Abstract
Effective clinical practice in a hospital needs current knowledge together with the skills and right attitude; these should be applied continuously. Failure of this system can be due to ignorance or arrogance. We attempted to correct these deficiencies by formulating a set of policies which were enforced from 1962 to 1983. The policies related to the following: intensive care (including asthma, nutrition and organ donation), drug prescribing and resuscitation. We believe that these rules improved patient care and the standards of training; the prescribing policy also saved money.
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References
Anon (1964). A unit for intensive patient care.Lancet 1, 657–658.
Jones, E.S. (1978).Essential Intensive Care, M.T.P. Press, Lancaster.
Jones, E.S. (1967). The organisation and administration of intensive patient care.Postgraduate Medical Journal 43, 339–347.
Riding, W.D. and Ambiavagar, M. (1967). Resuscitation of the moribund asthmatic.Postgraduate Medical Journal 43, 234–243.
Henderson, A. and Wright, M. (1992). Status asthmaticus: experience of 100 consecutive admissions to an intensive care unit.Clinical Intensive Care 3, 148–152.
Davis, B., Gett, P.M. and Jones, E.S. (1980). A service for the adult asthmatic.Thorax 35(2), 111–113.
Clark, T.J.H. (1983). Acute severe asthma. In,Asthma, ed. by T.J.H. Clark and S. Godfrey, 2nd edn, Chapman and Hall, London.
Arnold, A.G., Zapata, E. and Lane, D.J. (1981). Speed of onset of acute severe asthma.Proceedings of the British Thoracic Association and Thoracic Society 36, 223.
Nightingale, F. (1980).Notes on Nursing, 3rd edn, Churchill-Livingstone, London.
Lennard-Jones, J.E. (1997). Hospital nutrition.The Times, 18 February, London.
Rhoads, J.E. and Dudrick, S.J. (1993). History of intravenous nutrition. In,Clinical Nutrition, Parenteral Nutrition, ed. by J.L. Rombeau and M.D. Caldwell, 2nd edn, W.B. Saunders Co., Philadelphia.
Moore, F.D. and Ball, M.R. (1952).The Metabolic Response to Surgery, Thomas, Springfield, IL.
Peaston, M.J.T. (1966). External metabolic balance studies during naso-gastric feeding in serious illnesses requiring intensive care.British Medical Journal 2, 1367–1368.
Hunter, J. (1837). A case of paralysis of de-glutition cured by an artificial mode of conveying food and medicines into the stomach. In,The Works of John Hunter, ed. by J.F. Palmer, Longman, London.
Jones, E.S. and Sechiari, G.P. (1963). Method for providing metabolic balance during intensive patient care.Lancet 1, 19–20.
Peaston, MJ.T. (1967). Maintenance of metabolism during intensive patient care.Postgraduate Medical Journal 43, 317–338.
Mallick, N.P. (ed.). (1977).Glucose Polymers in Health and Disease: The Role of Caloreen, M.T.P. Press, Lancaster.
Woodyatt, R.T., Sansum, W.D. and Wilder, R.N. (1915). Prolonged and accurately timed intravenous injection of sugar. A preliminary report.Journal of the American Medical Association 65, 2067–2070.
Peaston M.J.T. (1966). Design of an intravenous diet of amino acids and fats suitable for intensive care patient care.British Medical Journal 2, 388–390.
Personal communication. (1997). United Kingdom Transplant Support Service Authority.
Luksza, A.R. (1979). Brain-dead kidney donor: selection, care and administration.British Medical Journal 1, 1316–1319.
Editorial (1976). Diagnosis of brain death.Lancet 2, 1069–1070.
Statistics from the National Transplant Database (1997). United Kingdom Transplant Support Service Authority.
Wolfson, D.J. and Williamson, P.M. (1981). Prescribing restriction: implications and reactions.Drug Intelligence and Clinical Pharmacy 15, 594–597.
Wolfson, D.J. (1980). Financial implications of a set of antibiotic policies.The Pharmaceutical Journal 224, 706–707.
Lawler, P. (1996). Cardiac resuscitation—why bother?Northern Regional Teach-In, The Royal College of Physicians, Newcastle.
Bossaert, L. (1998).European Resuscitation Council Guidelines for Resuscitation, Elsevier, Amsterdam.
Casey, W.F. (1985). Resuscitation needed for the curriculum.British Medical Journal 291, 484.
Farman, J. (1982). The recovery room. In,Intensive Care, ed. by E. Sherwood Jones, M.T.P. Press, Lancaster.
Murray, I. (1997). Drug companies loss leaders cost millions.The Times, 12 August, London.
Hampton, J.R. (1983). The end of clinical freedom.British Medical Journal 287, 1237–1238.
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Gordon, I.J., Jones, E.S. Effective clinical policies in a district general hospital. Health Care Anal 6, 295–304 (1998). https://doi.org/10.1007/BF02678365
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DOI: https://doi.org/10.1007/BF02678365