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Biomedical subjects

R D Hardern

Publications and source records attributed to R D Hardern.

13 recordsLinked to original sources
PubMed1997

What do accident and emergency medical staff think of practice guidelines?

The objective of this paper was to determine the views of accident and emergency consultants and trainees towards practice guidelines and their experiences using guidelines. A postal questionnaire survey of consultants, senior registrars and registrars in accident and emergency medicine was carried out in Yorkshire. The results of this survey show that the potential benefits of practice guidelines are appreciated, and that evidence-based and 'user-friendly' guidelines are wanted. It is concluded that unless rigorously developed and clear and easy to use, guidelines are unlikely to be implemented in accident and emergency departments in the UK.

Attitude of Health Personnel↗
PubMed1996

Reviews in accident and emergency medicine: the past and the future.

OBJECTIVE: To determine whether reviews published in the past 10 years are as helpful as they could be to their readers, and to explain why future reviews should meet certain methodological criteria. METHODS: The quality of 16 reviews published in two journals dealing with accident and emergency medicine over 10 years was objectively assessed using 11 currently recommended criteria. RESULTS: The median number of methodological criteria satisfied was two. Only five of the reviews posed a specific question or problem and then answered this with conclusions based on evidence presented. CONCLUSIONS: If reviews are to enhance patient care, the way in which they are performed, written and used must change.

Accidents↗
PubMed1996

Do accident and emergency senior house officers know the British guidelines on the management of acute asthma?

Avoidable deaths from asthma continue, even in hospital. Since the management of acute severe asthma is often initiated in the Accident and Emergency department, it is crucial that staff there have adequate knowledge. An anonymous questionnaire, containing items based on chart 6 of the UK guidelines, was completed by 66 Accident and Emergency Senior House Officers from the Yorkshire region. The study aim was to establish these doctors' levels of knowledge about the recommended management of acute asthma in Accident and Emergency. The median score was 10 (out of a possible 24) and the interquartile range 8-13. Further efforts are required to implement these guidelines so that the best patient outcomes can be achieved.

Acute Disease↗
PubMed1995

Clinical guidelines.

Explore the source record for details and available documents.

Practice Guidelines as Topic↗
PubMed1993

Corticosteroid therapy and intercurrent illness: the need for continuing patient education.

In patients receiving long-term therapeutic or replacement corticosteroids, delayed or inappropriate adjustment of steroid dosage during intercurrent illness may be fatal. We used a questionnaire to assess current levels of patient knowledge, awareness of the need for action during intercurrent illness and the frequency with which steroid warning cards and Medic Alert pendants were carried, in 61 patients on long-term replacement corticosteroids and in 40 patients receiving long-term therapeutic corticosteroids. Only 67 of the 101 patients taking corticosteroids were carrying a steroid warning card. Eleven of the 21 Medic Alert owners wore their pendants. Only 18 of the 41 patients in the therapeutic group and 41 of the 60 patients in the replacement group would take appropriate action during an intercurrent illness (P < 0.001). Lack of patient knowledge in this important area emphasizes the need for continuing and effective education of these groups of patients during follow-up. An information sheet detailing the exact changes to be made during intercurrent illness may help reinforce verbal advice.

Acute Disease↗