Background: Intraoperative handover is essential for patient safety as failure in communication may lead to morbidity and mortality. Effective plays a key part ensuring the continuity, quality, of care.1 SBAR (situation, background, assessment, recommendation) provides structured approach endorsed by hospital policy.2 It can make handovers quicker yet more effective, thereby releasing time clin...

Objectives: SABR is increasingly used in patients with operable stage I NSCLC who refuse surgery, and outcomes in these patients have been shown to be much better than in medically inoperable patients. Non-matched comparisons of SABR versus surgery generally show a survival benefit of SABR in the first 6-12 months after treatment, due to avoidance of surgical mortality, and a survival benefit o...

Aims Young people with moderate to severe mental health needs receive community services and/or referral Child and Adolescent Mental Health Services (CAMHS). The NHS Long Term Plan acknowledges the importance of age-appropriate care for young and, where are complex or severe, Tier 4 CAMHS specialist support may be considered. Whilst inpatient is appropriate helpful on occasion, research reflect...

BACKGROUND Handover (or 'handoff') is the exchange of information between health professionals that accompanies the transfer of patient care. This process can result in adverse events. Handover 'best practices', with emphasis on standardization, have been widely promoted. However, these recommendations are based mostly on expert opinion and research on medical trainees. By examining handover co...

Aims Improve staff confidence in responding to and managing ward based medical emergencies Methods The deputy borough lead nurse, a clinical nurse manager core trainee met discuss how build across all ward-based following number of recent SI. Initially, weekly simulations were conducted. Scenarios SI focused included choking, drug overdose, head injury hanging. Whilst it was clear there an appe...

Accepted 26 February 2009 Handing over responsibility for patients has always been part of medical practice. Definitions emphasise transfer of responsibility to ensure patient safety and the available literature tends to follow this line (see box 1). Handover is much more than this, however. It is a key event where teams meet, have the opportunity to communicate, support each other and learn. T...

This paper proposes a novel class of PCFG parameterizations that support linguistically reasonable priors over PCFGs. To estimate the parameters is to discover a notion of relatedness among context-free rules such that related rules tend to have related probabilities. The prior favors grammars in which the relationships are simple to describe and have few major exceptions. A basic version that ...

Improved longevity and changing lifestyles are putting pressure on healthcare systems around the world. Hospitals must manage rapidly growing numbers of patients, who increasingly present with complex co-morbidities and chronic conditions. One indicator of these pressures is the high rate of avoidable patient harm in hospitals, which stands at 10% in developed countries and is significantly hig...

We consider the problem of extracting formal process representations of the therapies defined by clinical guidelines, viz., computer interpretable guidelines (CIGs), based on UMLS and semantic and syntactic annotation. CIGs enable the application of formal methods (such as model checking, verification, conformance assessment) to the clinical domain. We argue that, while minimally structured, co...