نتایج جستجو برای: english national health service nhs
تعداد نتایج: 1615731 فیلتر نتایج به سال:
OBJECTIVES To evaluate the implementation and adoption of the NHS detailed care records service in "early adopter" hospitals in England. DESIGN Theoretically informed, longitudinal qualitative evaluation based on case studies. SETTING 12 "early adopter" NHS acute hospitals and specialist care settings studied over two and a half years. DATA SOURCES Data were collected through in depth int...
J Fam Plann Reprod Health Care 2006: 32(1) Background The National Health Service (NHS) in England is going through another reorganisation, in the spirit of creating a ‘patient-led NHS’. Practice-based commissioning (PBC) refers to devolution of commissioning responsibilities from primary care trusts (PCTs) to individual or groups of primary care professionals; this may be a group of general pr...
BACKGROUND The study aimed to identify thresholds for hospital bed utilisation which are independently associated with significantly higher risks for Clostridium difficile infections (CDI) in acute hospitals in England. METHOD A retrospective analysis was carried out on reported data from the English National Health Service (NHS) for the financial year 2013/2014. Reported rates of CDI were us...
BACKGROUND Organisations in England's National Health Service (NHS) are required to have 'did not attend' (DNA) guidelines to help deal with the 'unseen child'. AIMS To map DNA and associated guidelines in paediatric services, examine differences in safeguarding response and advice in the guidelines and explore the experience of guideline users. METHODS A mapping approach was used to locate...
The National Health Service (NHS) is the largest employer in the UK and since the late 1990s has gone through a period of unprecedented change in a wide range of areas from introduction of the NHS plan (Department of Health, 2000) designed to help the NHS meet the needs of patients and improve health outcomes; to the establishment of NHS Foundation Trusts in 2004 which have financial freedoms a...
In the past decade, quality of care and patient safety in British hospitals have become the focus of increasing public, professional, political, and regulatory concern. The 2001 inquiry into paediatric cardiac surgery at Bristol Royal Infirmary concluded that the Department of Health was unable to respond to an issue of quality of care, even though the Department of Health accepted that ultimat...
The National Institute for Health and Clinical Excellence (NICE) recently updated its guidance on managing depression, adding specific guidance for depression in people with physical illness. The guidance should help improve the targeting of treatments, although implementation of the guidance on depression in physical illness is challenging in the National Health Service (NHS) context of separa...
Patient-reported outcome measures (PROMs) are now routinely collected in the English National Health Service (NHS) and used to compare and reward hospital performance within a high-powered pay-for-performance scheme. However, PROMs are prone to missing data. For example, hospitals often fail to administer the pre-operative questionnaire at hospital admission, or patients may refuse to participa...
OBJECTIVES To investigate geographic variation in guideline-indicated treatments for non-ST-elevation myocardial infarction (NSTEMI) in the English National Health Service (NHS). DESIGN Cohort study using registry data from the Myocardial Ischaemia National Audit Project. SETTING All Clinical Commissioning Groups (CCGs) (n=211) in the English NHS. PARTICIPANTS 357 228 patients with NSTEMI...
Starting in 1997, the United Kingdom has introduced a series of interdependent legislative and regulatory reforms to improve access, treatment, and administration in the National Health Service (NHS)--attracting worldwide attention in the process. The NHS quality agenda involves a centrally coordinated program, defined quality targets, public reporting, enhanced incentives for stakeholders, imp...
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