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John Browne
University College Cork
177Publications
37H-index
18.5kCitations
Publications 178
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#1Steve Thomas (Trinity College, Dublin)H-Index: 36
#2Conor Foley (UCC: University College Cork)H-Index: 3
Last.John Browne (UCC: University College Cork)H-Index: 37
view all 9 authors...
A key challenge for most systems is how to provide effective access to urgent and emergency care across rural and urban populations. Tensions about the placement and scope of hospital emergency services are longstanding in Irish political life and there has been recent reform to centralise hospital services in some regions. The focus of this paper is a system approach to examine the geographic variation in resourcing and utilisation of such care across GP practices, out-of-hours care, ambulance ...
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#1Marie Ward (UCD: University College Dublin)H-Index: 5
#2Abel Wakai (RCSI: Royal College of Surgeons in Ireland)H-Index: 19
Last.Eilish McAuliffe (UCD: University College Dublin)H-Index: 4
view all 14 authors...
Early warning score systems have been widely recommended for use to detect clinical deterioration in patients. The Irish National Emergency Medicine Programme has developed and piloted an emergency department specific early warning score system. The objective of this study was to develop a consensus among frontline healthcare staff, quality and safety staff and health systems researchers regarding evaluation measures for an early warning score system in the Emergency Department. Participatory ac...
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#1Devin Incerti (Precision Health Economics)H-Index: 3
#2John Browne (UCC: University College Cork)H-Index: 37
Last.Warren Stevens (PAREXEL)H-Index: 1
view all 8 authors...
Background Although there has been growing attention to the measurement of unmet need, which is the overall epidemiological burden of disease, current measures ignore the burden that could be eliminated from technological advances or more effective use of current technologies.
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#1E. Hurley (Trinity College, Dublin)
#2Sheena McHugh (UCC: University College Cork)H-Index: 9
Last.Charles Normand (Trinity College, Dublin)H-Index: 44
view all 5 authors...
Background To address deficits in the delivery of acute services in Ireland, the National Acute Medicine Programme (NAMP) was established in 2010 to optimise the management of acutely ill medical patients in the hospital setting, and to ensure their supported discharge to primary and community-based care. NAMP aims to reduce inappropriate hospital admissions, reduce length of hospital stay and ensure patients receive timely treatment in the most appropriate setting. It does so primarily via the ...
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#1Sharon L CadoganH-Index: 5
#2John BrowneH-Index: 37
Last.Mary R. Cahill (Cork University Hospital)H-Index: 17
view all 5 authors...
Background Implementation science experts recommend that theory-based strategies, developed in collaboration with healthcare professionals, have greater chance of success. Aim This study evaluated the impact of a theory-based strategy for optimising the use of serum immunoglobulin testing in primary care. Design and setting An interrupted time series with segmented regression analysis in the Cork–Kerry region, Ireland. An intervention was devised comprising a guideline and educational messages-b...
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#1Rebecca Dennehy (UCC: University College Cork)H-Index: 1
#2Patrick Barry (Cork University Hospital)H-Index: 2
Last.Sheena McHugh (UCC: University College Cork)H-Index: 9
view all 9 authors...
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#1Brenda Lynch (UCC: University College Cork)H-Index: 1
#2John Browne (UCC: University College Cork)H-Index: 37
Last.Anthony P. Fitzgerald (UCC: University College Cork)H-Index: 36
view all 6 authors...
Objectives To understand the impact of emergency department (ED) reconfiguration on the number of patients waiting for hospital beds on trolleys in the remaining EDs in four geographical regions in Ireland using time-series analysis. Setting EDs in four Irish regions; the West, North-East, South and Mid-West from 2005 to 2015. Participants All patients counted as waiting on trolleys in an ED for a hospital bed in the study hospitals from 2005 to 2015. Intervention The system intervention was the...
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#1E. Hurley (Trinity College, Dublin)
#2S-J Sinnott (Lond: University of London)
Last.Charles Normand (Trinity College, Dublin)H-Index: 44
view all 6 authors...
Background Ireland has the highest rates of hospitalisations for Chronic Obstructive Pulmonary Disease (COPD) of all OECD countries (369/100,000 in 2017, compared with OECD average of 200/100,000). We analysed national hospitalisation data to investigate the characteristics of these hospitalisations and how they have changed over time to assist in programme planning and identify areas for intervention. Methods Using Hospital In-Patient Enquiry (HIPE), a national discharge database for episodes o...
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#1Sheena McHugh (UCC: University College Cork)H-Index: 9
#2E DroogH-Index: 3
Last.John Browne (UCC: University College Cork)H-Index: 37
view all 6 authors...
Abstract Objective The optimal organisation of emergency and urgent care services (EUCS) is a perennial problem internationally. Similar to other countries, the Health Service Executive in Ireland pursued EUCS reconfiguration in response to quality and safety concerns, unsustainable costs and workforce issues. However, the implementation of reconfiguration has been inconsistent at a regional level. Our aim was to identify the factors that led to this inconsistency. Methods Using a multiple case ...
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#1Maura P. Smiddy (UCC: University College Cork)H-Index: 2
#2Olive M. Murphy (Bon Secours Hospital Cork)H-Index: 1
Last.John Browne (UCC: University College Cork)H-Index: 37
view all 4 authors...
Background Compliance with hand hygiene guidelines reduces the risk of health care–associated infection, yet doctors are less compliant than other health care workers. Use of observational hand hygiene auditing with targeted individualized feedback was implemented, with improved hand hygiene of consultant doctors; however, the factors that influenced this were not explained by previous quantitative data. The aim was to explore consultant doctors’ opinions about the influence of observational han...
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