rapid response.","authors":"Christopher Bell,&nbsp;Ruth Hartley,&nbsp;Selina Lim,&nbsp;Elizabeth Heitz,&nbsp;Aisling Vaugh","doi":"10.7861/futurehosp.3-2s-s29","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2s-s29","url":null,"abstract":"","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 Suppl 2","pages":"s29"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465904/pdf/futurehosp-3-2s-s29.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37250675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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
{"title":"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.","authors":"Christopher Asplin,&nbsp;Shirine Boardman,&nbsp;Fanwell Mamvura","doi":"10.7861/futurehosp.3-2s-s30","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2s-s30","url":null,"abstract":"","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 Suppl 2","pages":"s30"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465918/pdf/futurehosp-3-2s-s30.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37250676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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
{"title":"How much of a doctor's on-call shift is spent searching for equipment and paperwork? A mixed methods study.","authors":"Heather Milne,&nbsp;Miles Rogers,&nbsp;Jesse Blum,&nbsp;James Pinchin,&nbsp;John Blakey","doi":"10.7861/futurehosp.3-2s-s1","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2s-s1","url":null,"abstract":"","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 Suppl 2","pages":"s1"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465898/pdf/futurehosp-3-2s-s1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37422195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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
{"title":"Partnership working and new roles and responsibilities.","authors":"Elisabeth Davies","doi":"10.7861/futurehosp.3-2-123","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2-123","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 2","pages":"123-127"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465835/pdf/futurehosp-3-2-123.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37246063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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
{"title":"Hospitals should be at the heart of Britain's world-beating partnership with patients in research.","authors":"Simon Denegri","doi":"10.7861/futurehosp.3-2-139","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2-139","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 2","pages":"139-141"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465831/pdf/futurehosp-3-2-139.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37246548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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
{"title":"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.","authors":"Andrew Pinder,&nbsp;Oliver Oxenham,&nbsp;Manish Pagaria,&nbsp;Darshan Pandit","doi":"10.7861/futurehosp.3-2s-s17","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2s-s17","url":null,"abstract":"","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 Suppl 2","pages":"s17"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465896/pdf/futurehosp-3-2s-s17.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37250663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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
{"title":"Junior doctors' perceptions of ward rounds.","authors":"Christopher Bell,&nbsp;Joseph Sawyer","doi":"10.7861/futurehosp.3-2s-s18","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2s-s18","url":null,"abstract":"","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 Suppl 2","pages":"s18"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465912/pdf/futurehosp-3-2s-s18.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37250664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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
{"title":"Confidence of junior doctors in prescribing and using patient-controlled analgesia and epidurals, and the impact on patient satisfaction.","authors":"Cath Huang","doi":"10.7861/futurehosp.3-2s-s19","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2s-s19","url":null,"abstract":"","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 Suppl 2","pages":"s19"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465910/pdf/futurehosp-3-2s-s19.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37250665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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
{"title":"A stress echocardiography service in a district general hospital: can we ensure quality without quantity?","authors":"Nikhil Ahluwalia,&nbsp;Lucia Chen,&nbsp;Vinay Bhatia","doi":"10.7861/futurehosp.3-2s-s3","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2s-s3","url":null,"abstract":"","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 Suppl 2","pages":"s3"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465923/pdf/futurehosp-3-2s-s3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37422197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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