Research Development

Staff Publications

 Small purple icon of a book with a magnifying glass on top  Staff Publications

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 'Macadam R'



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

TU8.10 Should patients with a predicted NELA mortality of 5–10% be managed on ICU? An audit of the management of high-risk laparotomies as per NELA Guidelines

Aims The National Emergency Laparotomy Audit (NELA) has been pivotal in improving the care of patients undergoing emergency laparotomy. One key recommendation is ‘high-risk’ patients are managed on ICU post-operatively. We aimed to identify if there was a difference in outcomes between ‘high-risk patients’ (predicated NELA mortality >5%) managed on ICU..

Published: 09/08/2022
Authors: Banks J, Macadam R

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EP.FRI.763 Impact of COVID-19 on the rates of emergency laparotomies at an acute general hospital in the United Kingdom

Aims The aim of this study was to analyse if the COVID-19 pandemic had any effect on the number of emergency laparotomies performed each month at a single NHS Foundation Trust. Method This single-centre retrospective observational study included all patients that underwent an emergency laparotomy that was registered as part..

Published: 28/10/2021
Authors: Wright C, Kirkham S, Millward A, Macadam R

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SP 11.5- Adoption of ‘Agile’ project management principles significantly accelerated the development of a multidisciplinary Emergency Laparotomy pathway

Aims Creating patient pathways and protocols that require the input of multiple senior clinicians can be challenging and projects may be delayed, deadlines missed, and ultimately patients may have poorer outcomes. Method(s) 'Agile' is an approach to software development using collaborative self-organizing teams, often in different locations. Trello is..

Published: 01/09/2019
Authors: Kirkham S, Vitovska E, Pantak G, Macadam R, Singh S

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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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