Objective: To identify key principles for health IT implementation which may have relevance beyond the critique of NHS IT. Outcome: We elicit ten principles from the Hayes report, which if followed may result in more effective IT implementation in health care. They divide into patient-centred, ...
Clustering and co-occurring of family adversities, including mental health problems, substance use, domestic violence and abuse, as well as poverty can increase health and behavioural risks for children, which persist throughout the life course. Yet, int
Families experiencing multiple adversities may also require integrated care as adversities cannot be managed by single sectors alone. The integrated care approach stipulates that there is a need for effectively designed services according to the multifaceted needs of the population and the individual/family...
Studies demonstrate an association between fluid overload, illustrated by the increase in the cumulative fluid balance, with worse patient centred outcomes [1] in critically ill patients with septic shock [10,11] and/or acute respiratory distress syndrome [12]. Fluid administration potentially induces...
Recent literature has supported the concept of DREAMing (Drinking, Eating and Mobilising) as a simplified measure of patient centred outcomes that are consistent with a return of normal physiology and recovery2. The aim of this study was to investigate the effect of adherence with the post-...
(4) Consider the value (and affordability) of a test before requesting it. (5) Be aware of the downsides and drivers of overdiagnosis. (6) Confront uncertainties. (7) Be patient-centred in your approach. (8) Consider ethical issues. (9) Be aware of normal cognitive limitations and ...
clinicians make better use of meetings to develop and form principles of practice relevant to their clinical context and patient groups Engaging in person-centred practice development processes enables clinicians to develop transferable skills Practice development methods can be readily rep...