Imperial College London
Alternate

ProfessorNickSevdalis

Faculty of Medicine, Department of Surgery & Cancer

Visiting Professor
 
 
 
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Contact

 

+44 (0)20 7594 3431n.sevdalis Website

 
 
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Location

 

507, Wright Fleming BNorfolk PlaceSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Pannick:2014:10.1016/j.ejim.2014.10.013,
author = {Pannick, S and Beveridge, I and Wachter, RM and Sevdalis, N},
doi = {10.1016/j.ejim.2014.10.013},
journal = {European Journal of Internal Medicine},
title = {Improving the quality and safety of care on the medical ward: A review and synthesis of the evidence base},
url = {http://dx.doi.org/10.1016/j.ejim.2014.10.013},
year = {2014}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Abstract Despite its place at the heart of inpatient medicine, the evidence base underpinning the effective delivery of medical ward care is highly fragmented. Clinicians familiar with the selection of evidence-supported treatments for specific diseases may be less aware of the evolving literature surrounding the organisation of care on the medical ward. This review is the first synthesis of that disparate literature. An iterative search identified relevant publications, using terms pertaining to medical ward environments, and objective and subjective patient outcomes. Articles (including reviews) were selected on the basis of their focus on medical wards, and their relevance to the quality and safety of ward-based care. Responses to medical ward failings are grouped into five common themes: staffing levels and team composition; interdisciplinary communication and collaboration; standardisation of care; early recognition and treatment of the deteriorating patient; and local safety climate. Interventions in these categories are likely to improve the quality and safety of care in medical wards, although the evidence supporting them is constrained by methodological limitations and inadequate investment in multicentre trials. Nonetheless, with infrequent opportunities to redefine their services, institutions are increasingly adopting multifaceted strategies that encompass groups of these themes. As the literature on the quality of inpatient care moves beyond its initial focus on the intensive care unit and operating theatre, physicians should be mindful of opportunities to incorporate evidence-based practice at a ward level.
AU  - Pannick,S
AU  - Beveridge,I
AU  - Wachter,RM
AU  - Sevdalis,N
DO  - 10.1016/j.ejim.2014.10.013
PY  - 2014///
SN  - 0953-6205
TI  - Improving the quality and safety of care on the medical ward: A review and synthesis of the evidence base
T2  - European Journal of Internal Medicine
UR  - http://dx.doi.org/10.1016/j.ejim.2014.10.013
UR  - http://www.sciencedirect.com/science/article/pii/S0953620514002957
ER  -
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