Orla Smith
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View article: Development of a cardiac device service at the largest single site oncology hospital in Europe
Development of a cardiac device service at the largest single site oncology hospital in Europe Open
Background Increasing numbers of patients with Cardiac Electronic Implantable Devices (CIED) are requiring imaging and treatment for cancer. Access to specialist services for these cancer pathways for CIED patients is inconsistent and can …
View article: In Science Journals
In Science Journals Open
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View article: Evidence-Based Approaches to Mitigate Workplace Violence From Patients and Visitors in Emergency Departments: A Rapid Review
Evidence-Based Approaches to Mitigate Workplace Violence From Patients and Visitors in Emergency Departments: A Rapid Review Open
Despite a large body of literature on workplace violence, there is little guidance on effective strategies to mitigate workplace violence in emergency departments. Evidence suggests that multicomponent approaches targeting staff, patients/…
View article: A randomised open-label trial to assess outpatient induction of labour (HOMEIND) and compare efficacy of Propess vs Dilapan-S® for induction of labour at 39 weeks’ gestation in normal risk nulliparous women: study protocol for a randomised controlled trial
A randomised open-label trial to assess outpatient induction of labour (HOMEIND) and compare efficacy of Propess vs Dilapan-S® for induction of labour at 39 weeks’ gestation in normal risk nulliparous women: study protocol for a randomised controlled trial Open
Background Induction of labour (IOL) at 39 weeks has been shown to decrease maternal and neonatal adverse outcomes. Given the growing demand for 39-week IOL, it is imperative that effective methods be assessed for induction in the outpatie…
View article: Kidney diseases
Kidney diseases Open
BACKGROUND-AIMAcute kidney injury (AKI) is a common complication associated with decreased survival in patients with cirrhosis.Different types of AKI require different treatments; therefore it is crucial to distinguish among them.It is par…
View article: Clinical Studies - Outcomes
Clinical Studies - Outcomes Open
BACKGROUND-AIMSelective immunoglobulin A (IgA) deficiency (SIgAD) is the most common primary immunodeficiency manifesting after the first four years of life, characterised by serum IgA levels below 7 mg/dL with normal serum IgM and IgG ant…
View article: One-Year Readmission Following Undifferentiated Acute Hypercapnic Respiratory Failure
One-Year Readmission Following Undifferentiated Acute Hypercapnic Respiratory Failure Open
Patients with acute hypercapnic respiratory failure (AHRF) often require hospitalization and respiratory support. Early identification of patients at risk of readmission would be helpful. We evaluated 1-y readmission and mortality rates of…
View article: Interventions to enable communication for adult patients requiring an artificial airway with or without mechanical ventilator support
Interventions to enable communication for adult patients requiring an artificial airway with or without mechanical ventilator support Open
Due to a lack of high-quality studies, imprecision, inconsistency of results, and measurement heterogeneity, the evidence provides insufficient information to guide practice as to which communication aid is more appropriate and when to use…
View article: PCR vs karyotype for CVS and amniocentesis—the experience at one tertiary fetal medicine unit
PCR vs karyotype for CVS and amniocentesis—the experience at one tertiary fetal medicine unit Open
Purpose Despite the rise of non-invasive screening tests for fetal aneuploidy, invasive testing during pregnancy remains the definitive diagnostic tool for fetal genetic anomalies. Results are rapidly available with polymerase chain reacti…
View article: Patient harm associated with serial phlebotomy and blood waste in the intensive care unit: A retrospective cohort study
Patient harm associated with serial phlebotomy and blood waste in the intensive care unit: A retrospective cohort study Open
Background Intensive care unit (ICU) patients are at high risk of anemia, and phlebotomy is a potentially modifiable source of blood loss. Our objective was to quantify daily phlebotomy volume for ICU patients, including blood discarded as…
View article: Hospital leadership perspectives on the value of the 3 Wishes Project: a qualitative study
Hospital leadership perspectives on the value of the 3 Wishes Project: a qualitative study Open
Background Healthcare organisations are increasingly interested in improving the work life of their employees. By encouraging individualised acts of compassion for dying patients and their families, the 3 Wishes Project (3WP) has been show…
View article: Timing of Initiation of Renal-Replacement Therapy in Acute Kidney Injury
Timing of Initiation of Renal-Replacement Therapy in Acute Kidney Injury Open
Among critically ill patients with acute kidney injury, an accelerated renal-replacement strategy was not associated with a lower risk of death at 90 days than a standard strategy. (Funded by the Canadian Institutes of Health Research and …
View article: Expanding the 3 Wishes Project for compassionate end-of-life care: a qualitative evaluation of local adaptations
Expanding the 3 Wishes Project for compassionate end-of-life care: a qualitative evaluation of local adaptations Open
Background The 3 Wishes Project (3WP) is an end-of-life program that honors the dignity of dying patients by fostering meaningful connections among patients, families, and clinicians. Since 2013, it has become embedded in the culture of en…
View article: Protocol for a multi-centered, stepped wedge, cluster randomized controlled trial of the de-adoption of oral chlorhexidine prophylaxis and implementation of an oral care bundle for mechanically ventilated critically ill patients: the CHORAL study
Protocol for a multi-centered, stepped wedge, cluster randomized controlled trial of the de-adoption of oral chlorhexidine prophylaxis and implementation of an oral care bundle for mechanically ventilated critically ill patients: the CHORAL study Open
Background Routine application of chlorhexidine oral rinse is recommended to reduce risk of ventilator-associated pneumonia (VAP) in mechanically ventilated patients. Recent reappraisal of the evidence from two meta-analyses suggests chlor…
View article: Interventions to enable communication for adult patients requiring an artificial airway with or without mechanical ventilator support
Interventions to enable communication for adult patients requiring an artificial airway with or without mechanical ventilator support Open
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: The primary objective of this review is to assess the effectiveness of communication aids for patients requiring an artificial airway (endotracheal or …
View article: Feasibility of the electrolarynx for enabling communication in the chronically critically ill: The EECCHO study
Feasibility of the electrolarynx for enabling communication in the chronically critically ill: The EECCHO study Open
The electrolarynx may aid intelligible speech for some tracheostomized patients if the communication partner can visualize the users face, and reduce anxiety and make patient perceived communication easier.