Review
Medicine, General & Internal
Robert Briggs, Anna McDonough, Graham Ellis, Kathleen Bennett, Desmond O'Neill, David Robinson
Summary: Comprehensive Geriatric Assessment (CGA) aims to determine the medical, psychological, and functional capabilities of older adults in order to develop a coordinated care plan. Studies suggest that CGA may reduce the risk of unplanned hospital admissions in community-dwelling, frail, older adults.
COCHRANE DATABASE OF SYSTEMATIC REVIEWS
(2022)
Review
Geriatrics & Gerontology
Nicola Veronese, Carlo Custodero, Jacopo Demurtas, Lee Smith, Mario Barbagallo, Stefania Maggi, Alberto Cella, Nicola Vanacore, Pierangelo Lora Aprile, Luigi Ferrucci, Alberto Pilotto
Summary: This study conducted an umbrella review and meta-analyses to assess the effectiveness of comprehensive geriatric assessment (CGA) on health outcomes in older persons. The results showed that CGA can reduce the risk of nursing home admission, falls, and pressure sores in hospital medical settings, as well as decrease the risk of delirium and physical frailty. However, the evidence of benefits for the use of CGA in other settings is less strong.
Review
Geriatrics & Gerontology
Jung-Yeon Choi, Vasuki Rajaguru, Jaeyong Shin, Kwang-il Kim
Summary: This study aimed to examine the current scope of multidisciplinary team interventions based on comprehensive geriatric assessment (CGA) in acute care settings to improve health outcomes for older adults.
ARCHIVES OF GERONTOLOGY AND GERIATRICS
(2023)
Article
Health Care Sciences & Services
Scott C. Watkins, Getulio R de Oliveira Filho, Cory M. Furse, Matthew K. Muffly, R. J. Ramamurthi, Amanda T. Redding, Birgit Maass, Matthew D. McEvoy
Summary: Cognitive aids, specifically decision support tools (DST), have been found to improve the technical performance of teams in managing critical events. However, their effects on non-technical skills are limited.
JOURNAL OF MEDICAL SYSTEMS
(2022)
Article
Geriatrics & Gerontology
Surya Singh, Alastair Gray, Sasha Shepperd, David J. Stott, Graham Ellis, Anthony Hemsley, Pradeep Khanna, Scott Ramsay, Rebekah Schiff, Apostolos Tsiachristas, Angela Wilkinson, John Young
Summary: Hospital level healthcare in the home guided by comprehensive geriatric assessment (CGA) is a cost-effective alternative to hospitalisation for selected older people.
Review
Medicine, General & Internal
Helen H. G. Handoll, Ian D. Cameron, Jenson C. S. Mak, Terence P. Finnegan
Summary: Multidisciplinary rehabilitation has a positive impact on older patients with hip fractures, reducing the occurrence of poor outcomes such as death or deterioration in residential status. However, evidence on other crucial outcomes is still lacking, indicating the need for further research in this area.
COCHRANE DATABASE OF SYSTEMATIC REVIEWS
(2021)
Article
Medicine, General & Internal
Jung-Yeon Choi, Ji Yeon Lee, Jaeyong Shin, Chang Oh Kim, Kwang Joon Kim, In Gyu Hwang, Yun-Gyoo Lee, Su-Jin Koh, Soojung Hong, Sol-Ji Yoon, Min-gu Kang, Jin Won Kim, Jee Hyun Kim, Kwang-il Kim
Summary: This study aims to investigate the effectiveness of comprehensive geriatric assessment and multidisciplinary team intervention for hospitalized older patients with acute medical conditions. By comparing it with conventional care, the study assesses the impact on patients' ability to live at home after discharge, and conducts a cost-utility analysis.
Article
Surgery
Kirsten Gjeraa, Peter Dieckmann, Katrine Jensen, Lars B. Moller, Rene H. Petersen, Doris Ostergaard, Annette K. Ersboll, Lars Konge
Summary: This study aimed to investigate whether the shared mental models (SMMs) of team resources and the current situation could predict technical skills, duration of surgery, and amount of intra-operative bleeding in video-assisted thoracoscopic surgery (VATS). The results showed that the teams' superior SMMs of the current situation were associated with significantly shorter duration of surgery and decreased intra-operative bleeding, while the SMMs of team resources did not predict any outcomes.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Editorial Material
Geriatrics & Gerontology
David G. Le Couteur, Leon Flicker, Sarah N. Hilmer
Summary: Aged care coverage in Australia is universal but fragmented, facing challenges from deregulation and market forces. Quality issues persist in the provision of services, especially for older Aboriginal and Torres Strait Islander peoples with high prevalence of frailty and cognitive impairment. Despite growing numbers of academic geriatricians and other aged care health professionals, the impact of policy and funding changes remains uncertain.
Article
Geriatrics & Gerontology
Francesca Remelli, Federico Castellucci, Aurora Vitali, Irene Mattioli, Amedeo Zurlo, Savino Spadaro, Stefano Volpato
Summary: The study developed an alternative geriatric-quickSOFA for predicting mortality in hospitalized older patients with sepsis by assessing the presence of delirium instead of GCS assessment. High geriatric-quickSOFA score was significantly associated with short-term mortality risk in older patients with sepsis, making it a more suitable and useful predictive tool than traditional quickSOFA in the geriatric population.
Article
Geriatrics & Gerontology
Hong Lyu, Wenhui Jiang
Summary: This study aimed to develop a predictive model for frailty risk among hospitalized older people and validate its performance. By using comprehensive geriatric assessment data, the model showed good predictive accuracy and feasibility, which can guide healthcare professionals in formulating effective nursing interventions.
Article
Environmental Sciences
Cheng-Fu Lin, Po-Chen Lin, Sung-Yuan Hu, Yu-Tse Tsan, Wei-Kai Liao, Shih-Yi Lin, Tzu-Chieh Lin
Summary: Visits to the Emergency Department by older people have been increasing in recent decades, particularly for those with frailties, leading to higher revisiting and admission rates after discharge. This study found that implementing Comprehensive Geriatric Assessment and a structured follow-up program can significantly reduce readmission and mortality rates among older ED patients.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Oncology
Kotaro Yamashita, Makoto Yamasaki, Tomoki Makino, Koji Tanaka, Takuro Saito, Kazuyoshi Yamamoto, Tsuyoshi Takahashi, Yukinori Kurokawa, Yukiko Yasunobe, Hiroshi Akasaka, Hiromi Rakugi, Kiyokazu Nakajima, Hidetoshi Eguchi, Yuichiro Doki
Summary: Preoperative comprehensive geriatric assessment (CGA) is associated with the risk of postoperative complications in older patients with esophageal cancer. Patients in the frail group have a higher incidence of postoperative complications, longer hospitalization time, and lower survival rate.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Article
Social Work
Paul Willis, Liz Lloyd, Jackie Hammond, Alisoun Milne, Holly Nelson-Becker, Emma Perry, Mo Ray, Sally Richards, Denise Tanner
Summary: The current policy focus in adult social care in England is on promoting independence, preventing or delaying the need for more intensive support, and providing personalized services. A study of innovative social work practice with older adults in England found that specific practices such as demonstrating social work values, positive risk management, and proactive legal knowledge application were effective in delivering services. These approaches mark a departure from more managerialist and procedurally driven methods, showing promise in forging new paths for social work with older individuals.
BRITISH JOURNAL OF SOCIAL WORK
(2022)
Article
Geriatrics & Gerontology
Tomohiro F. Nishijima, Mototsugu Shimokawa, Taito Esaki, Masaru Morita, Yasushi Toh, Hyman B. Muss
Summary: Comprehensive geriatric assessment (CGA) for older adults with cancer has a valuable impact on treatment decision-making and interventions, promoting patient-centered care.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Letter
Surgery
Petrut Gogalniceanu, Nick Sevdalis, Nizam Mamode
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
(2023)
Review
Anesthesiology
F. E. Kelly, C. Frerk, C. R. Bailey, T. M. Cook, K. Ferguson, R. Flin, K. Fong, P. Groom, C. John, A. R. Lang, T. Meek, K. L. Miller, L. Richmond, N. Sevdalis, M. R. Stacey
Summary: Healthcare relies on high levels of human performance, but this is not always reliable, especially in high-pressure situations. Other safety-critical industries have successfully integrated human factors principles to improve safety, and it is possible to do the same in anaesthesia.
Article
Anesthesiology
F. E. Kelly, C. Frerk, C. R. Bailey, T. M. Cook, K. Ferguson, R. Flin, K. Fong, P. Groom, C. John, A. R. Lang, T. Meek, K. L. Miller, L. Richmond, N. Sevdalis, M. R. Stacey
Summary: Human factors is a scientific discipline used in safety critical industries to improve safety and worker well-being. The Difficult Airway Society and the Association of Anaesthetists established a Working Party to encourage the adoption of human factors science in anaesthesia. A set of 12 recommendations were formulated, focusing on design, barriers, mitigations, and education and training strategies.
Review
Health Care Sciences & Services
Rebecca Appleton, Phoebe Barnett, Norha Vera San Juan, Elizabeth Tuudah, Natasha Lyons, Jennie Parker, Emily Roxburgh, Spyros Spyridonidis, Millie Tamworth, Minnie Worden, Melisa Yilmaz, Nick Sevdalis, Brynmor Lloyd-Evans, Justin J. J. Needle, Sonia Johnson
Summary: The COVID-19 pandemic has led to the rapid adoption of telemental health care, but there are significant variations and barriers in its implementation. This review aimed to identify strategies for effective implementation and evaluate their impact.
BMC HEALTH SERVICES RESEARCH
(2023)
Review
Health Care Sciences & Services
Phoebe Averill, Charles Vincent, Gurpreet Reen, Claire Henderson, Nick Sevdalis
Summary: Patient safety problems in community-based mental health care have received less research attention compared to physical health care. This study aimed to investigate the conceptual and empirical challenges in understanding patient safety in community-based mental health care. The review found challenges in defining safety, evaluating safety in long-term care journeys, and establishing what constitutes a 'preventable' safety problem in this context.
HEALTH EXPECTATIONS
(2023)
Article
Psychiatry
Louise E. Smith, Julius Sim, Susan M. Sherman, Richard Amlot, Megan Cutts, Hannah Dasch, Nick Sevdalis, G. James Rubin
Summary: The study aimed to investigate symptom reporting after the first and second COVID-19 vaccine doses, attribution of symptoms to the vaccine, and factors associated with symptom reporting. It was found that after the first dose, 74.1% of participants reported at least one injection-site symptom, while 65.0% reported at least one other symptom. After the second dose, 52.9% reported at least one injection-site symptom and 43.7% reported at least one other symptom. Women and younger people were more likely to report symptoms from vaccination.
JOURNAL OF PSYCHOSOMATIC RESEARCH
(2023)
Article
Medicine, Research & Experimental
Claire Potter, Fiona Leggat, Rachel Lowe, Philip Pallmann, Muhammad Riaz, Christy Barlow, Adrian Edwards, Aloysius Niroshan Siriwardena, Nick Sevdalis, Bernadette Sewell, Jackie McRae, Jessica Fish, Maria Ines de Sousa de Abreu, Fiona Jones, Monica Busse
Summary: The LISTEN trial aims to evaluate the effects of personalized self-management support intervention on individuals living with long COVID. The study uses a randomized trial design with the LISTEN intervention group and usual care group. Data will be collected through online self-reported outcome measures. The study will assess the effectiveness and cost-effectiveness of the LISTEN intervention and conduct a detailed process evaluation.
Article
Oncology
Tayana Soukup, David Winters, Kia-Chong Chua, Philip Rowland, Jacqueline Moneke, Ted A. Skolarus, Rasiah Bharathan, Leanne Harling, Anish Bali, Viren Asher, Tasha Gandamihardja, Nick Sevdalis, James S. A. Green, Benjamin W. Lamb
Summary: This study examined the impact of the COVID-19 pandemic on multidisciplinary teams (MDTs) and the challenges faced by MDTs in decision-making, communication, and participation in MDT meetings. The findings showed that hybrid working and virtual attendance were introduced due to COVID-19 and MDTs would like to maintain these changes. However, issues related to IT, slower meetings, longer lists, and delays were identified, highlighting the need for improvement in IT infrastructure. On the positive side, virtual meetings and increased attendance/availability of clinicians were noted as outcomes of the changes. The study also found significant improvement in meeting organization and logistics, but some indication of worsening in case discussions.
Article
Obstetrics & Gynecology
Camilla Forbes, Hayley Alderson, Jill Domoney, Alexandra Papamichail, Vashti Berry, Ruth McGovern, Nick Sevdalis, Judith Rankin, Mary Newburn, Andy Healey, Abigail Easter, Margaret Heslin, Gene Feder, Kristian Hudson, Claire A. Wilson, G. J. Melendez-Torres, Louise M. Howard, Kylee Trevillion
Summary: This study aimed to investigate the implementation of healthcare-based Independent Domestic Violence Advisors (hIDVA) programmes in maternity services in England. The results showed that 69% of the surveyed trusts reported having a hIDVA programme, with 55% of them operating within maternity services. Key facilitators for implementation included staff training, communication, co-creation, and support from management. Barriers included lack of private workspace, funding issues, and recruitment challenges for hIDVA staff.
BMC PREGNANCY AND CHILDBIRTH
(2023)
Article
Psychology, Multidisciplinary
Tayana Soukup, Benjamin W. Lamb, James S. A. Green, Nick Sevdalis, Ged Murtagh
Summary: In cancer care, MDT meetings are crucial, but concerns have been raised regarding their quality. This study analyzes the dynamics of teamwork in MDT meetings, finding that surgeons initiate and respond to interactions the most, speaking 47% of the time. Cancer nurse specialists and coordinators are the least frequent initiators, speaking only 4% and 1% respectively. The study also reveals high interactivity in the meetings, with an initiator-responder ratio of 1:1.63, and an increase in verbal dysfluencies in the second half.
FRONTIERS IN PSYCHOLOGY
(2023)
Article
Social Sciences, Interdisciplinary
Kia-Chong Chua, Claire Henderson, Barbara Grey, Michael Holland, Nick Sevdalis
Summary: This study explores how routine reporting can improve visibility in the quality improvement governance process. Findings show that project outcomes and team achievements are not systematically documented, and factors such as service user involvement, quality of measurement plan, and fidelity of plan-do-study-act cycles significantly impact project adoption.
EVALUATION AND PROGRAM PLANNING
(2023)
Article
Urology & Nephrology
Stephanie J. Russ, James Green, Louise de Winter, Ellie Herrington, Archie Hughes-Hallett, Julia M. Taylor, Nick Sevdalis
Summary: In the past 30 years, there has been a significant focus on quality in international healthcare. This is due to the recognition of variations in patient outcomes caused by inconsistent implementation of evidence-based actions during patient care. Healthcare professionals have shown a growing interest in utilizing knowledge and techniques from outside the medical field to improve patient care standards. This article introduces Quality Improvement methodology and concepts to Urology departments in the UK, providing an overview of key principles and organizational support for QI work.
JOURNAL OF CLINICAL UROLOGY
(2023)
Article
Health Care Sciences & Services
Una Foye, Rebecca Appleton, Patrick Nyikavaranda, Natasha Lyons, Ceri Dare, Chris Lynch, Karen Persaud, Nafiso Ahmed, Ruth Stuart, Merle Schlief, Xia Huong, Nick Sevdalis, Luke Sheridan-Rains, Antonio Rojas-Garcia, Martin Stefan, Jeremy Clark, Alan Simpson, Sonia Johnson, Brynmor Lloyd-Evans
Summary: Mental health acute and crisis care consumes a significant portion of mental health budgets worldwide, but is often deemed unsatisfactory and difficult to access. This study aims to understand the factors that aid or hinder the implementation of innovative mental health crisis care projects in England. Findings suggest that bottom-up development, service user involvement, collaborative working, and leadership and management buy-in are key facilitators to implementation, while complexities in crisis care, workforce challenges, and resourcing issues act as barriers.
BMC HEALTH SERVICES RESEARCH
(2023)
Article
Psychiatry
Antonio Rojas-Garcia, Christian Dalton-Locke, Luke Sheridan Rains, Ceri Dare, Cedric Ginestet, Una Foye, Kathleen Kelly, Sabine Landau, Chris Lynch, Paul Mccrone, Shilpa Nairi, Karen Newbigging, Patrick Nyikavaranda, David Osborn, Karen Persaud, Nick Sevdalis, Martin Stefan, Ruth Stuart, Alan Simpson, Sonia Johnson, Brynmor Lloyd-Evans
Summary: This study aims to develop a typology of mental health crisis care systems and explore the relationship between crisis care service models and psychiatric hospital admissions and detentions.
Review
Health Care Sciences & Services
Eden Meng Zhu, Martina Buljac-Samardzic, Kees Ahaus, Nick Sevdalis, Robbert Huijsman
Summary: Informal caregivers of people with dementia often experience a decline in quality of life and play a crucial role in providing care at home. Implementation science knowledge is important in improving the outcomes of evidence-based interventions for these caregivers.
IMPLEMENTATION SCIENCE
(2023)
