Nicholas J Lees

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OBJECTIVES The aim of the study was to identify which cardiac surgical ward patients benefit from 'scoop and run' to the operating room for chest reopening. METHODS In-hospital arrests in a cardiothoracic hospital were prospectively audited over a 6-year period. The following pieces of information were collected for every patient who was scooped to the(More)
A 65-year-old lady was admitted to the intensive care unit (ICU) following emergency surgery for a perforated duodenal ulcer. The postoperative course was complicated by abdominal sepsis, multiple laparotomies, ventilator associated pneumonia and she required multiorgan support. Percutaneous tracheostomy was performed on day 11. At 6 weeks, she remained(More)
BACKGROUND Quality improvement (QI) approaches are widely used across health care, but how well they are reported in the academic literature is not clear. A systematic review was conducted to assess the completeness of reporting of QI interventions and techniques in the field of perioperative care. METHODS Searches were conducted using Medline, Scopus,(More)
BACKGROUND Quality improvement (QI) methods are widely used in surgery in an effort to improve care, often using techniques such as Plan-Do-Study-Act cycles to implement specific interventions. Explicit definition of both the QI method and quality intervention is necessary to enable the accurate replication of effective interventions in practice, facilitate(More)
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