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2. Lack of regional pathways impact on surgical delay: Analysis of the Orthopaedic Trauma Hospital Outcomes–Patient Operative Delays (ORTHOPOD) study

Author

Stevenson, Iain, Yoong, Andrel, Rankin, Iain, Dixon, James, Lim, Jun Wei, Sattar, Mariam, McDonald, Stephen, Scott, Sharon, Davies, Helen, Jones, Louise, Nolan, Michelle, McGinty, Rebecca, Stevenson, Helene, Bowe, David, Sim, Francis, Vun, James, Strain, Ritchie, Giannoudis, Vasileios, Talbot, Christopher, Gunn, Christopher, Le, Ha Phuong Do, Bradley, Matthew, Lloyd, William, Hanratty, Brian, Lim, Yizhe, Brookes-Fazakerley, Steven, Varasteh, Amir, Francis, Jonathan, Choudhry, Nameer, Malik, Sheraz, Vats, Amit, Evans, Ashish, Garner, Madeleine, King, Stratton, Zbaeda, Mohamed, Diamond, Owen, Baker, Gavin, Napier, Richard, Guy, Stephen, McCauley, Gordon, King, Samuel, Edwards, Gray, Lin, Benjamin, Davoudi, Kaveh, Haines, Samuel, Raghuvanshi, Manav, Buddhdev, Pranai, Karam, Edward, Nimmyel, Enoch, Ekanem, George, Lateef, Razaq, Jayadeep, JS, Crowther, Ian, Mazur, Karolina, Hafiz, Nauman, Khan, Umair, Chettiar, Krissen, Ibrahim, Amr, Gopal, Prasanth, Tse, Shannon, Lakshmipathy, Raj, Towse, Claudia, Al-Musawi, Hashim, Walmsley, Matthew, Aspinall, Will, Metcalfe, James, Moosa, Aliabbas, Crome, George, Abdelmonem, Mohamed, Lakpriya, Sathya, Hawkins, Amanda, Waugh, Dominic, Kennedy, Matthew, Elsagheir, Mohamed, Kieffer, Will, Oyekan, Adekinte, Collis, Justin, Raad, Marjan, Raut, Pramin, Baker, Markus, Gorvett, Alexander, Gleeson, Hannah, Fahmy, John, Walters, Sam, Tinning, Craig, Chaturvedi, Abhishek, Russell, Heather, Alsawada, Osama, Sinnerton, Robert, Crane, Evan, Warwick, Catherine, Dimascio, Lucia, Ha, Taegyeong Tina, King, Thomas, Engelke, Daniel, Chan, Matthew, Gopireddy, Rajesh, Deo, Sunny, Vasarhelyi, Ferenc, Jhaj, Jasmeet, Dogramatzis, Kostas, McCartney, Sarah, Ardolino, Toni, Fraig, Hossam, Hiller-Smith, Ryan, Haughton, Benjamin, Greenwood, Heather, Stephenson, Nicola, Chong, Yuki, Sleat, Graham, Saedi, Farid, Gouda, Joe, Ravi, Sanjeev Musuvathy, Henari, Shwan, Imam, Sam, Howell, Charles, Theobald, Emma, Wright, Jan, Cormack, Jonathan, Borja, Karlou, Wood, Sandy, Khatri, Amulya, Bretherton, Chris, Tunstall, Charlotte, Lowery, Kathryn, Holmes, Benjamin, Nichols, Jennifer, Bashabayev, Beibit, Wildin, Clare, Sofat, Rajesh, Thiagarajan, Aarthi, Abdelghafour, Karim, Nicholl, James, Abdulhameed, Ahmed, Duke, Kathryn, Maling, Lucy, McCann, Matthew, Masud, Saqib, Marshman, James, Moreau, Joshua, Cheema, Kanwalnaini, Rageeb, Peter Morad, Mirza, Yusuf, Kelly, Andrew, Hassan, Abdul, Christie, Alexander, Davies, Angharad, Tang, Cary, Frostick, Rhiannon, Pemmaraju, Gopalakrishna, Handford, Charles, Chauhan, Govind, Dong, Huan, Choudri, Mohammed Junaid, Loveday, David, Bawa, Akshdeep, Baldwick, Cheryl, Roberton, Andrew, Burden, Eleanor, Nagi, Sameer, Johnson-Lynn, Sarah, Guiot, Luke, Kostusiak, Milosz, Appleyard, Thomas, Mundy, Gary, Basha, Amr, Abdeen, Bashar, Robertson-Smith, Bill, Hussainy, Haydar Al, Reed, Mike, Jamalfar, Aral, Flintoft, Emily, McGovern, Julia, Alcock, Liam, Koziara, Michal, Ollivere, Benjamin, Zheng, Amy, Atia, Fady, Goff, Thomas, Slade, Henry, Teoh, Kar, Shah, Nikhil, Al-Obaedi, Ossama, Jamal, Bilal, Bell, Stuart, Macey, Alistair, Brown, Cameron, Simpson, Cameron, Alho, Roberto, Wilson, Victoria, Lewis, Charlotte, Blyth, Daniel, Chapman, Laura, Woods, Lisa, Katmeh, Rateb, Pasapula, Chandra, Youssef, Hesham, Tan, Jerry, Famure, Steven, Grazette, Andrew, Lloyd, Adam, Beaven, Alastair, Jackowski, Anna, Piper, Dani, Lotfi, Naeil, Chakravarthy, Jagannath, Elzawahry, Ahmed, Trew, Christopher, Neo, Chryssa, Elamin-Ahmed, Hussam, Ashwood, Neil, Wembridge, Kevin, Eyre-Brook, Alistair, Greaves, Amy, Watts, Anna, Stedman, Tobias, Ker, Andrew, Wong, Li Siang, Fullarton, Mairi, Phelan, Sean, Choudry, Qaisar, Qureshi, Alham, Moulton, Lawrence, Cadwallader, Craig, Jenvey, Cara, Aqeel, Aqeel, Francis, Daniel, Simpson, Robin, Phillips, Jon, Matthews, Edward, Thomas, Ellen, Williams, Mark, Jones, Robin, White, Tim, Ketchen, Debbie, Bell, Katrina, Swain, Keri, Chitre, Amol, Lum, Joann, Syam, Kevin, Dupley, Leanne, O'Brien, Sarah, Ford, David, Chapman, Taya, Zahra, Wajiha, Guryel, Enis, McLean, Elizabeth, Dhaliwal, Kawaljit, Regan, Nora, Berstock, James, Deano, Krisna, Donovan, Richard, Blythe, Andrew, Salmon, Jennifer, Craig, Julie, Hickland, Patrick, Matthews, Scott, Brown, William, Borland, Steven, Aminat, Akinsemoyin, Stamp, Gregory, Zaheen, Humayoon, Jaibaji, Monketh, Egglestone, Anthony, Sampalli, Sridhar Rao, Goodier, Henry, Gibb, Julia, Islam, Saad, Ranaboldo, Tom, Theivendran, Kanthan, Bond, Georgina, Richards, Joanna, Sanghera, Ranjodh, Robinson, Karen, Fong, Angus, Tsang, Bonita, Dalgleish, James, McGregor-Riley, Jonathan, Barkley, Sarah, Eardley, William, Elhassan, Almutasim, Tyas, Ben, Chandler, Henry, McVie, James, Wei, Nicholas, Negus, Oliver, Baldock, Thomas, Ravi, Kuppuswamy, Qazzaz, Layth, Mohamed, Muawia, Sivayoganthan, Sriharan, Poole, William, Slade, George, Beaumont, Hugo, Beaumont, Oliver, Taha, Rowa, Lever, Caroline, Sood, Abhay, Moss, Maximillian, Khatir, Mohammed, Trompeter, Alex, Jeffers, Aisha, Brookes, Charlotte, Dadabhoy, Maria, Bhattacharya, Rajarshi, Singh, Abhinav, Beer, Alexander, Hodgson, Harry, Rahman, Kashed, Barter, Reece, Mackinnon, Thomas, Frasquet-Garcia, Antonio, Aldarragi, Ameer, Warner, Christian, Pantelides, Christopher, Attwood, Joseph, Al-Uzri, Muntadhir, Qaoud, Qaiys Abu, Green, Stephen, Osborne, Alex, Griffiths, Alexandra, Emmerson, Benjamin, Slater, Duncan, Altahoo, Hasan, Scott, Helen, Rowland, David, O'Donnell, Janine, Edwards, Taff, Hafez, Ahmed, Khan, Basharat, Crane, Emily, Axenciuc, Rostislav, Al-Habsi, Ruqaiya, McAlinden, Gavan, Sterne, Jonathan, Wong, Matthew Lynch, Patil, Sunit, Ridha, Ali, Rasidovic, Damir, Searle, Henry, Choudhry, Jamaal, Farhan-Alanie, Muhamed M, Tanagho, Andy, Sharma, Sidharth, Thomas, Suresh, Smith, Ben, McMullan, Mark, Winstanley, Robert, Mirza, Saqeb, Hamlin, Katharine, Elgayar, Lugman, Larsen, Matthew P, Eissa, Mohamed, Stevens, Samuel, Hopper, Graeme P, Fang Soh, Terrence Chi, Doorgakant, Ashtin, Yogeswaran, Apimaan, Myatt, Darren, Mahon, Joseph, Ward, Nicholas, Reid, Susan, Deierl, Krisztian, Brogan, Declan, Little, Max, Deakin, Sue, Baines, Elliott, Jones, Georgie, Boulton, Helen, Douglas, Trixie, Jeyaseelan, Lucky, Abdale, Abdirizak, Islam, Aminul, Atkinson, Kate V, Mohamedfaris, Khalid, Mmerem, Kingsley, Jamal, Shazil, Wharton, Danielle, Rana, Anurag, McAllister, Ross, Sasi, Sijith, Thomas, Terin, Pillai, Anand, Flaherty, David, Khan, Munir, Akkena, Sudheer, Shandala, Yaseen, Lankester, Benedict, Hainsworth, Louis, Ahmed, Hussam Elamin, Walshaw, Thomas, Walker, Reece, and Eardley, William G.P.

Published
2023
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3. ORthopaedic trauma hospital outcomes - Patient operative delays (ORTHOPOD) Study: The management of day-case orthopaedic trauma in the United Kingdom

Author

Stevenson, Iain, Yoong, Andrel, Rankin, Iain, Dixon, James, Lim, Jun Wei, Sattar, Mariam, McDonald, Stephen, Scott, Sharon, Davies, Helen, Jones, Louise, Nolan, Michelle, McGinty, Rebecca, Stevenson, Helene, Bowe, David, Sim, Francis, Vun, James, Strain, Ritchie, Giannoudis, Vasileios, Talbot, Christopher, Gunn, Christopher, Le, Ha Phuong Do, Bradley, Matthew, Lloyd, William, Hanratty, Brian, Lim, Yizhe, Brookes-Fazakerley, Steven, Varasteh, Amir, Francis, Jonathan, Choudhry, Nameer, Malik, Sheraz, Vats, Amit, Evans, Ashish, Garner, Madeleine, King, Stratton, Zbaeda, Mohamed, Diamond, Owen, Baker, Gavin, Napier, Richard, Guy, Stephen, McCauley, Gordon, King, Samuel, Edwards, Gray, Lin, Benjamin, Davoudi, Kaveh, Haines, Samuel, Raghuvanshi, Manav, Buddhdev, Pranai, Karam, Edward, Nimmyel, Enoch, Ekanem, George, Lateef, Razaq, Jayadeep, JS, Crowther, Ian, Mazur, Karolina, Hafiz, Nauman, Khan, Umair, Chettiar, Krissen, Ibrahim, Amr, Gopal, Prasanth, Tse, Shannon, Lakshmipathy, Raj, Towse, Claudia, Al-Musawi, Hashim, Walmsley, Matthew, Aspinall, Will, Metcalfe, James, Moosa, Aliabbas, Crome, George, Abdelmonem, Mohamed, Lakpriya, Sathya, Hawkins, Amanda, Waugh, Dominic, Kennedy, Matthew, Elsagheir, Mohamed, Kieffer, Will, Oyekan, Adekinte, Collis, Justin, Raad, Marjan, Raut, Pramin, Baker, Markus, Gorvett, Alexander, Gleeson, Hannah, Fahmy, John, Walters, Sam, Tinning, Craig, Chaturvedi, Abhishek, Russell, Heather, Alsawada, Osama, Sinnerton, Robert, Crane, Evan, Warwick, Catherine, Dimascio, Lucia, Ha, Taegyeong Tina, King, Thomas, Engelke, Daniel, Chan, Matthew, Gopireddy, Rajesh, Deo, Sunny, Vasarhelyi, Ferenc, Jhaj, Jasmeet, Dogramatzis, Kostas, McCartney, Sarah, Ardolino, Toni, Fraig, Hossam, Hiller-Smith, Ryan, Haughton, Benjamin, Greenwood, Heather, Stephenson, Nicola, Chong, Yuki, Sleat, Graham, Saedi, Farid, Gouda, Joe, Ravi, Sanjeev Musuvathy, Henari, Shwan, Imam, Sam, Howell, Charles, Theobald, Emma, Wright, Jan, Cormack, Jonathan, Borja, Karlou, Wood, Sandy, Khatri, Amulya, Bretherton, Chris, Tunstall, Charlotte, Lowery, Kathryn, Holmes, Benjamin, Nichols, Jennifer, Bashabayev, Beibit, Wildin, Clare, Sofat, Rajesh, Thiagarajan, Aarthi, Abdelghafour, Karim, Nicholl, James, Abdulhameed, Ahmed, Duke, Kathryn, Maling, Lucy, McCann, Matthew, Masud, Saqib, Marshman, James, Moreau, Joshua, Cheema, Kanwalnaini, Rageeb, Peter Morad, Mirza, Yusuf, Kelly, Andrew, Hassan, Abdul, Christie, Alexander, Davies, Angharad, Tang, Cary, Frostick, Rhiannon, Pemmaraju, Gopalakrishna, Handford, Charles, Chauhan, Govind, Dong, Huan, Choudri, Mohammed Junaid, Loveday, David, Bawa, Akshdeep, Baldwick, Cheryl, Roberton, Andrew, Burden, Eleanor, Nagi, Sameer, Johnson-Lynn, Sarah, Guiot, Luke, Kostusiak, Milosz, Appleyard, Thomas, Mundy, Gary, Basha, Amr, Abdeen, Bashar, Robertson-Smith, Bill, Hussainy, Haydar Al, Reed, Mike, Jamalfar, Aral, Flintoft, Emily, McGovern, Julia, Alcock, Liam, Koziara, Michal, Ollivere, Benjamin, Zheng, Amy, Atia, Fady, Goff, Thomas, Slade, Henry, Teoh, Kar, Shah, Nikhil, Al-Obaedi, Ossama, Jamal, Bilal, Bell, Stuart, Macey, Alistair, Brown, Cameron, Simpson, Cameron, Alho, Roberto, Wilson, Victoria, Lewis, Charlotte, Blyth, Daniel, Chapman, Laura, Woods, Lisa, Katmeh, Rateb, Pasapula, Chandra, Youssef, Hesham, Tan, Jerry, Famure, Steven, Grazette, Andrew, Lloyd, Adam, Beaven, Alastair, Jackowski, Anna, Piper, Dani, Lotfi, Naeil, Chakravarthy, Jagannath, Elzawahry, Ahmed, Trew, Christopher, Neo, Chryssa, Elamin-Ahmed, Hussam, Ashwood, Neil, Wembridge, Kevin, Eyre-Brook, Alistair, Greaves, Amy, Watts, Anna, Stedman, Tobias, Ker, Andrew, Wong, Li Siang, Fullarton, Mairi, Phelan, Sean, Choudry, Qaisar, Qureshi, Alham, Moulton, Lawrence, Cadwallader, Craig, Jenvey, Cara, Aqeel, Aqeel, Francis, Daniel, Simpson, Robin, Phillips, Jon, Matthews, Edward, Thomas, Ellen, Williams, Mark, Jones, Robin, White, Tim, Ketchen, Debbie, Bell, Katrina, Swain, Keri, Chitre, Amol, Lum, Joann, Syam, Kevin, Dupley, Leanne, O'Brien, Sarah, Ford, David, Chapman, Taya, Zahra, Wajiha, Guryel, Enis, McLean, Elizabeth, Dhaliwal, Kawaljit, Regan, Nora, Berstock, James, Deano, Krisna, Donovan, Richard, Blythe, Andrew, Salmon, Jennifer, Craig, Julie, Hickland, Patrick, Matthews, Scott, Brown, William, Borland, Steven, Aminat, Akinsemoyin, Stamp, Gregory, Zaheen, Humayoon, Jaibaji, Monketh, Egglestone, Anthony, Sampalli, Sridhar Rao, Goodier, Henry, Gibb, Julia, Islam, Saad, Ranaboldo, Tom, Theivendran, Kanthan, Bond, Georgina, Richards, Joanna, Sanghera, Ranjodh, Robinson, Karen, Fong, Angus, Tsang, Bonita, Dalgleish, James, McGregor-Riley, Jonathan, Barkley, Sarah, Eardley, William, Elhassan, Almutasim, Tyas, Ben, Chandler, Henry, McVie, James, Wei, Nicholas, Negus, Oliver, Baldock, Thomas, Ravi, Kuppuswamy, Qazzaz, Layth, Mohamed, Muawia, Sivayoganthan, Sriharan, Poole, William, Slade, George, Beaumont, Hugo, Beaumont, Oliver, Taha, Rowa, Lever, Caroline, Sood, Abhay, Moss, Maximillian, Khatir, Mohammed, Trompeter, Alex, Jeffers, Aisha, Brookes, Charlotte, Dadabhoy, Maria, Bhattacharya, Rajarshi, Singh, Abhinav, Beer, Alexander, Hodgson, Harry, Rahman, Kashed, Barter, Reece, Mackinnon, Thomas, Frasquet-Garcia, Antonio, Aldarragi, Ameer, Warner, Christian, Pantelides, Christopher, Attwood, Joseph, Al-Uzri, Muntadhir, Qaoud, Qaiys Abu, Green, Stephen, Osborne, Alex, Griffiths, Alexandra, Emmerson, Benjamin, Slater, Duncan, Altahoo, Hasan, Scott, Helen, Rowland, David, O'Donnell, Janine, Edwards, Taff, Hafez, Ahmed, Khan, Basharat, Crane, Emily, Axenciuc, Rostislav, Al-Habsi, Ruqaiya, McAlinden, Gavan, Sterne, Jonathan, Wong, Matthew Lynch, Patil, Sunit, Ridha, Ali, Rasidovic, Damir, Searle, Henry, Choudhry, Jamaal, Farhan-Alanie, Muhamed M, Tanagho, Andy, Sharma, Sidharth, Thomas, Suresh, Smith, Ben, McMullan, Mark, Winstanley, Robert, Mirza, Saqeb, Hamlin, Katharine, Elgayar, Lugman, Larsen, Matthew P, Eissa, Mohamed, Stevens, Samuel, Hopper, Graeme P, Fang Soh, Terrence Chi, Doorgakant, Ashtin, Yogeswaran, Apimaan, Myatt, Darren, Mahon, Joseph, Ward, Nicholas, Reid, Susan, Deierl, Krisztian, Brogan, Declan, Little, Max, Deakin, Sue, Baines, Elliott, Jones, Georgie, Boulton, Helen, Douglas, Trixie, Jeyaseelan, Lucky, Abdale, Abdirizak, Islam, Aminul, Atkinson, Kate V, Mohamedfaris, Khalid, Mmerem, Kingsley, Jamal, Shazil, Wharton, Danielle, Rana, Anurag, McAllister, Ross, Sasi, Sijith, Thomas, Terin, Pillai, Anand, Flaherty, David, Khan, Munir, Akkena, Sudheer, Shandala, Yaseen, Lankester, Benedict, Hainsworth, Louis, Baldock, Thomas E., Walshaw, Thomas, Walker, Reece, and Eardley, William P.G.

Published
2023
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7. Teamwork and patient safety in surgery

Author

Vats, Amit, Moorthy, Krishna, and Vincent, Charles

Subjects
617.9
Abstract

There is a growing concern that adverse events occur frequently in operating theatres. Adverse events such as wrong site surgery and surgical site infections have a severe detrimental impact on not only the patient but also the healthcare staff and the services. Institute of Medicine's report, 'To err is human', highlighted that teamwork failures are a leading cause of death and suffering. Yet, in surgery, measuring teamwork and designing interventions to improve teamwork and patient safety in operating theatres remains an area of research that is largely unexplored. This thesis aims to measure and improve teamwork in operating theatres to ensure safer surgery. In this project, the WHO surgical safety checklist was evaluated for its impact on patient safety. The WHO checklist improved patient safety processes in operating theatres but its impact on teamwork, intra-operative problems and theatre efficiency was not clearly understood. Therefore, a framework was developed to measure teamwork failures, equipment problems and technical failures as surrogate markers of teamwork, patient safety and efficiency in operating theatres. Equipment failures emerged as a sensitive measure of teamwork in operating theatres. Teamwork failures were also associated with technical failures, delay in case progress and patient harm. It emerged that the WHO checklist can improve teamwork and theatre efficiency and reduce equipment problems in operating theatres when it is used in its true spirit rather than a tick-box exercise.

Published
2014
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15. Engineered perovskite LaCoO3/rGO nanocomposites for asymmetrical electrochemical supercapacitor application.

Author

Vats, Amit Kumar, Kumar, Ashok, Rajput, Parasmani, and Kumar, Ashavani

Subjects
TRANSMISSION electron microscopes, SCANNING electron microscopes, NANOCOMPOSITE materials, ENERGY storage, CHARGE exchange, PEROVSKITE
Abstract

Here, we report the synthesis route of LaCoO3 and nanocomposite with reduced graphene oxide (rGO) via solvothermal approach. The study of structural phase, phase purity, surface oxidation states, morphological, and electrochemical properties of synthesized materials is performed via various techniques: X-ray diffraction, high-resolution transmission electron microscope, scanning electron microscope, and Potentiostat SP-150, etc. It is evident from the various results obtained that the oxygen vacancy and nanocomposite enhance the electrical conductivity and ion/electron transfer leading to fast charge storage mechanism that, in turn, significantly enhances the electrochemical performance. The electrode designed of pristine LaCoO3 delivered the specific capacitance of 225 F/g in comparison of nanocomposite LaCoO3/rGO electrode as 317 F/g at current density of 1.75 A/g and exhibited remarkable cycle life retention 95% and 96% after 1000 life charging discharging cycles, respectively. Furthermore, the designed asymmetric supercapacitor delivered the specific capacitance up to 38 F/g at current density of 2 A/g and held 76% retention after 5000 charging discharging cycles. The remarkable performance of nanocomposite materials indicates its propitious candidature for next-generation energy storage by overcoming the dependency on spinel-type structure material. [ABSTRACT FROM AUTHOR]

Published
2022
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17. Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention

Author

Haynes, Alex B, Weiser, Thomas G, Berry, William R, Lipsitz, Stuart R, Breizat, Abdel-Hadi S, Dellinger, E Patchen, Dziekan, Gerald, Herbosa, Teodoro, Kibatala, Pascience L, Lapitan, Marie Carmela M, Merry, Alan F, Reznick, Richard K, Taylor, Bryce, Vats, Amit, and Gawande, Atul A

Published
2011
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20. Symmetric/asymmetric energy storage device of reduced graphene oxide assisted LaNi0.9Co0.1O3 perovskite nanomaterials.

Author

Vats, Amit Kumar, Kumar, Ashok, Sangwan, Nitika, and Kumar, Ashavani

Subjects
*ENERGY storage, *GRAPHENE oxide, *NANOSTRUCTURED materials, *NANOCOMPOSITE materials, *SUPERCAPACITOR electrodes, *COMPOSITE materials, *PEROVSKITE, *OXIDES
Abstract

In the present study, the solvothermal route is followed to synthesize cobalt doped nanomaterial LaNi0.9Co0.1O3 and reduced graphene oxide reinforced LaNi0.9Co0.1O3 nanocomposite. The electrochemical performance of symmetric and asymmetric energy storage devices is investigated by fabricating the electrodes using LaNi0.9Co0.1O3 active materials and its composite with reduced graphene oxide. The structural phase of samples is associated with rhombohedral structure with agglomerated heterogeneous morphology. The nanocomposite showed the superlative result compared to cobalt doped electrode as evident by specific capacitance 436 F/g and 334 F/g at 1 A/g, respectively. The electrodes achieved 92 and 95% retention for LaNi0.9Co0.1O3 and LaNi0.9Co0.1O3/rGO nanocomposites, respectively, for 1000 cycles. The asymmetric device shows significant improvement in specific capacitance of 86 F/g compared to the symmetric device of 38 F/g at current density 1 A/g. The cyclic test up to 3000 cycles was performed, where the LaNi0.9Co0.1O3 electrode achieved 84% retention and the LaNi0.9Co0.1O3/rGO electrode sustained 86% retention. Overall nanocomposite material exhibits superior quality, which emerges as a promising candidate for future energy storage application. [ABSTRACT FROM AUTHOR]

Published
2021
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25. TEAMWORK AND PATIENT SAFETY IN SURGERY

Author

Vats, Amit, Moorthy, Krishna, Vincent, Charles, and National Institute for Health Research (Great Britain)

Subjects
health care facilities, manpower, and services, education, health care economics and organizations
Abstract

There is a growing concern that adverse events occur frequently in operating theatres. Adverse events such as wrong site surgery and surgical site infections have a severe detrimental impact on not only the patient but also the healthcare staff and the services. Institute of Medicine’s report, ‘To err is human’ highlighted that teamwork failures are a leading cause of death and suffering. Yet, in surgery, measuring teamwork and designing interventions to improve teamwork and patient safety in operating theatres remains an area of research that is largely unexplored. This thesis aims to measure and improve teamwork in operating theatres to ensure safer surgery. In this project, the WHO surgical safety checklist was evaluated for its impact on patient safety. The WHO checklist improved patient safety processes in operating theatres but its impact on teamwork, intra-operative problems and theatre efficiency was not clearly understood. Therefore, a framework was developed to measure teamwork failures, equipment problems and technical failures as surrogate markers of teamwork, patient safety and efficiency in operating theatres. Equipment failures emerged as a sensitive measure of teamwork in operating theatres. Teamwork failures were also associated with technical failures, delay in case progress and patient harm. It emerged that the WHO checklist can improve teamwork and theatre efficiency and reduce equipment problems in operating theatres when it is used in its true spirit rather than a tick-box exercise. Open Access

Published
2013

31. Postoperative Handover

Author

Nagpal, Kamal, primary, Arora, Sonal, additional, Abboudi, May, additional, Vats, Amit, additional, Wong, Helen W., additional, Manchanda, Chhavi, additional, Vincent, Charles, additional, and Moorthy, Krishna, additional

Published
2010
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34. Failures in communication and information transfer across the surgical care pathway: interview study.

Author

Nagpal K, Arora S, Vats A, Wong HW, Sevdalis N, Vincent C, and Moorthy K

Subjects
Humans, Interviews as Topic, Critical Pathways, Information Dissemination, Interprofessional Relations
Abstract

Background and Objectives: Effective communication is imperative to safe surgical practice. Previous studies have typically focused upon the operating theatre. This study aimed to explore the communication and information transfer failures across the entire surgical care pathway., Methods: Using a qualitative approach, semi-structured interviews were conducted with 18 members of the multidisciplinary team (seven surgeons, five anaesthetists and six nurses) in an acute National Health Service trust. Participants' views regarding information transfer and communication failures at each phase of care, their causes, effects and potential interventions were explored. Interviews were recorded, transcribed verbatim, and submitted to emergent theme analysis. Sampling ceased when categorical and theoretical saturation was achieved., Results: Preoperatively, lack of communication between anaesthetists and surgeons was the most common problem (13/18 participants). Incomplete handover from the ward to theatre (12/18) and theatre to recovery (15/18) were other key problems. Work environment, lack of protocols and primitive forms of information transfer were reported as the most common cause of failures. Participants reported that these failures led to increased morbidity and mortality. Healthcare staff were strongly supportive of the view that standardisation and systematisation of communication processes was essential to improve patient safety., Conclusions: This study suggests communication failures occur across the entire continuum of care and the participants opined that it could have a potentially serious impact on patient safety. This data can be used to plan interventions targeted at the entire surgical pathway so as to improve the quality of care at all stages of the patient's journey.

Published
2012
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35. Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.

Author

Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AH, Dellinger EP, Dziekan G, Herbosa T, Kibatala PL, Lapitan MC, Merry AF, Reznick RK, Taylor B, Vats A, and Gawande AA

Subjects
Checklist, Health Plan Implementation, Humans, Operating Rooms, Organizational Innovation, Postoperative Care, Safety Management, Outcome Assessment, Health Care, Surgery Department, Hospital standards
Abstract

Objectives: To assess the relationship between changes in clinician attitude and changes in postoperative outcomes following a checklist-based surgical safety intervention., Design: Pre- and post intervention survey., Setting: Eight hospitals participating in a trial of a WHO surgical safety checklist., Participants: Clinicians actively working in the designated study operating rooms at the eight hospitals., Survey Instrument: Modified operating-room version Safety Attitudes Questionnaire (SAQ)., Main Outcome Measures: Change in mean safety attitude score and correlation between change in safety attitude score and change in postoperative outcomes, plus clinician opinion of checklist efficacy and usability., Results: Clinicians in the preintervention phase (n=281) had a mean SAQ score of 3.91 (on a scale of 1 to 5, with 5 representing better safety attitude), while the postintervention group (n=257) had a mean of 4.01 (p=0.0127). The degree of improvement in mean SAQ score at each site correlated with a reduction in postoperative complication rate (r=0.7143, p=0.0381). The checklist was considered easy to use by 80.2% of respondents, while 19.8% felt that it took a long time to complete, and 78.6% felt that the programme prevented errors. Overall, 93.4% would want the checklist used if they were undergoing operation., Conclusions: Improvements in postoperative outcomes were associated with improved perception of teamwork and safety climate among respondents, suggesting that changes in these may be partially responsible for the effect of the checklist. Clinicians held the checklist in high regard and the overwhelming majority would want it used if they were undergoing surgery themselves.

Published
2011
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36. Postoperative handover: problems, pitfalls, and prevention of error.

Author

Nagpal K, Arora S, Abboudi M, Vats A, Wong HW, Manchanda C, Vincent C, and Moorthy K

Subjects
Delphi Technique, Interviews as Topic, Postoperative Period, Communication, Continuity of Patient Care standards, Interprofessional Relations, Patient Transfer standards
Abstract

Objective: To identify the information transfer and communication problems in postoperative handover and to develop and validate a novel protocol for standardizing this communication., Background: Effective clinical handover ensures continuity of patient care. Patient handovers within surgical units are largely informal. A thorough understanding of the problem is vital to develop standardized protocols., Methods: A qualitative semistructured interview study was conducted with 18 healthcare professionals to uncover the problems with postoperative handover and to identify solutions, including components of a postoperative handover protocol. Interviews were recorded, transcribed verbatim, and submitted to emergent theme analysis. Multiple blind coders were used to ensure triangulation and reliability of the coding process. A Delphi method was used to elicit consensus from a group of 50 surgical professionals so as to validate the handover protocol., Results: Many of the information transfer and communication failures at the postoperative phase are deemed to be due to an incomplete handover. All the interviewed healthcare professionals agreed that postoperative handover should be structured in the form of a standardized protocol so as to prevent omissions of any critical information. Based on this, 28 items were submitted to the Delphi process. Of these, 21 items had a mean importance score greater than 4.0 and were included in the final postoperative handover proforma under the following headings: patient-specific information, surgical information, and anesthetic information., Conclusion: The present study identified that the postoperative handover is informal, unstructured and inconsistent with often incomplete information transfer. Based on end-user input, a handover protocol was successfully developed and validated. Use of this may facilitate standardization of this critical activity and thereby improve the quality of patient care.

Published
2010
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