Susannah Fleming

Learn More
OBJECTIVE To evaluate the utilisation of paper-based track and trigger (T&T) charts in a UK emergency department (ED). METHODS A single-centre prospective observational cohort study was conducted in the ED of a medium-sized teaching hospital. Charted vital-sign data were collected from adults attending the resuscitation room, majors or observation ward.(More)
  • Jeremy Howick, Claire Friedemann, Maria Tsakok, Robert Watson, Teresa Tsakok, Jennifer Thomas +3 others
  • 2013
BACKGROUND Placebos are widely used in clinical practice in spite of ethical restrictions. Whether such use is justified depends in part on the relative benefit of placebos compared to 'active' treatments. A direct test for differences between placebo and 'active' treatment effects has not been conducted. OBJECTIVES We aimed to test for differences(More)
This paper presents the preliminary results of an observational study into the use of novelty detection techniques for detecting physiological deterioration in vital-sign data acquired from Emergency Department (ED) patients. Such patients are typically in an acute condition with a significant chance of deteriorating during their stay in hospital. Existing(More)
OBJECTIVES To assess the diagnostic accuracy of three personal breathalyser devices available for sale to the public marketed to test safety to drive after drinking alcohol. DESIGN Prospective comparative diagnostic accuracy study comparing two single-use breathalysers and one digital multiuse breathalyser (index tests) to a police breathalyser (reference(More)
BACKGROUND Large artery stiffening and wave reflections are independent predictors of adverse events. To date, their assessment has been limited to specialised techniques and settings. A new, more practical method allowing assessment of central blood pressure from waveforms recorded using a conventional automated oscillometric monitor has recently been(More)
INTRODUCTION Vital signs (blood pressure, heart rate, temperature, oxygen saturation and respiratory rate) are thought to undergo changes during and immediately after pregnancy. However, these physiological changes are not taken into account in the normal ranges, which themselves are not evidence-based, used in routine and acute care monitoring. We aim to(More)
  • Jeremy Howick, Claire Friedemann, Maria Tsakok, Robert Watson, Teresa Tsakok, Jennifer Thomas +3 others
  • 2016
Among studies with continuous outcomes in our systematic review comparing placebo effect sizes with treatment effect sizes we calculated mean differences between to estimate placebo effects, treatment effects, and the difference between placebo and treatment effects. In fact the standardized mean difference should have been used. There was no error in the(More)
IMPORTANCE Capillary refill time (CRT) is widely recommended as part of the routine assessment of unwell children. OBJECTIVE To determine the diagnostic value of capillary refill time for a range of serious outcomes in children. METHODS We searched Medline, Embase and CINAHL from inception to June 2014. We included studies that measured both capillary(More)
BACKGROUND Community-based self-screening may provide opportunities to increase detection of hypertension, and identify raised blood pressure (BP) in populations who do not access healthcare. This systematic review aimed to evaluate the effectiveness of non-physician screening and self-screening of BP in community settings. METHODS We searched the(More)
  • 1