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Article
Publication date: 23 October 2007

Abhijit Basu and Amanda Bellis

This purpose of this study is to look at the availability of routine antenatal anti‐D prophylaxis (RAADP) in the maternity units within the North‐west Deanery, England…

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Abstract

Purpose

This purpose of this study is to look at the availability of routine antenatal anti‐D prophylaxis (RAADP) in the maternity units within the North‐west Deanery, England five years after the publication of this technology appraisal guideline (no. 41) by the National Institute for Clinical Excellence (NICE).

Design/methodology/approach

Antenatal clinics of all the major 18 maternity hospitals were contacted about their existing practice on RAADP. Responses were obtained by facsimile and telephone.

Findings

A total of 11 of the 18 units had implemented the practice between April 2003 and May 2007. Some had changed their practice from two doses to a single dose on the grounds of logistics. Cost appeared to be the most important reason in non‐user units. The practice is under consideration in two units.

Practical implications

There may be difficulty in universal implementation of NICE guidelines despite the supporting evidence.

Originality/value

This study demonstrates the issue of difficulty of local health economies in supporting national guidelines.

Details

Clinical Governance: An International Journal, vol. 12 no. 4
Type: Research Article
ISSN: 1477-7274

Keywords

Article
Publication date: 9 August 2011

Abhijit Basu, Rohit Arora and Nancy Fernandes

The paper's aim is to determine the quality of transfer of information in relation to NHSLA criterion “on site handover of patient care” between doctors on delivery suite…

Abstract

Purpose

The paper's aim is to determine the quality of transfer of information in relation to NHSLA criterion “on site handover of patient care” between doctors on delivery suite of a UK teaching hospital.

Design/methodology/approach

A pilot project, supplemental to the existing system, was trialled on delivery suite to assess the usefulness of a locally modified, standardised instrument (CHAPS) tested previously among midwives at a UK hospital. This was a retrospective audit of the hard copies of the forms available over a period of six weeks.

Findings

A total of 69 (82 per cent) forms were available for analysis. Obstetric registrar did the handover in 45(65 per cent) while no information was available in 32 per cent. Satisfactory assessment of clinical picture and history was possible in 96 per cent and 90 per cent cases respectively. Patient assessment was deemed satisfactory in 90 per cent cases. Management plan was satisfactory in 88 per cent. Documentation regarding date and time of handover was present in 84 per cent and 77 per cent cases respectively. Signature of the personnel handing and taking over were identifiable in 64 per cent and 55 per cent cases respectively.

Research limitations/implications

This pilot study was done in one clinical area at a single hospital over a short period. Wider use in other clinical areas treating different conditions is required to demonstrate global applicability.

Practical implications

This small study demonstrates good quality of transfer of information regarding patient care with the modified CHAPS instrument for handover between doctors on a delivery suite. It also raises the issues regarding poor documentation.

Originality/value

This is the only study of its kind hence comparisons could not be made. However it highlights the multiple issues regarding the complexities of handover of patient care between medical personnel.

Details

Clinical Governance: An International Journal, vol. 16 no. 3
Type: Research Article
ISSN: 1477-7274

Keywords

Article
Publication date: 17 October 2008

Abhijit Basu, Georgios Theophilou and Rosemary Howell

The purpose of this study is to determine the effectiveness of incident reporting within the Department of Gynaecology at Trafford General Hospital.

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Abstract

Purpose

The purpose of this study is to determine the effectiveness of incident reporting within the Department of Gynaecology at Trafford General Hospital.

Design/methodology/approach

A list of all reported clinical incidents in relation to gynaecology at the Trafford General Hospital over a period of two years (January 2005 to December 2006) was obtained. The complaints and claims related to gynaecology were also obtained for the same time period. All complaints and claims were correlated with the reported adverse incidents.

Findings

Of the reported 111 adverse incidents, none resulted in either complaint or claim. None of the complaints resulted in claims but there was no corresponding incident reporting. All the claims were directly related to surgical procedures but no incident reporting was done either. The nursing staff filled in all the 111 adverse incident forms.

Research limitations/implications

This study is only limited to adverse incidents in gynaecology over a short period of time (two years) at a District General Hospital.

Practical implications

This study demonstrates the need to stress the importance of incident reporting to the doctors. It is suggested that a session be dedicated to incident reporting as a part of in‐house training for medical staff of all grades.

Originality/value

This paper highlights the need to impress on the medical staff about the importance of adverse clinical incident reporting.

Details

Clinical Governance: An International Journal, vol. 13 no. 4
Type: Research Article
ISSN: 1477-7274

Keywords

Article
Publication date: 4 May 2010

Abhijit Basu, Rosemary Howell and Deepa Gopinath

The performance of NHS UK hospitals is under continuous scrutiny as they are constantly under pressure to perform well. A recent document published by an independent body…

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Abstract

Purpose

The performance of NHS UK hospitals is under continuous scrutiny as they are constantly under pressure to perform well. A recent document published by an independent body has recommended a host of clinical indicators to assess non‐financial performance of hospitals. This study aims to critically analyse the performance of a single UK hospital against several of these recommended indicators.

Design/methodology/approach

Data presented to the Hospital Trust Board for 12 months were used for this study. Previous years' data were used wherever available.

Findings

Based on data analysis, this hospital's performance is extremely difficult to calculate. The indicators use complex ratios and due to lack of standardisation, the hospital performance could be interpreted as better, worse or indifferent.

Research limitations/implications

This study analyses most of the recommended indicators. Literature review did not reveal a similar analysis of another hospital against these indicators which precludes comparison.

Practical implications

This study highlights the difficulty in comparing the performance of hospitals due to the inherent lack of consistency. Therefore it is apparent that any reward‐rebuke system linked to performance should interpret the data with caution. It is therefore suggested that easy to control single value activities and standardised routine activities could be used to measure hospital performance. Alternatively, the hospital could compare with its own statistics from previous years.

Originality/value

Literature acknowledges the difficulties in measuring clinical performance. This paper elucidates these difficulties applied to the NHS and suggests alternatives.

Details

International Journal of Health Care Quality Assurance, vol. 23 no. 4
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 23 January 2009

Abhijit Basu, Deepa Gopinath, Naheed Anjum and Susan Hotchkies

The purpose of this paper is to determine the prevalence of feedback following adverse clinical incident reporting among trainee doctors in obstetrics and gynaecology…

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Abstract

Purpose

The purpose of this paper is to determine the prevalence of feedback following adverse clinical incident reporting among trainee doctors in obstetrics and gynaecology within the Northwestern Deanery of England.

Design/methodology/approach

An anonymous questionnaire was circulated among the Specialist Registrar trainees within the specialty attending a regional teaching session. The questionnaire was analysed.

Findings

There were 50 responses, of those 45 (90 per cent) had been involved in an adverse clinical incident; 44 had submitted an incident form related to the incident. Three had submitted incident forms without being involved in an adverse incident. Most (80 per cent) had submitted an incident form as well as a related statement. Feedback was available to 23 (51 per cent) of those involved in adverse incidents. More of the senior trainees received feedback than the junior ones. A lecture on clinical incident reporting was available to only 35(70 per cent) of the respondents on the hospital induction day at their latest clinical placement.

Research limitations/implications

This study is limited to adverse clinical incident reporting among the trainees in a single specialty within one deanery in UK; hence the small numbers.

Practical implications

This study demonstrates the presence of awareness regarding adverse incident reporting among the trainees in a high‐risk specialty. It also shows the suboptimal rate of feedback following adverse incident reporting, which does not encourage a learning environment. It is suggested that a lecture should be dedicated to incident reporting at the junior doctors' induction day programme in every hospital.

Originality/value

This paper highlights the lack of adequate feedback following adverse clinical incident reporting.

Details

Clinical Governance: An International Journal, vol. 14 no. 1
Type: Research Article
ISSN: 1477-7274

Keywords

Content available
Article
Publication date: 20 January 2012

361

Abstract

Details

Clinical Governance: An International Journal, vol. 17 no. 1
Type: Research Article
ISSN: 1477-7274

Article
Publication date: 6 September 2018

Abhijit Roy

In the past three centuries in India, outsiders have dominated economic fortunes. Yet, for a brief interlude for two decades (i.e. in the 1830s and 1840s), the Bengalis…

Abstract

Purpose

In the past three centuries in India, outsiders have dominated economic fortunes. Yet, for a brief interlude for two decades (i.e. in the 1830s and 1840s), the Bengalis from Eastern India played a dominant role in the modern business sector of the economy as partners of the British. The singular reason behind this phenomenon was the role of Dwarkanath Tagore (DT) in building multiple multiracial business partnerships in a myriad of businesses. This study aims to demonstrate how all of these activities were synthesized in an integrated marketing approach and how DT was the catalyst in forging these partnerships with the British East India Company and other enterprises.

Design/methodology/approach

A historical research method is used in critically examining the business practices of DT. Resources include a few biographies about him as well as several print sources, including several publications owned by him.

Findings

DT’s approach to an integrated marketing approach in the nineteenth century, involved the traditional production, distributional and promotional components, and he understood the significance of using all tools at his disposal to reach his market using these synergies, each reinforcing his main self-identify was that of an entrepreneur. He used forward integration techniques in running other operations, e.g. distribution, publishing, advertising and promotion of his products. His multiracial social networks for business and social activities are also identified.

Originality/value

This study synthesizes different sections of DT’s businesses and illustrates how he used integrated marketing to build an enterprising, profit-making business, which was good for both the economy of Bengal and that of the British East India Company and his other partners. The study also establishes him as a pioneering Indian entrepreneur and identifies major social networks with other business partners (both Indian and British).

Details

Journal of Historical Research in Marketing, vol. 10 no. 3
Type: Research Article
ISSN: 1755-750X

Keywords

Content available
Book part
Publication date: 16 December 2013

Abstract

Details

Water Insecurity: A Social Dilemma
Type: Book
ISBN: 978-1-78190-882-2

Article
Publication date: 26 January 2021

Kiran Nair and Ruchi Gupta

The purpose of this paper is to explore the various application of artificial intelligence (AI) to social media and digital advertising professionals and agencies to…

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Abstract

Purpose

The purpose of this paper is to explore the various application of artificial intelligence (AI) to social media and digital advertising professionals and agencies to specialize to an advanced degree and maintain collaboration and creativity to bring a better return on investment.

Design/methodology/approach

Digital marketers are still oblivious to the importance of AI application, while some others simply do not know how to implement it. AI is currently acting as a significant disruption in digital and social media marketing worldwide.

Findings

Based on the literature review, the paper identifies the various AI applications in the field of digital media marketing.

Originality/value

This paper can serve as a useful guide for social media marketers to implement AI applications to impact digital marketing strategies better.

Details

World Journal of Entrepreneurship, Management and Sustainable Development, vol. 17 no. 3
Type: Research Article
ISSN: 2042-5961

Keywords

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