C Michael Roberts
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View article: Integrated solutions for sustainable fall prevention in primary care: a pragmatic hybrid-type 2 mixed methods implementation and effectiveness study
Integrated solutions for sustainable fall prevention in primary care: a pragmatic hybrid-type 2 mixed methods implementation and effectiveness study Open
The iSOLVE implementation project established and evaluated integrated processes and pathways, including a decision-making tool and educational interventions for general medical practitioners (GPs) and the upskilling of allied health profe…
View article: A tailored psychological intervention for anxiety and depression management in people with chronic obstructive pulmonary disease: TANDEM RCT and process evaluation
A tailored psychological intervention for anxiety and depression management in people with chronic obstructive pulmonary disease: TANDEM RCT and process evaluation Open
Background People with chronic obstructive pulmonary disease have high levels of anxiety and depression, which is associated with increased morbidity and poor uptake of effective treatments, such as pulmonary rehabilitation. Cognitive–beha…
View article: Tailored psychological intervention for anxiety or depression in COPD (TANDEM): a randomised controlled trial
Tailored psychological intervention for anxiety or depression in COPD (TANDEM): a randomised controlled trial Open
Background The TANDEM multicentre, pragmatic, randomised controlled trial evaluated whether a tailored psychological intervention based on a cognitive behavioural approach for people with COPD and symptoms of anxiety and/or depression impr…
View article: Learning networks in the pandemic: mobilising evidence for improvement
Learning networks in the pandemic: mobilising evidence for improvement Open
The ability to visualize small moving objects is vital for the survival of many animals, as these could represent predators or prey. For example, predatory insects, including dragonflies, robber flies and killer flies, perform elegant, hig…
View article: Pityriasis rubra pilaris‐like eruption following administration of the BNT163b2 (Pfizer–BioNTech) mRNA COVID‐19 vaccine
Pityriasis rubra pilaris‐like eruption following administration of the BNT163b2 (Pfizer–BioNTech) mRNA COVID‐19 vaccine Open
We describe a case of a pityriasis rubra pilaris (PRP)-like eruption occurring following administration of the Pfizer-Biontech mRNA COVID-19 vaccine, with worsening of the condition following the second dose. To our knowledge, this is the …
View article: Does pay-for-performance improve patient outcomes in acute exacerbation of COPD admissions?
Does pay-for-performance improve patient outcomes in acute exacerbation of COPD admissions? Open
Background The COPD Best Practice Tariff (BPT) is a pay-for-performance scheme in England that incentivises review by a respiratory specialist within 24 hours of admission and completion of a list of key care components prior to discharge,…
View article: Risk Assessment of Norovirus Illness from Consumption of Raw Oysters in the United States and in Canada
Risk Assessment of Norovirus Illness from Consumption of Raw Oysters in the United States and in Canada Open
Human norovirus (NoV) is the leading cause of foodborne illness in the United States and Canada. Bivalve molluscan shellfish is one commodity commonly identified as being a vector of NoV. Bivalve molluscan shellfish are grown in waters tha…
View article: Improving antibiotic prescribing for community-acquired pneumonia in a provincial hospital in Northern Vietnam
Improving antibiotic prescribing for community-acquired pneumonia in a provincial hospital in Northern Vietnam Open
Objectives To test the effectiveness of a quality improvement programme to promote adherence to national quality standards (QS) for patients hospitalized with community-acquired pneumonia (CAP), exploring the factors that hindered improvem…
View article: RNA tape sampling in cutaneous lupus erythematosus discriminates affected from unaffected and healthy volunteer skin
RNA tape sampling in cutaneous lupus erythematosus discriminates affected from unaffected and healthy volunteer skin Open
Objective Punch biopsy, a standard diagnostic procedure for patients with cutaneous lupus erythematosus (CLE) carries an infection risk, is invasive, uncomfortable and potentially scarring, and impedes patient recruitment in clinical trial…
View article: Developing open disclosure strategies to medical error using simulation in final-year medical students: linking mindset and experiential learning to lifelong reflective practice
Developing open disclosure strategies to medical error using simulation in final-year medical students: linking mindset and experiential learning to lifelong reflective practice Open
Introduction and objectives Open disclosure is a policy outlining how healthcare practitioners should apologise for mistakes, discussing them with the harmed parties. Simulation is a training and feedback method in which learners practise …
View article: Predictors of pulmonary rehabilitation completion in the UK
Predictors of pulmonary rehabilitation completion in the UK Open
Introduction Pulmonary rehabilitation has been shown to improve dyspnoea, fatigue, quality of life and exercise capacity in individuals with chronic obstructive pulmonary disease (COPD). Our aim was to determine the characteristics of peop…
View article: <p>Predictors of Referral to Pulmonary Rehabilitation from UK Primary Care</p>
Predictors of Referral to Pulmonary Rehabilitation from UK Primary Care Open
Generally appropriate patients are being prioritised for PR referral; however, it is concerning that women, current smokers, and more deprived patients appear to have lower odds of referral.
View article: Clinical academic leadership in COVID-19: a rapid response to sharing emerging insights in intensive care
Clinical academic leadership in COVID-19: a rapid response to sharing emerging insights in intensive care Open
Background The COVID-19 pandemic has raised a wide range of challenges for health systems around the world and the National Health Service in England has been no exception. A significant proportion of infected cases require intensive care …
View article: National clinical audit for hospitalised exacerbations of COPD
National clinical audit for hospitalised exacerbations of COPD Open
Introduction Exacerbations of COPD requiring hospital admission are burdensome to patients and health services. Audit enables benchmarking performance between units and against national standards, and supports quality improvement. We summa…
View article: Validation of acute exacerbation of chronic obstructive pulmonary disease (COPD) recording in electronic health records: a systematic review protocol
Validation of acute exacerbation of chronic obstructive pulmonary disease (COPD) recording in electronic health records: a systematic review protocol Open
Introduction Many patients with chronic obstructive pulmonary disease (COPD) experience a sustained worsening in symptoms termed an acute exacerbation (AECOPD). AECOPDs impact on patients’ quality of life and lung function, are costly to h…
View article: The National COPD Audit – what you need to know
The National COPD Audit – what you need to know Open
The secondary care work stream of the National COPD Audit Programme aims to improve care and outcomes for patients with exacerbation of chronic obstructive pulmonary disease (COPD) wherever and whenever they are admitted to hospital. To ac…
View article: Time to NIV and mortality in AECOPD hospital admissions: an observational study into real world insights from National COPD Audits
Time to NIV and mortality in AECOPD hospital admissions: an observational study into real world insights from National COPD Audits Open
Background Randomised control trial (RCT)-derived survival figures for acute exacerbation of chronic obstructive pulmonary disease admissions managed with non-invasive ventilation (NIV) have not been replicated in UK clinical audits. Subse…
View article: Validation of the SYdney Shared and Evidence-based decision-Making test (SYStEM) among healthcare professionals
Validation of the SYdney Shared and Evidence-based decision-Making test (SYStEM) among healthcare professionals Open
Purpose: Whilst competence in evidence-based practice (EBP) is a critical skill for healthcare professionals, there is a gap in the literature in the assessment of EBP. Current frameworks in Evidence-Based Practice education cite a five-st…
View article: Development and first validation of a patient-reported experience measure in chronic obstructive pulmonary disease (PREM-C9)
Development and first validation of a patient-reported experience measure in chronic obstructive pulmonary disease (PREM-C9) Open
We developed a chronic obstructive pulmonary disease (COPD) patient-reported experience measure (PREM-C9). 174 patients with COPD (86 [49%] with a confirmed diagnosis and 88 [51%] with a self-reported diagnosis of COPD) completed a 38-item…
View article: Inaccurate diagnosis of COPD: the Welsh National COPD Audit
Inaccurate diagnosis of COPD: the Welsh National COPD Audit Open
Background The diagnosis of chronic obstructive pulmonary disease (COPD) is confirmed with spirometry demonstrating persistent airflow obstruction. Aim To evaluate the clinical characteristics and management of patients in primary care on …
View article: Characterizing the Long-term Care and Community-dwelling Elderly Patients' Use of the Emergency Department
Characterizing the Long-term Care and Community-dwelling Elderly Patients' Use of the Emergency Department Open
Introduction Elderly patients, particularly those in long-term care (LTC), are a growing proportion of patients who present to the emergency department (ED). This population is medically complex, with high burdens on ED resources and patie…
View article: Information flow to enable integrated health care: integration or interoperability
Information flow to enable integrated health care: integration or interoperability Open
Integrated care systems, supported by electronic information exchange, are seen as key enablers to the future of the NHS.1,2 The failure of a centralised NHS IT programme3,4 has been followed by a move to local and regional solutions that …
View article: P29 Clinical characteristics and management of patients with an inaccurate diagnosis of chronic obstructive pulmonary disease (copd) in primary care; results from the welsh national copd primary care audit
P29 Clinical characteristics and management of patients with an inaccurate diagnosis of chronic obstructive pulmonary disease (copd) in primary care; results from the welsh national copd primary care audit Open
Introduction Spirometry is required to make a clinical diagnosis of COPD, confirming persistent airflow limitation. However, studies suggest that making the correct diagnosis of COPD in primary care can be challenging. We sought to evaluat…
View article: S2 The impact of pulmonary rehabilitation (pr) completion and outcome on subsequent hospital admissions in patients with copd. results from the national copd audit
S2 The impact of pulmonary rehabilitation (pr) completion and outcome on subsequent hospital admissions in patients with copd. results from the national copd audit Open
Introduction Clinical trials suggest attendance at PR reduces subsequent hospitalisation rates. However, whether this benefit occurs in routine clinical practice is uncertain. We analysed admission rates and days spent in hospital 90 and 1…
View article: P99 Clinical characteristics and management of dual asthma and chronic obstructive pulmonary disease (copd) diagnosis in primary care; results from the welsh national copd primary care audit
P99 Clinical characteristics and management of dual asthma and chronic obstructive pulmonary disease (copd) diagnosis in primary care; results from the welsh national copd primary care audit Open
Introduction Asthma and COPD are two common conditions that are diagnosed and managed in primary care. However, it is currently unknown whether patients with a dual diagnosis of asthma and COPD differ from patients with COPD alone, based o…
View article: Effect of time and day of admission on hospital care quality for patients with chronic obstructive pulmonary disease exacerbation in England and Wales: single cohort study
Effect of time and day of admission on hospital care quality for patients with chronic obstructive pulmonary disease exacerbation in England and Wales: single cohort study Open
Objective To evaluate if observed increased weekend mortality was associated with poorer quality of care for patients admitted to hospital with chronic obstructive pulmonary disease (COPD) exacerbation. Design Prospective case ascertainmen…