Rachael Lear
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View article: Understanding and Addressing Challenges With Electronic Health Record Use in Gynecological Oncology: Cross-Sectional Survey of Multidisciplinary Professionals in the United Kingdom and Co-Design of an Integrated Informatics Platform to Support Clinical Decision-Making
Understanding and Addressing Challenges With Electronic Health Record Use in Gynecological Oncology: Cross-Sectional Survey of Multidisciplinary Professionals in the United Kingdom and Co-Design of an Integrated Informatics Platform to Support Clinical Decision-Making Open
Background Electronic health records (EHRs) are a cornerstone of modern health care delivery, but their current configuration often fragments information across systems, impeding timely and effective clinical decision-making. In gynecologi…
View article: Interventions to improve referrals from primary care to outpatient specialist services for chronic conditions: a systematic review and framework synthesis update
Interventions to improve referrals from primary care to outpatient specialist services for chronic conditions: a systematic review and framework synthesis update Open
Background Prior systematic reviews highlight that accessing specialist healthcare to treat chronic conditions can be obstructed by variations in referral rates, inappropriate referrals, and poor communication. Structured referral proforma…
View article: Multicomponent interventions designed to support adherence to guideline-recommended therapy in patients with peripheral artery disease: A scoping review
Multicomponent interventions designed to support adherence to guideline-recommended therapy in patients with peripheral artery disease: A scoping review Open
Adherence to guideline-recommended therapies for peripheral artery disease (PAD), including pharmacotherapy (antiplatelet, lipid-lowering, and antihypertensive agents) and lifestyle modifications (smoking cessation, diet, weight management…
View article: Co-producing a safe mobility and falls informatics platform to drive meaningful quality improvement in the hospital setting: a mixed-methods protocol for the <i>insightFall</i> study
Co-producing a safe mobility and falls informatics platform to drive meaningful quality improvement in the hospital setting: a mixed-methods protocol for the <i>insightFall</i> study Open
Introduction Manual investigation of falls incidents for quality improvement is time-consuming for clinical staff. Routine care delivery generates a large volume of relevant data in disparate systems, yet these data are seldom integrated a…
View article: Understanding and addressing challenges with Electronic Health Record use in gynaecological oncology: a cross-sectional survey of multidisciplinary professionals in the United Kingdom and co-design of an integrated informatics platform to support clinical decision making. (Preprint)
Understanding and addressing challenges with Electronic Health Record use in gynaecological oncology: a cross-sectional survey of multidisciplinary professionals in the United Kingdom and co-design of an integrated informatics platform to support clinical decision making. (Preprint) Open
BACKGROUND The benefits and challenges of Electronic Health Record (EHR) use may be particularly significant in complex, high-risk specialties such as gynaecological oncology, yet few studies address the experiences of end-users. OBJECT…
View article: 1651 VIDEO-RECORDING PATIENTS FOR DIRECT CARE PURPOSES: A SYSTEMATIC REVIEW WITH SPECIFIC FOCUS ON THE OLDER PATIENT
1651 VIDEO-RECORDING PATIENTS FOR DIRECT CARE PURPOSES: A SYSTEMATIC REVIEW WITH SPECIFIC FOCUS ON THE OLDER PATIENT Open
Introduction Video-recordings of patients may offer advantages over text-based documentation to supplement assessment and decision-making – particularly for older patients with complex needs. Our systematic review aimed to evaluate the app…
View article: Video Recording Patients for Direct Care Purposes: Systematic Review and Narrative Synthesis of International Empirical Studies and UK Professional Guidance
Video Recording Patients for Direct Care Purposes: Systematic Review and Narrative Synthesis of International Empirical Studies and UK Professional Guidance Open
Background Video recordings of patients may offer advantages to supplement patient assessment and clinical decision-making. However, little is known about the practice of video recording patients for direct care purposes. Objective We aime…
View article: Video Recording Patients for Direct Care Purposes: Systematic Review and Narrative Synthesis of International Empirical Studies and UK Professional Guidance (Preprint)
Video Recording Patients for Direct Care Purposes: Systematic Review and Narrative Synthesis of International Empirical Studies and UK Professional Guidance (Preprint) Open
BACKGROUND Video recordings of patients may offer advantages to supplement patient assessment and clinical decision-making. However, little is known about the practice of video recording patients for direct care purposes. OBJECTIVE We a…
View article: Perceptions of Quality of Care Among Users of a Web-Based Patient Portal: Cross-sectional Survey Analysis
Perceptions of Quality of Care Among Users of a Web-Based Patient Portal: Cross-sectional Survey Analysis Open
Background Web-based patient portals enable patients access to, and interaction with, their personal electronic health records. However, little is known about the impact of patient portals on quality of care. Users of patient portals can c…
View article: Patients’ perceptions of the impact of a patient portal on quality of care: a cross-sectional survey analysis (Preprint)
Patients’ perceptions of the impact of a patient portal on quality of care: a cross-sectional survey analysis (Preprint) Open
BACKGROUND Online patient portals enable patients access to, and interaction with, their personal electronic health records. Although there is increasing adoption of patient portals in many healthcare systems, little is known about the im…
View article: Patients’ Willingness and Ability to Identify and Respond to Errors in Their Personal Health Records: Mixed Methods Analysis of Cross-sectional Survey Data
Patients’ Willingness and Ability to Identify and Respond to Errors in Their Personal Health Records: Mixed Methods Analysis of Cross-sectional Survey Data Open
Background Errors in electronic health records are known to contribute to patient safety incidents; however, systems for checking the accuracy of patient records are almost nonexistent. Personal health records (PHRs) enabling patient acces…
View article: Patients’ Willingness and Ability to Identify and Respond to Errors in Their Personal Health Records: Mixed Methods Analysis of Cross-sectional Survey Data (Preprint)
Patients’ Willingness and Ability to Identify and Respond to Errors in Their Personal Health Records: Mixed Methods Analysis of Cross-sectional Survey Data (Preprint) Open
BACKGROUND Errors in electronic health records are known to contribute to patient safety incidents; however, systems for checking the accuracy of patient records are almost nonexistent. Personal health records (PHRs) enabling patient acce…
View article: A systems approach to identifying patient safety problems in arterial surgery
A systems approach to identifying patient safety problems in arterial surgery Open
In the face of the oft-quoted dictum ‘primum non nocere’, it is now widely recognised that a significant number of patients come to harm whilst in hospital. A large body of evidence demonstrates that half of all harm events are preventable…
View article: Multicentre observational study of surgical system failures in aortic procedures and their effect on patient outcomes
Multicentre observational study of surgical system failures in aortic procedures and their effect on patient outcomes Open
Background Vascular surgical care has changed dramatically in recent years with little knowledge of the impact of system failures on patient safety. The primary aim of this multicentre observational study was to define the landscape of sur…