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The Medical Examiner Service in the Community
Published in Jason Payne-James, Suzy Lishman, The Medical Examiner Service, 2023
Once teams are clear which locality areas and care settings fall within their office remit, a key first step is thus to consider how MEs will access the relevant notes. The national team does not suggest a ‘one size fits all’ implementation model, and very much acknowledge that areas of England vary hugely in terms of geography, rurality and healthcare provision. It is also abundantly clear that the ideal of interoperability of IT systems does not match the reality in many areas. Resources for ME offices contained in the FutureNHS Collaboration Platform5 include a range of approaches that might be used. A recent paper12 describing one team's experience demonstrated how working closely with existing local electronic referral processes might provide a workable, practical solution.
Information Management and Technology
Published in James Sherifi, General Practice Under the NHS, 2023
Patients could now book and cancel GP appointments online, order repeat prescriptions, send secure messages, view their medical records (within limits, of course), and update their personal details. Meanwhile, waiting room automated check-in, electronic referrals to secondary care, email from other healthcare providers, electronic remote prescribing, and computer tablets for home visits enhanced practice administration.
Clinical and cultural challenges of big data in radiation oncology
Published in Jun Deng, Lei Xing, Big Data in Radiation Oncology, 2019
Brandon Dyer, Shyam Rao, Yi Rong, Chris Sherman, Mildred Cho, Cort Buchholz, Stanley Benedict
A recent study by Kwon et al. (2015) demonstrated that greater availability of medical records—a marker for access to information technology—was associated with lower reported incidence of referral barriers. Physicians who reported high availability of medical records may practice with an electronic health record (EHR) and/or electronic referral system, both of which potentially facilitate care coordination. Given the growing interest in improving the coordination of primary and specialty care—especially through accountable care organizations (ACOs) and patient-centered medical homes (PCMH)—data suggest that implementation of information technology may serve as a strategy for reducing barriers to specialist referral for cancer patients.
Using the distress thermometer to guide electronic referrals to psychosocial services
Published in Journal of Psychosocial Oncology, 2020
Savannah J. Geske, Rhonda L. Johnson
However, this process resulted in several issues. Once the patient completed DTs were scanned into the media tab of their EPIC chart they were very difficult to retrieve by staff so previous scores could not be easily viewed and compared to current scores. Additionally, sending referrals by fax is a tedious task which adds significant burden to the MAs and RNs. Also, the SOARS administrative assistant struggled to manage multiple paper referrals in an organized fashion. In January of 2017, a way to enter the DT as an EPIC flowsheet, rather than scanning it into the media tab, was created in order to allow staff to easily view and compare current and past responses. Additionally, a way to make immediate, electronic referrals to SOARS was designed to minimize burden on medical staff and allow the SOARS administrative assistant a central location to view all referrals made to SOARS. Otherwise, the process of administering the DT in the waiting room remained the same.
Socioeconomic position, referral and attendance to rehabilitation after a cancer diagnosis: A population-based study in Copenhagen, Denmark 2010–2015
Published in Acta Oncologica, 2019
Susanne Oksbjerg Dalton, Maja Halgren Olsen, Ida Rask Moustsen, Carina Wedell Andersen, Jette Vibe-Petersen, Christoffer Johansen
We conducted a population-based cohort study based on the entire population of 550,000 persons residing in Copenhagen Municipality, amounting to about 10% of the total Danish population. Responsibility for rehabilitation services after cancer lies with the municipalities in Denmark. Cancer rehabilitation is offered on a needs basis and is free-of-charge for the individual patient. In the Copenhagen Municipality, cancer rehabilitation is offered at the Copenhagen Centre for Cancer and Health upon a referral from a hospital department or general practitioner. In general, referrals are accepted within a window of 2 years since the end of primary treatment. When referred, the Centre for Cancer and Health offers a rehabilitation program based on the individual needs, which may be adjusted throughout the rehabilitation course. Electronic referrals have been in use since the beginning of 2010 for all cancer patients.
Time to implement a national referral pathway for suspected cauda equina syndrome: review and outcome of 250 referrals
Published in British Journal of Neurosurgery, 2018
Muhammad Masood Hussain, Adam Alexander Razak, Syed Sibet Hassan, Kishor A. Choudhari, George Michael Spink
This study is a retrospective observational study of all referrals made to a single Neurosurgery department over a period of fourteen months where CES was raised as a possible diagnosis. All adult patients (both male and female) referred as sCES to the neurosurgery department at Hull Royal Infirmary during the period during November 2013 and December 2014, were included (this constituted all referrals available on electronic database at the start of data collection). Only degenerative spinal cases were considered. Details of the referrals were obtained from the departmental electronic referral database. Data analysis was performed using Microsoft Excel 2010 sheets.