Identifying research priorities with nurses at a tertiary children's hospital in the United Kingdom

2016 ◽  
Vol 43 (2) ◽  
pp. 211-221 ◽  
Author(s):  
A. Williams ◽  
D. Sell ◽  
K. Oulton ◽  
N. Wilson ◽  
J. Wray ◽  
...  
2017 ◽  
Vol 27 (05) ◽  
pp. 416-421 ◽  
Author(s):  
Natalie Durkin ◽  
Mark Davenport

AbstractThe NHS provides more than 98% of all surgical procedures in infants and children in the United Kingdom through a comprehensive network of secondary (typically for the general surgery of childhood) and tertiary (specialist neonatal and specialist pediatric surgery) centers [n = 22]), typically located within large conurbations. It was originally envisaged that these specialized centers would be able to provide the full range of surgical interventions (aside from organ transplantation). However, there has been a trend toward centralization of some key procedures, previously thought to be within general neonatal surgery.The architype for centralization is the management of biliary atresia (BA). Since 1999, within England and Wales, this has been exclusively managed in three centers (King's College Hospital, London; Birmingham Children's Hospital and Leeds General Infirmary). All of these provide facilities for the diagnosis of BA, primary surgical management (Kasai portoenterostomy), and liver transplantation if required. The case for centralization was made by rigorous national outcome analysis during the 1990s showing marked disparity based on case volume and driven by parents' organizations and national media. Following centralization, national outcome data showed improvement and provided a benchmark for others to follow.The management of bladder exstrophy was later centralized in England and Wales, albeit not based on strict outcome data, to two centers (Great Ormond Street, London and Royal Manchester Children's Hospital).


Author(s):  
Zoe Simpson ◽  
Christin Eltze ◽  
Hannah Smith ◽  
Bahee Van de Bor ◽  
Victoria Urban ◽  
...  

2017 ◽  
Vol 11 (4) ◽  
pp. NP72-NP76
Author(s):  
Sachin Talwar ◽  
Robert H. Anderson ◽  
Amolkumar Bhoje ◽  
Adrian Crucean ◽  
Saurabh Kumar Gupta ◽  
...  

We describe the anatomic findings in a 2-year-old patient with double outlet right ventricle with right-sided aorta in the setting of usual atrial arrangement and discordant atrioventricular connections, making comparison with a specimen from the pathological archive of the Birmingham Children’s Hospital in the United Kingdom having this rare combination of anatomic features. We discuss the challenges involved in diagnosis and management.


2018 ◽  
Author(s):  
Brian McMillan ◽  
Robert Eastham ◽  
Benjamin Brown ◽  
Richard Fitton ◽  
David Dickinson

UNSTRUCTURED This paper briefly outlines the history of the medical record and the factors contributing to the adoption of computerized records in primary care in the United Kingdom. It discusses how both paper-based and electronic health records have traditionally been used in the past and goes on to examine how enabling patients to access their own primary care record online is changing the form and function of the patient record. In addition, it looks at the evidence for the benefits of Web-based access and discusses some of the challenges faced in this transition. Finally, some suggestions are made regarding the future of the patient record and research questions that need to be addressed to help deepen our understanding of how they can be used more beneficially by both patients and clinicians.


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