Jerry Murphy

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BACKGROUND Many older people in long-term care do not receive evidence-based diagnosis or management for heart failure; it is not known whether this can be achieved for this population. We initiated an onsite heart failure service, compared with 'usual care' with the aim of establishing the feasibility of accurate diagnosis and appropriate management. (More)
AIMS Diagnosis of heart failure in older people in long-term care is challenging because of co-morbidities, cognitive deficit, polypharmacy, immobility, and poor access to services. This study aimed to ascertain heart failure prevalence and clinical management in this population. METHODS AND RESULTS A total of 405 residents, aged 65-100 years, in 33 UK(More)
OBJECTIVES To explore changes in healthcare professionals' views about the diagnosis and management of heart failure since a study in 2003. DESIGN Focus groups and a national online cross-sectional survey. SETTING AND PARTICIPANTS Focus groups (n=8 with a total of 56 participants) were conducted in the North East of England using a phenomenological(More)
BACKGROUND The performance of biomarkers for heart failure (HF) in older residents in long-term care is poorly understood and has not differentiated between left ventricular systolic dysfunction (LVSD) and HF with preserved ejection fraction (HFpEF). METHODS This is the first diagnostic accuracy study in this population to assess the differential(More)
BACKGROUND Older people in care-facilities may be less likely to access gold standard diagnosis and treatment for heart failure (HF) than non residents; little is understood about the factors that influence this variability. This study aimed to examine the experiences and expectations of clinicians, care-facility staff and residents in interpreting(More)
Heart failure is not a clear-cut diagnosis but a complex clinical syndrome with consequent diagnostic uncertainty. Judgment analysis is a method to help clinical teams to understand how they make complex decisions. The method of judgment analysis was used to determine the factors that influence clinicians' diagnostic decisions about heart failure. Three(More)
The points of view expressed herein are the authors' and do not necessarily represent the opinions of the Bureau of Justice Assistance or individual Police Executive Research Forum members. The Police Executive Research Forum (PERF) would like to thank the Bureau of Justice Assistance (BJA) for supporting this examination of the impact of Compstat on police(More)