Effectiveness of a national quality improvement programme to improve survival after emergency abdominal surgery (EPOCH): a stepped-wedge cluster-randomised …

CJ Peden, T Stephens, G Martin, BC Kahan… - The Lancet, 2019 - thelancet.com
Background Emergency abdominal surgery is associated with poor patient outcomes. We
studied the effectiveness of a national quality improvement (QI) programme to implement a …

[PDF][PDF] A national quality improvement programme to improve survival after emergency abdominal surgery: the EPOCH stepped-wedge cluster RCT

CJ Peden, T Stephens, G Martin, BC Kahan… - Health Services and …, 2019 - pure.york.ac.uk
Parts of this report have been reproduced from Stephens et al. 22 This article is distributed
under the terms of the Creative Commons Attribution 4.0 International License (http …

Comprehensive geriatric assessment in the perioperative setting; where next?

J Dhesi, SR Moonesinghe, J Partridge - Age and Ageing, 2019 - academic.oup.com
Abstract Comprehensive Geriatric Assessment (CGA) is being employed in the perioperative
setting to improve outcomes for older surgical patients. Traditionally CGA is delivered by a …

[HTML][HTML] Scaling up perioperative medicine for older people undergoing surgery (POPS) services; use of a logic model approach

EV Jasper, JK Dhesi, JSL Partridge, E Sadler… - Clinical Medicine, 2019 - Elsevier
Perioperative medicine for older people undergoing surgery (POPS) services are gaining
traction, in acknowledgment of the poorer outcomes experienced by older surgical patients …

[HTML][HTML] Understanding the influences on successful quality improvement in emergency general surgery: learning from the RCS Chole-QuIC project

TJ Stephens, JR Bamber, IJ Beckingham… - Implementation …, 2019 - Springer
Background Acute gallstone disease is the highest volume Emergency General Surgical
presentation in the UK. Recent data indicate wide variations in the quality of care provided …

[HTML][HTML] Cost-effectiveness of a national quality improvement programme to improve survival after emergency abdominal surgery: Learning from 15,856 patients

F Yang, S Walker, G Richardson, T Stephens… - International Journal of …, 2019 - Elsevier
Background Patients undergoing emergency abdominal surgery are exposed to a high risk
of death. A quality improvement (QI) programme to improve the survival for these patients …

Qualitative process evaluation of the Perioperative Quality Improvement Programme (PQIP): study protocol

D Wagstaff, SR Moonesinghe, NJ Fulop… - BMJ open, 2019 - bmjopen.bmj.com
Introduction The Perioperative Quality Improvement Programme (PQIP) is designed to
measure complications after major elective surgery and improve these through feedback of …

Learning from the EPOCH trial (Editorial). What we have learnt from a trial of an intervention to improve survival following emergency laparotomy

T Stephens, RM Pearse - Anaesthesia Critical Care & Pain Medicine, 2019 - Elsevier
In a recent Lancet publication, we reported the findings of a stepped-wedge, cluster
randomised trial of a quality improvement intervention to enhance the outcomes of …

[HTML][HTML] Quality improvement and emergency laparotomy care: what have we learnt from recent major QI efforts?

T Stephens, C Johnston, S Hare - Clinical Medicine, 2019 - Elsevier
More than 1.53 million adults undergo inpatient surgery in the UK NHS. Patients undergoing
emergency abdominal surgery have a much greater risk of death than patients admitted for …

Recycling old data–an ethical and pragmatic way to generate new evidence?

M Charlesworth, S Agarwal - Anaesthesia, 2019 - search.ebscohost.com
Recycling old data-an ethical and pragmatic way to generate new evidence? In this issue of
I Anaesthesia, i Ho et al. report data suggesting that, for cardiac surgical patients, platelet …