Research Development

Staff Publications

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Find out what your colleagues have been writing. This section features articles published by staff working for St Helens and Knowsley Teaching Hospitals and Halton, Knowsley and St Helens community staff.

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All publications by 'Varia R'



Mersey and West Lancashire Teaching Hospitals NHS Trust – St Helens & Knowsley Staff

Analysis from the Society for Acute Medicine Benchmarking Audit 2022 and comparison with performance 2019 - 2021

Abstract Urgent and emergency care services face increasing pressure, impacting patient care. We evaluated the performance of acute medicine services, assessing clinical quality indicators for unplanned medical admissions to acute hospital services. 152 acute UK hospital services accepting unplanned admissions to acute and general internal medicine completed a day-of-care survey incorporating..

Published: 01/12/2023
Authors: Varia R

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Society for Acute Medicine’s Patients: Learning from Experience Report (SAM-PLER) A service evaluation of patient reported experience in Acute Medicine – establishing the feasibility of a quality improvement collaborative

Abstract Patient reported experience measures (PREMS) are a key part of measured quality. There is no tool currently used in the UK in Acute Medicine. On the 8th of September 2022 10 units based in England, Scotland and Wales collected data for the validated PREM, alongside the EQ-5D and variables from..

Published: 23/09/2023
Authors: Varia R

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Performance of admission pathways within acute medicine services: Analysis from the Society for Acute Medicine Benchmarking Audit 2022 and comparison with performance 2019 - 2021.

Abstract  Urgent and emergency care services face increasing pressure, impacting patient care. We evaluated the performance of acute medicine services, assessing clinical quality indicators for unplanned medical admissions to acute hospital services. 152 acute UK hospital services accepting unplanned admissions to acute and general internal medicine completed a day-of-care survey incorporating..

Published: 03/08/2023
Authors: Varia R

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Developing priorities for quality improvement in acute medicine using a modified Delphi method

Introduction The SAM Quality Improvement Committee (SAM-QI), set up in 2016, has worked over the last year to determine the priority Acute Medicine QI topics. They have also discussed and put forward proposals to improve QI training for Acute Medicine professionals. Methods A modified Delphi process was completed over four rounds..

Published: 09/06/2022
Authors: Varia R, Rigby A

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Society for Acute Medicine Benchmarking Audit 2021 (SAMBA21): assessing national performance of acute medicine services

Introduction The Society for Acute Medicine Benchmarking Audit 2021 (SAMBA21) took place on 17th June 2021, providing the first assessment of performance against the Society for Acute Medicine's Clinical Quality Indicators (CQIs) within acute medical units since the start of the COVID-19 pandemic. Methods All acute hospitals in the UK were invited..

Published: 28/03/2022
Authors: Varia R

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Length of stay in Acute Medical Admissions: Analysis from the Society for Acute Medicine Benchmarking Audit

Introduction Medical admissions to hospital represent a diverse range of patients, from those managed on ambulatory pathways through Same Day Emergency Care (SDEC) services, to those requiring prolonged inpatient admission. An understanding of current patterns of admission through acute medicine services and patient factors associated with longer hospital admission is..

Published: 28/03/2022
Authors: Varia R

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Quality: What does it mean in Acute Medicine and how do we measure it?

Abstract Acute Medicine is a specialty that is not defined by a single organ system and sits at the interface between primary and secondary care. In order to document improvements in the quality of care delivered a system of metrics is required. A number of frameworks for measurements exist to..

Published: 06/07/2021
Authors: Varia R

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P211 Impact of door-to-radiograph time on pneumonia management

​ Introduction  Pneumonia continues to be associated with significant mortality.1 The diagnostic gold standard remains the Chest X-Ray (CXR). Quality indicators such as door-to-antibiotic or door-to-radiograph time are monitored as surrogate outcome measures. Objective  To assess the impact of CXR availability at first clinician contact in cases where initial antibiotics were..

Published: 19/07/2016
Authors: Varia R, Ashton A

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Successful implementation of a medical emergency team

​ Introduction A medical emergency team (MET) was introduced in our institution in January 2012 to provide timely response to the needs of acutely ill inpatients and cardiac arrest calls. The MET assesses the patient and prescribes a management plan for the responsible team to follow; promptly stabilising and transferring patients to..

Published: 19/07/2016
Authors: Elmore J, Mahambrey T, Tridente A, Varia R

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Managing suspected pulmonary embolism

​ Background  We observed a high number of patients admitted with suspected pulmonary embolism (PE) via our acute medical unit. After positive diagnosis, they remained as inpatients until their International Normalised Ratio (INR) was in range resulting in long lengths of stay - Median (range) 7 (0 to 52) days. Recently, there has been..

Published: 19/07/2016
Authors: Varia R

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'CURE-CAP'

​ Introduction  The annual incidence of Community acquired pneumonia (CAP) is 5–11/1000. Between 22% and 42% require admission to hospital. Wide variation exists in the management of CAP despite guidelines issued by the British Thoracic Society (BTS). Care bundles have been shown to improve outcomes through standardisation of care in other diseases as well..

Published: 19/07/2016
Authors: Varia R

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St Helens Community Staff

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Knowsley Community Staff

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Halton Community Staff

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North West Boroughs Community Health Staff

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