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Biomedical subjects

M Lindley-Jones

Publications and source records attributed to M Lindley-Jones.

5 recordsLinked to original sources
PubMed2004

Recurrent tetanus.

Explore the source record for details and available documents.

Drug Hypersensitivity↗
PubMed2000

Triage nurse requested x rays--are they worthwhile?

OBJECTIVE: To study an established triage nurse x ray requesting system to determine whether sending defined groups of patients for radiography before assessment by doctors or emergency nurse practitioners (ENPs) resulted in shorter waiting times for patients without compromising quality of care. METHODS: Prospective randomised controlled study of "walking wounded" patients attending a district general hospital. Data were collected over two separate two week periods, six months apart, in the middle of two senior house officer appointment periods. A total of 675 patients were entered into the study. Analysis of results was achieved using standard statistical methods. RESULTS: Altogether 335 patients were in the nurse x ray group and 340 in the control group. The triage categories of the groups were similar. A 36% mean time reduction of 37.2 min (95% confidence interval 30.2 to 44.2, p=0.000) from time of triage to time of treatment decision was achieved in the nurse requested group. Triage nurses requested 8% (p=0.002) fewer x rays than doctors or ENPs and had a 6% higher positive "hit" rate (p=0.03). In 7.8% (26 cases), patients in the triage nurse group were judged to require radiographs or further views by the doctor or ENP; of these, 11 cases showed a positive finding on radiography. The time from triage to assessment by doctor or ENP was not lengthened by prior requesting of radiography (nurse x ray group 64.4 min, control group 63.7 min, p=0.79). CONCLUSIONS: A triage nurse x ray requesting system speeds up the progress of walking wounded patients through the department without compromising service quality. Further benefits are staff and patient satisfaction and a greater sense of team working for all staff.

Emergency Service, Hospital↗
PubMed2000

Triage nurse requested x rays--the results of a national survey.

OBJECTIVE: To ascertain the prevalence and experiences of triage nurse requested x ray systems among accident and emergency (A&E) departments in the UK. METHOD: A descriptive study of a postal survey of 225 major A&E departments listed in the British Association for Accident and Emergency Medicine directory. RESULTS: Altogether 165 (73%) questionnaires were returned. Fifty nine (35%) departments indicated that they currently had a triage nurse requested radiology system. Of those departments that did not have such a system, the main reasons were that it was not necessary, radiologists or A&E consultants were opposed to the idea, that nurses were not capable/did not want the system, or that it would delay triage. Of those departments that do operate a nurse requesting system, most have started doing so in the last three years, and allow nurses of E grade and above who have completed an in house training course and radiation protection certificate to request x rays. Protocols vary, but usually allow requests for limb radiology in patients over 5 years old. Many departments have audited their system, with positive results. In all departments that currently operate the system, staff and patients felt that the system was either good or excellent. One department abandoned the system, after a trial, because they felt that x ray requesting was not a nursing role. CONCLUSION: The system of triage nurse requested x rays is generally well received and departments considering adopting this system can be reassured. Pitfalls and possible protocols for A&E departments intending to start triage nurse requested x rays are suggested.

Emergency Service, Hospital↗