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"Booking system"

Natalie King, Catherine Zhu
Outpatient clinic experience is an important component of core medical training. Trainees are expected to attend up to 40 clinics, with a minimum requirement of 24, over the two-year programme. 1 Yet on a local and national level they have reported difficulties with attending even the minimum number of clinics, largely due to ward commitments and service demands. 5 A survey of local core medical trainees revealed a baseline mean clinic attendance of 0.5 clinics per month, with only 13% of trainees having attended the minimum number of clinics...
2017: BMJ Quality Improvement Reports
Paul E Jenkins
Rates of non-attendance at initial appointments within community eating disorder (ED) services are frequently high, although this has received relatively little research attention and no reports of interventions designed to address this. The current report describes outcomes following a change of procedure introducing a 'partial booking' system. Attendance rates at first appointments (N = 1260) were audited following introduction of a system designed to reduce non-attendance in January 2013 within a UK ED service...
February 10, 2017: Community Mental Health Journal
Keisuke Tanaka, Kassam Mahomed
Caesarean section (CS) rates have been increasing worldwide and have caused concerns. For meaningful comparisons to be made World Health Organization recommends the use of the Ten-Group Robson classification as the global standard for assessing CS rates. 2625 women who birthed over a 12-month period were analysed using this classification. Women with previous CS (group 5) comprised 10.9% of the overall 23.5% CS rate. Women with one previous CS who did not attempt VBAC contributed 5.3% of the overall 23.5% CS rate...
2017: Obstetrics and Gynecology International
Emily Anne Fulton, Katherine E Brown, Kayleigh L Kwah, Sue Wild
Smokers who attend NHS Stop Smoking Services (SSS) are four times more likely to stop smoking; however, uptake has been in decline. We report the development of an intervention designed to increase uptake of SSS, from a more motivated self-selected sample of smokers. In Phase 1 we collected data to explore the barriers and facilitators to people using SSS. In Phase 2, data from extant literature and Phase 1 were subject to behavioural analysis, as outlined by the Behaviour Change Wheel (BCW) framework. Relevant Behaviour Change Techniques (BCTs) were identified in order to address these, informing the content of the StopApp intervention...
2016: Healthcare (Basel, Switzerland)
John A Ford, Geoff Wong, Andy P Jones, Nick Steel
OBJECTIVE: The aim of this review is to identify and understand the contexts that effect access to high-quality primary care for socioeconomically disadvantaged older people in rural areas. DESIGN: A realist review. DATA SOURCES: MEDLINE and EMBASE electronic databases and grey literature (from inception to December 2014). ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Broad inclusion criteria were used to allow articles which were not specific, but might be relevant to the population of interest to be considered...
May 17, 2016: BMJ Open
Jonine Naughton, Soumya Basu, Frank O'Dowd, Matthew Carroll, Darryl Maybery
OBJECTIVE: This study outlines the service issues and adjustments associated with the implementation of Choice and Partnership Approach (CAPA) into a rural Child and Adolescent Mental Health Service (CAMHS). METHOD: A mixed-methods approach examined the impacts of the CAPA implementation. A qualitative review of the minutes from team and implementation group meetings illustrated themes according to 11 key CAPA components. Quantitative internal audit data illustrated waiting list times...
October 2015: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
Luciana Ballini, Antonella Negro, Susanna Maltoni, Luca Vignatelli, Gerd Flodgren, Iveta Simera, Jane Holmes, Roberto Grilli
BACKGROUND: Long waiting times for elective healthcare procedures may cause distress among patients, may have adverse health consequences and may be perceived as inappropriate delivery and planning of health care. OBJECTIVES: To assess the effectiveness of interventions aimed at reducing waiting times for elective care, both diagnostic and therapeutic. SEARCH METHODS: We searched the following electronic databases: Cochrane Effective Practice and Organisation of Care (EPOC) Group Specialised Register, the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE (1946-), EMBASE (1947-), the Cumulative Index to Nursing and Allied Health Literature (CINAHL), ABI Inform, the Canadian Research Index, the Science, Social Sciences and Humanities Citation Indexes, a series of databases via Proquest: Dissertations & Theses (including UK & Ireland), EconLit, PAIS (Public Affairs International), Political Science Collection, Nursing Collection, Sociological Abstracts, Social Services Abstracts and Worldwide Political Science Abstracts...
February 23, 2015: Cochrane Database of Systematic Reviews
Guy Paré, Marie-Claude Trudel, Pascal Forget
BACKGROUND: Managing appointments in private medical practices and ambulatory care settings is a complex process. Various strategies to reduce missed appointments can be implemented. E-booking systems, which allow patients to schedule and manage medical appointments online, represents such a strategy. To better support clinicians seeking to offer an e-booking service to their patients, health authorities in Canada recently invested in a showcase project involving six private medical clinics...
2014: JMIR Medical Informatics
G A Fremlin, A P J J Bray, D A de Berker
BACKGROUND: Provisional clinical diagnosis is the first step in planning skin surgery. Different clinical priorities are given to basal cell carcinoma (BCC), squamous cell carcinoma (SCC) and malignant melanoma (MM). Discriminating between SCC and BCC can be difficult. The rate of misdiagnosis of SCC as BCC is reported as 5.7-87.6%, and can cause treatment delay. We have developed a web-based surgery booking system that requires clinical commitment to a putative differential diagnosis category, rather than a single diagnosis, at the time of consultation...
August 2014: Clinical and Experimental Dermatology
MinMin Zhang, CongXin Zhang, QinWen Sun, QuanCai Cai, Hua Yang, YinJuan Zhang
BACKGROUND: As a part of nationwide healthcare reforms, the Chinese government launched web-based appointment systems (WAS) to provide a solution to problems around outpatient appointments and services. These have been in place in all Chinese public tertiary hospitals since 2009. METHODS: Questionnaires were collected from both patients and doctors in one large tertiary public hospital in Shanghai, China.Data were analyzed to measure their satisfaction and views about the WAS...
June 9, 2014: BMC Medical Informatics and Decision Making
Lyndel Bates, Barry Watson, Mark Johann King
OBJECTIVE: Though many jurisdictions internationally now require learner drivers to complete a specified number of hours of supervised driving practice before being able to drive unaccompanied, very few require learner drivers to complete a log book to record this practice and then present it to the licensing authority. Learner drivers in most Australian jurisdictions must complete a log book that records their practice, thereby confirming to the licensing authority that they have met the mandated hours of practice requirement...
2014: Traffic Injury Prevention
Kinza Younas, Franz Majoko, Katherine Sheard, Christopher Edwards, Adnan Bunkheila
Infertility affects 1 in 7 couples in the UK. Tubal patency tests are an important part of infertility investigations. We conducted this observational study to determine the interval between a laparoscopy and dye test and spontaneous conception in women with unexplained infertility and minimal to mild endometriosis and pelvic adhesions treated during the procedure. The clinical records of 432 women coded as having had a laparoscopy and dye test or laparoscopy and tubal patency test between April 2007 and March 2010 were retrieved from a computerised theatre database...
March 2014: Human Fertility: Journal of the British Fertility Society
Nicholas Faure Walker, Angus McNair, Rosemary Greenwood, Amanda Deale, Jane Blazeby
No abstract text is available yet for this article.
2011: International Journal of Surgery
Claudio Azzolini, Aldo Torreggiani, Chiara Eandi, Simone Donati, Muna Al Oum, Riccardo Vinciguerra, Luigi Bartalena, Valerio Tartaglia
We investigated the care of patients with age-related macular degeneration (AMD) managed via a physician-to-physician teleconsultation network for ophthalmology. Eleven groups of ophthalmologists took part in the study. The groups were located in 10 cities across Italy. Each group was based on a Retina Centre located at a university or hospital, with one or two expert ophthalmologists (20 expert ophthalmologists in total). In each region containing a Retina Centre, 6-10 general ophthalmologists (94 ophthalmologists in total) referred patients via the network for a period of three months between June 2011 and December 2012...
December 2013: Journal of Telemedicine and Telecare
J Cronin, O Healy, H Hegarty, D Murray
BACKGROUND: A review of theatre activity in all Health Service Executive (HSE) hospitals in Cork and Kerry in 2008 required a manual extraction of theatre activity data from largely paper-based log books. A key data management recommendation suggested that "a standardised computerised theatre log book system be developed in all hospitals in the region". HSE (2010) Reconfiguration of health services for Cork and Kerry—theatre utilisation review. ISBN 978-1-906218-54-6. MATERIALS AND METHODS: In 2010, a computerised minimum dataset project group conducted a telephone survey of theatre managers nationally to determine the methods of recording theatre activity across publicly funded hospital theatres in Ireland...
September 2014: Irish Journal of Medical Science
Peter MacPherson, Augustine T Choko, Emily L Webb, Deus Thindwa, S Bertel Squire, Rodrick Sambakunsi, Joep J van Oosterhout, Treza Chunda, Kondwani Chavula, Simon D Makombe, David G Lalloo, Elizabeth L Corbett
A significant methodological challenge in implementing community-based cluster-randomized trials is how to accurately categorize cluster residency when data are collected at a site distant from households. This study set out to validate a map book system for use in urban slums with no municipal address systems, where classification has been shown to be inaccurate when address descriptions were used. Between April and July 2011, 28 noncontiguous clusters were demarcated in Blantyre, Malawi. In December 2011, antiretroviral therapy initiators were asked to identify themselves as cluster residents (yes/no and which cluster) by using map books...
May 15, 2013: American Journal of Epidemiology
Sarah Derrett, Kim Cousins, Robin Gauld
Waiting lists for elective procedures are a characteristic feature of tax-funded universal health systems. New Zealand has gained a reputation for its 'booking system' for waiting list management, introduced in the early-1990s. The New Zealand system uses criteria to 'score' and then 'book' qualifying patients for surgery. This article aims to (i) describe key issues focused on by the media, (ii) identify local strategies and (iii) present evidence of variation. Newspaper sources were searched (2000-2006). A total of 1199 booking system stories were identified...
January 2013: International Journal of Health Planning and Management
Peter A Schoch, Lisa Adair
Since 2005, Barwon Health has successfully reformed its orthopaedic outpatient service to address the following issues: increasing number of referrals, inefficient referral management and triage, long waiting times for non-urgent appointments, high 'Did Not Attend' (DNA) rates and poor utilisation of conservative therapies before referral to surgeon. Numerous strategies have been implemented including: waiting list audits, triage guidelines, physiotherapy-led clinics, a DNA policy, an orthopaedic lead nurse role and a patient-focussed booking system...
May 2012: Australian Health Review: a Publication of the Australian Hospital Association
Lisa Roberts
The purpose of this quality improvement initiative was to enhance service delivery and patient experience in a musculoskeletal out-patient setting. A cross-sectional survey, with 6 annual stages, evaluated the musculoskeletal outpatient physiotherapy service in a large National Health Service hospital in Southern England. The population comprised 1095 patients, referred by medical staff to the service from rheumatology, orthopaedics, pain clinic and occupational health departments. The individual clinician-initiated strategies for quality improvement included: cue cards; reminders; reflections and training...
February 2013: Manual Therapy
Udechukwu Ojiako, Stuart Maguire, Lenny Koh, Tracey Grainger, Dave Wainwright
PURPOSE: This paper aims to argue that the implementation of the Choose and Book system has failed due to the inability of project sponsors to appreciate the complex and far-reaching softer implications of the implementation, especially in a complex organisation such as the NHS, which has multifarious stakeholders. DESIGN/METHODOLOGY/APPROACH: The authors use practice-oriented research to try and isolate key parameters. These parameters are compared with existing conventional thinking in a number of focused areas...
2010: International Journal of Health Care Quality Assurance
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