ProfessorCharlesVincent

Symons NRA, Wong HWL, Vincent CA, Moorthy Ket al., 2012, Patients' experience of communication during elective and emergency surgical admissions, International Surgical Congress of the Association-of-Surgeons-of-Great-Britain-and-Ireland (ASGBI), Publisher: WILEY-BLACKWELL, Pages: 11-12, ISSN: 0007-1323

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Symons NRA, Vincent CA, Moorthy K, 2012, Development and pilot of standardised care processes for emergency general surgical admissions, International Surgical Congress of the Association-of-Surgeons-of-Great-Britain-and-Ireland (ASGBI), Publisher: WILEY-BLACKWELL, Pages: 142-142, ISSN: 0007-1323

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Davis R, Sevdalis N, Jacklin R, Vincent Cet al., 2012, An examination of opportunities for the active patient in improving patient safety, Journal of Patient Safety, Vol: 8, Pages: 36-43

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Ahmed M, Arora S, Baker P, Vincent C, Sevdalis Net al., 2012, Case-based learning for Patient Safety: The Lessons Learnt Program for UK Junior Doctors, World Journal of Surgery

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Franklin BD, Deelchand V, Cooke M, Holmes A, Vincent Cet al., 2012, The safe insertion of peripheral intravenous catheters: a mixed methods descriptive study of the availability of the equipment needed, ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL, Vol: 1, ISSN: 2047-2994

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• Citations: 10

Anderson O, Carr R, Briggs M, Hamady M, Buckle P, Vincent C, Hanna Get al., 2012, Human gastric lipase augmentation of nasogastric tube aspirate pH tests (abstract), Br J Surg, Vol: 99 (Suppl. 4)

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Davis R, Sevdalis N, Vincent C, 2012, Patient involvement in patient safety - the healthcare professionals' perspective, Journal of Patient Safety, Vol: 8, Pages: 182-188

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Anderson O, Davis R, Hanna G, Vincent Cet al., 2012, Surgical adverse events: a systematic review (abstract), Br J Surg, Vol: 99 (Suppl. 6)

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Anderson O, Briggs M, West J, Vincent C, Hanna Get al., 2012, The CareCentre™: a cluster-randomised crossover clinical trial (abstract), Br J Surg, Vol: 99 (Suppl. 6)

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Anderson O, Shamsi A, Mahroof A, Brodie A, Davey G, West J, Vincent CA, Hanna GBet al., 2011, Improving the accuracy of respiratory rate measurement and documentation (poster presentation), Imperial College London Division of Surgery Annual Research Symposium

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Lamb B, Payne H, Vincent C, Sevdalis N, Green JSAet al., 2011, The role of oncologists in multidisciplinary cancer teams in the UK: an untapped resource for team leadership?, JOURNAL OF EVALUATION IN CLINICAL PRACTICE, Vol: 17, Pages: 1200-1206, ISSN: 1356-1294

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• Citations: 20

Parand A, Burnett S, Benn J, Pinto A, Iskander S, Vincent Cet al., 2011, The disparity of frontline clinical staff and managers' perceptions of a quality and patient safety initiative, JOURNAL OF EVALUATION IN CLINICAL PRACTICE, Vol: 17, Pages: 1184-1190, ISSN: 1356-1294

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• Citations: 32

Walker S, McKay A, Deelchand V, Gautama S, Sevdalis N, Vincent Cet al., 2011, Assessment of a Newly Designed Resuscitation Trolley in a Simulated Environment, CIRCULATION, Vol: 124, ISSN: 0009-7322

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• Citations: 1

Robert GB, Anderson JE, Burnett SJ, Aase K, Andersson-Gare B, Bal R, Calltorp J, Nunes F, Weggelaar A-M, Vincent CA, Fulop NJet al., 2011, A longitudinal, multi-level comparative study of quality and safety in European hospitals: the QUASER study protocol, BMC Health Services Research, Vol: 11, ISSN: 1472-6963

Background: although there is a wealth of information available about quality improvement tools and techniquesin healthcare there is little understanding about overcoming the challenges of day-to-day implementation incomplex organisations like hospitals. The ‘Quality and Safety in Europe by Research’ (QUASER) study will investigatehow hospitals implement, spread and sustain quality improvement, including the difficulties they face and howthey overcome them.The overall aim of the study is to explore relationships between the organisational and cultural characteristics ofhospitals and how these impact on the quality of health care; the findings will be designed to help policy makers,payers and hospital managers understand the factors and processes that enable hospitals in Europe to achieve-andsustain-high quality services for their patients.Methods/design: in-depth multi-level (macro, meso and micro-system) analysis of healthcare quality policies andpractices in 5 European countries, including longitudinal case studies in a purposive sample of 10 hospitals. Theproject design has three major features:• a working definition of quality comprising three components: clinical effectiveness, patient safety and patientexperience• a conceptualisation of quality as a human, social, technical and organisational accomplishment• an emphasis on translational research that is evidence-based and seeks to provide strategic and practicalguidance for hospital practitioners and health care policy makers in the European Union.Throughout the study we will adopt a mixed methods approach, including qualitative (in-depth, narrative-based,ethnographic case studies using interviews, and direct non-participant observation of organisational processes) andquantitative research (secondary analysis of safety and quality data, for example: adverse incident reporting; patientcomplaints and claims).Discussion: the protocol is based on the premise that future research, policy

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Lamb BW, Sevdalis N, Taylor C, Vincent C, Green JSet al., 2011, Multidisciplinary team working across different tumour types: analysis of a national survey, Annals of Oncology

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Walker S, McKay A, Deelchand V, Gautama S, Vincent C, Sevdalis Net al., 2011, Evaluation of the effect of a newly designed resuscitation trolley on the efficiency of the cardiac arrest team in a simulated environment, Annual Scientific Meeting of the Resuscitation Council, Publisher: WILEY-BLACKWELL, Pages: 959-960, ISSN: 0003-2409

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• Citations: 1

Monroe K, Wang D, Vincent C, Woloshynowych M, Neale G, Inwald DPet al., 2011, Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study, BMJ QUALITY & SAFETY, Vol: 20, Pages: 863-868, ISSN: 2044-5415

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• Citations: 11

Anderson O, West J, Davey G, Brodie A, Kapsali M, Norris B, Aggarwal R, Matthews E, Vincent C, Hanna G, Myerson Jet al., 2011, Make it better: Designing Out Medical Error (exhibition)., The problem comes first. The Royal College of Art. The London Design Festival. London, UK. 22 Sept - 5 Oct 2011

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Carthey J, Walker S, Deelchand V, Vincent C, Griffiths WHet al., 2011, Breaking the rules: understanding non-compliance with policies and guidelines, BMJ-BRITISH MEDICAL JOURNAL, Vol: 343, ISSN: 1756-1833

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• Citations: 77

Lamb BW, Sevdalis S, Arora S, Pinto A, Vincent C, Green JSA, Lamb BW, Sevdalis N, Arora S, Pinto A, Vincent C, Green JSet al., 2011, Teamwork and Team Decision-making at Multidisciplinary Cancer Conferences: Barriers, Facilitators, and Opportunities for Improvement, WORLD J SURG, Vol: 35, Pages: 1970-1976

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Lamb B, Green JSA, Vincent C, Sevdalis Net al., 2011, Decision making in surgical oncology, SURGICAL ONCOLOGY-OXFORD, Vol: 20, Pages: 163-168, ISSN: 0960-7404

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• Citations: 53

Walker S, Brett S, McKay A, Lambden S, Vincent C, Sevdalis Net al., 2011, Observational Skill-based Clinical Assessment tool for Resuscitation (OSCAR): Development and validation, RESUSCITATION, Vol: 82, Pages: 835-844, ISSN: 0300-9572

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• Citations: 68

Lamb BW, Allchorne P, Sevdalis N, Vincent C, Green JSAet al., 2011, The role of the urology clinical nurse specialist in the multidisciplinary team meeting, INTERNATIONAL JOURNAL OF UROLOGICAL NURSING, Vol: 5, Pages: 59-64, ISSN: 1749-7701

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• Citations: 18

Anderson O, Norris B, West J, Davey G, Brodie A, Kapsalis M, Vincent C, Hanna G, Aggarwal R, Matthews E, Myerson Jet al., 2011, Using the systems approach to design out medical error (oral presentation)., Healthcare Systems, Ergonomics & Patient Safety (HEPS). Oviedo, Spain

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Anderson O, West J, Davey G, Vincent CA, Hanna GBet al., 2011, Infection prevention and control through the Care Station (poster), The National Centre for Infection Prevention and Management Annual Research Meeting, Imperial College London, UK

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Long S, Arora S, Moorthy K, Sevdalis N, Vincent Cet al., 2011, Qualities and attributes of a safe practitioner: identification of safety skills in healthcare, BMJ QUALITY & SAFETY, Vol: 20, Pages: 483-490, ISSN: 2044-5415

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• Citations: 13

Wong HWL, Forrest D, Healey A, Shirafkan H, Hanna GB, Vincent CA, Sevdalis Net al., 2011, Information needs in operating room teams: what is right, what is wrong, and what is needed?, SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol: 25, Pages: 1913-1920, ISSN: 0930-2794

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• Citations: 10

Lamb BW, Wong HW, Vincent C, Green JSA, Sevdalis Net al., 2011, Teamwork and team performance in multidisciplinary cancer teams:Development and evaluation of an observational assessment tool, Qual Saf Health Care

Purpose: Team performance is important in multidisciplinary teams (MDTs), but no tools exist for assessment. Our objective was to construct a robust tool for scientific assessment of MDT performance.Materials and Methods: An observational tool was developed to assess performance in MDTs. Behaviours were scored on Likert scales, with objective anchors. Five MDT meetings (112 cases) were observed by a surgeon and a psychologist. Presentation of case history, radiological, and pathological information, Chair’s effectiveness, contribution to decision-making of Surgeons, Oncologists, Radiologists, Pathologists, and Clinical Nurse Specialists (CNS) are analysed via descriptive statistics, comparison of average scores (Mann-Whitney U) to test inter-observer agreement, and Intraclass Correlation Coefficients (ICC) to further assess inter-observer agreement and learning curves. Results: Behaviour scoring: Contribution of Surgeons, Chair’s effectiveness, presentation of case history, and radiological information were rated above average (P≤0.001). Contributions of Histopathologists and CNS rated below average (P≤0.001), others average. Inter-observer agreement: agreement was high (ICC=0.70+) for presentation of radiological information, contribution of Oncologists, Radiologists, Pathologists and CNSs; adequate for case history presentation (ICC=0.68) and contribution of Surgeons (ICC=0.69); moderate for Chairperson (ICC=0.52); and poor for pathological information (ICC=0.31). Average differences found only for case history presentation (P≤0.001). Learning curves: significantly improving ICCs in assessment of case history, and Oncologists, and consistently high ICCs for CNS, Radiologists, and Histopathologists. Conclusions: Scientific observational metrics can reliably be used by medical and non-medical observers in cancer MDTs. Such robust assessment tools provide part of a toolkit for team evaluation and enhancement.

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Burnett S, Deelchand V, Dean-Franklin B, Moorthy K, Vincent Cet al., 2011, Missing Clinical Information in NHS hospital outpatient clinics: prevalence, causes and effects on patient care, BMC Health Services Research, Vol: 11, ISSN: 1472-6963

BACKGROUND:In Britain over 39,000 reports were received by the National Patient Safety Agency relating to failures in documentation in 2007 and the UK Health Services Journal estimated in 2008 that over a million hospital outpatient visits each year might take place without the full record available. Despite these high numbers, the impact of missing clinical information has not been investigated for hospital outpatients in the UK. Studies in primary care in the USA have found 13.6% of patient consultations have missing clinical information, with this adversely affecting care in about half of cases, and in Australia 1.8% of medical errors were found to be due to the unavailability of clinical information. Our objectives were to assess the frequency, nature and potential impact on patient care of missing clinical information in NHS hospital outpatients and to assess the principal causes. This is the first study to present such figures for the UK and the first to look at how clinicians respond, including the associated impact on patient care. METHODS:Prospective descriptive study of missing information reported by surgeons, supplemented by interviews on the causes. Data were collected by surgeons in general, gastrointestinal, colorectal and vascular surgical clinics in three teaching hospitals across the UK for over a thousand outpatient appointments. Fifteen interviews were conducted with those involved in collating clinical information for these clinics. RESULTS:In 15% of outpatient consultations key items of clinical information were missing. Of these patients, 32% experienced a delay or disruption to their care and 20% had a risk of harm. In over half of cases the doctor relied on the patient for the information, making a clinical decision despite the information being missing in 20% of cases. Hospital mergers, temporary staff and non-integrated IT systems were contributing factors. CONCLUSIONS:If these findings are replicated across the NHS then almost 10 million

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Lamb BW, Sevdalis N, Mostafid H, Vincent C, Green JSet al., 2011, Quality improvement in multidisciplinary cancer teams: an investigation of teamwork and clinical decision-making and cross-validation of assessments, Annals of Surgical Oncology

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