University of York

About: University of York is a education organization based out in York, York, United Kingdom. It is known for research contribution in the topics: Population & Health care. The organization has 22089 authors who have published 56925 publications receiving 2458285 citations. The organization is also known as: York University & Ebor..

Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review.

Abstract: Objective To evaluate the performance of a routine incident reporting system in identifying patient safety incidents. Design Two stage retrospective review of patients9 case notes and analysis of data submitted to the routine incident reporting system on the same patients. Setting A large NHS hospital in England. Population 1006 hospital admissions between January and May 2004: surgery (n=311), general medicine (n=251), elderly care (n=184), orthopaedics (n=131), urology (n=61), and three other specialties (n=68). Main outcome measures Proportion of admissions with at least one patient safety incident; proportion and type of patient safety incidents missed by routine incident reporting and case note review methods. Results 324 patient safety incidents were identified in 230/1006 admissions (22.9%; 95% confidence interval 20.3% to 25.5%). 270 (83%) patient safety incidents were identified by case note review only, 21 (7%) by the routine reporting system only, and 33 (10%) by both methods. 110 admissions (10.9%; 9.0% to 12.8%) had at least one patient safety incident resulting in patient harm, all of which were detected by the case note review and six (5%) by the reporting system. Conclusion The routine incident reporting system may be poor at identifying patient safety incidents, particularly those resulting in harm. Structured case note review may have a useful role in surveillance of routine incident reporting and associated quality improvement programmes.

Computability: An Introduction to Recursive Function Theory

Abstract: What can computers do in principle? What are their inherent theoretical limitations? These are questions to which computer scientists must address themselves. The theoretical framework which enables such questions to be answered has been developed over the last fifty years from the idea of a computable function: intuitively a function whose values can be calculated in an effective or automatic way. This book is an introduction to computability theory (or recursion theory as it is traditionally known to mathematicians). Dr Cutland begins with a mathematical characterisation of computable functions using a simple idealised computer (a register machine); after some comparison with other characterisations, he develops the mathematical theory, including a full discussion of non-computability and undecidability, and the theory of recursive and recursively enumerable sets. The later chapters provide an introduction to more advanced topics such as Godel's incompleteness theorem, degrees of unsolvability, the Recursion theorems and the theory of complexity of computation. Computability is thus a branch of mathematics which is of relevance also to computer scientists and philosophers. Mathematics students with no prior knowledge of the subject and computer science students who wish to supplement their practical expertise with some theoretical background will find this book of use and interest.

Screening and case-finding instruments for depression: a meta-analysis

Abstract: Background: Screening and case-finding has been proposed as a simple, quick and cheap method to improve the quality of care for depression. We sought to establish the effectiveness of screening in improving the recognition of depression, the management of depression and the outcomes of patients with depression. Methods: We performed a Cochrane systematic review of randomized controlled trials conducted in nonmental health settings that included case-finding or screening instruments for depression. We conducted a meta-analysis and explored heterogeneity using meta-regression techniques. Results: Sixteen studies with 7576 patients met our inclusion criteria. We found that the use of screening or case-finding instruments were associated with a modest increase in the recognition of depression by clinicians (relative risk [RR] 1.27, 95% confidence interval [CI] 1.02 to 1.59). Questionnaires, when administered to all patients and the results given to clinicians irrespective of baseline score, had no impact on recognition (RR 1.03, 95% CI 0.85 to 1.24). Screening or case finding increased the use of any intervention by a relative risk of 1.30 (95% CI 0.97 to 1.76). There was no evidence of influence on the prescription of antidepressant medications (RR 1.20, 95% CI 0.87 to 1.66). Seven studies provided data on outcomes of depression, and no evidence of an effect was found (standardized mean difference –0.02, 95% CI –0.25 to 0.20). Interpretation: If used alone, case-finding or screening questionnaires for depression appear to have little or no impact on the detection and management of depression by clinicians. Recommendations to adopt screening strategies using standardized questionnaires without organizational enhancements are not justified.

The development of phonological awareness in preschool children.

Abstract: A short-term longitudinal study was carried out on a group of 67 preschool children. At three points in time over a 12-month period, the children were given tests measuring their syllable, rime, and phoneme awareness, speech and language skills, and letter knowledge. In general, children's rime skills developed earlier than their phoneme skills. Structural equation models showed that articulatory skills and syllable and rime awareness predicted later phoneme awareness.

Naming the Snodgrass and Vanderwart Pictures: Effects of Age of Acquisition, Frequency, and Name Agreement:

Abstract: Independent measures of age of acquisition (AoA), name agreement, and rated object familiarity were obtained from groups of British subjects for all items in the Snodgrass and Vanderwart (1980) picture set with single names. Word frequency measures, both written and spoken, were taken from the Celex database (Centre for Lexical Information, 1993). The line drawings were presented to a separate groupof participants in an object naming task, and vocal naming latencies were recorded. A subset of 195 items was selected for analysis after excluding items with, for example, low name agreement. The major determinants of picture naming speed were the frequency of the name, the interaction between AoA and frequency, and name agreement. (The main effect of the AoA of the name and the effect of the rated image agreement of the picture were also significant on one-tailed tests.) Spoken name frequency affects object naming times mainly for items with later-acquired names.