Affiliation: University of Oxford
- The role of surgery in patients with advanced gastric cancerPeter McCulloch
Nuffield Department of Surgery, John Radcliffe Hospital, Headington, Oxford, UK
Best Pract Res Clin Gastroenterol 20:767-87. 2006..The chances of long-term survival are, however, clearly much greater, and those of peri-operative death much less for an individual patient accepted for surgery in 2006 than they would have been in 1986...
- No surgical innovation without evaluation: the IDEAL recommendationsPeter McCulloch
Nuffield Department of Surgery, University of Oxford, Oxford, UK
Lancet 374:1105-12. 2009..Achievement of improved design, conduct, and reporting of surgical research will need concerted action by editors, funders of health care and research, regulatory bodies, and professional societies...
- Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unitPeter McCulloch
Quality, Reliability, Safety and Teamwork Unit QRSTU, Nuffield Department of Surgery, University of Oxford, Oxford, UK
BMJ 341:c5469. 2010..Emergency surgical patients are at high risk for harm because of errors in care. Quality improvement methods that involve process redesign, such as “Lean,” appear to improve service reliability and efficiency in healthcare...
- Finding and appraising evidencePeter McCulloch
Nuffield Department of Surgery, Oxford University, Level 6, John Radcliffe Hospital, Headington, Oxford OX3 9DU, United Kingdom
Surg Clin North Am 86:41-57, viii. 2006....
- Surgical professionalism in the 21st centuryPeter McCulloch
University of Oxford, Nuffield Department of Surgery, John Radcliffe Hospital, Headington, Oxford OX3 9DU, UK
Lancet 367:177-81. 2006
- Tolerance of uncertainty, extroversion, neuroticism and attitudes to randomized controlled trials among surgeons and physiciansP McCulloch
Academic Unit of Surgery, University of Liverpool, Liverpool, UK
Br J Surg 92:1293-7. 2005....
- Interventions to improve teamwork and communications among healthcare staffP McCulloch
Quality, Reliability, Safety and Teamwork Unit, Nuffield Department of Surgery, University of Oxford, Oxford OX3 9DU, UK
Br J Surg 98:469-79. 2011..These are widely assumed to be effective in improving patient safety, but the extent to which this assumption is justified by evidence remains unclear...
- The IDEAL recommendations and urological innovationPeter McCulloch
Nuffield Department of Surgical Science, University of Oxford, Oxford, UK
World J Urol 29:331-6. 2011..This article explains the IDEAL framework and recommendations and illustrates how they might affect the evaluation of current controversial urological procedures...
- A three-dimensional model of error and safety in surgical health care microsystems. Rationale, development and initial testingPeter McCulloch
Quality, Reliability, Safety and Teamwork Unit, Nuffield Department of Surgical Sciences, University of Oxford, Level 6 John Radcliffe Hospital, Headley Way, Oxford OX3 9DU UK
BMC Surg 11:23. 2011..We propose such a model which is directed at "microsystem" level (Ward and operating theatre), and which frames problems and solutions within three dimensions...
- The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatreP McCulloch
Nuffield Department of Surgery, University of Oxford, Oxford, UK
Qual Saf Health Care 18:109-15. 2009..Debriefing and challenging authority seemed more difficult to introduce than other parts of the training. Further studies are needed to define the optimal training package, explain variable responses and confirm clinical benefit...
- Interruptions during drug rounds: an observational studySimon Kreckler
Nuffield Department of Surgery, University of Oxford, John Radcliffe Hospital, Oxford, UK
Br J Nurs 17:1326-30. 2008..Objective information from direct observation will prove valuable in designing possible solutions to the problem. These will require local knowledge and frontline staff involvement to be sustainable...
- The influence of non-technical performance on technical outcome in laparoscopic cholecystectomyA Mishra
Nuffield Department of Surgery, University of Oxford, John Radcliffe Hospital, Oxford, OX3 9DU, UK
Surg Endosc 22:68-73. 2008..The relationship between non-technical teamwork skills and technical errors was studied using a behavioural marker system validated in aviation and adapted for use in surgery...
- Patient handovers within the hospital: translating knowledge from motor racing to healthcareKen Catchpole
Nuffield Department of Surgery, University of Oxford, The John Radcliffe, Headington, Oxford OX3 9DU, UK
Qual Saf Health Care 19:318-22. 2010..This has been extended to include contributions from several motor racing teams, and by examining transfers at several different interfaces at a non-specialist UK teaching hospital...
- When are randomised trials unnecessary? Picking signal from noisePaul Glasziou
Centre for Evidence Based Medicine, Department of Primary Health Care, University of Oxford, Oxford OX3 7LF
BMJ 334:349-51. 2007..This model may help to reduce controversy about evidence for treatments whose effects are so dramatic that randomised trials are unnecessary...
- Teamwork and error in the operating room: analysis of skills and rolesK Catchpole
Nuffield Department of Surgery, University of Oxford, Oxford, United Kingdom
Ann Surg 247:699-706. 2008..To analyze the effects of surgical, anesthetic, and nursing teamwork skills on technical outcomes...
- Factors influencing incident reporting in surgical careS Kreckler
Oxford University, Nuffield Department of Surgery, John Radcliffe Hospital, Oxford, UK
Qual Saf Health Care 18:116-20. 2009..To evaluate the process of incident reporting in a surgical setting. In particular: the influence of event outcome on reporting behaviour; staff perception of surgical complications as reportable events...
- Mortality and morbidity in gastro-oesophageal cancer surgery: initial results of ASCOT multicentre prospective cohort studyPeter McCulloch
Academic Unit of Surgery, University of Liverpool, University Hospital Aintree, Liverpool L9 7AL
BMJ 327:1192-7. 2003..To evaluate the effect of comorbidity and other risk factors on postoperative mortality and morbidity in patients undergoing major oesophageal and gastric surgery...
- WITHDRAWN: Extended versus limited lymph nodes dissection technique for adenocarcinoma of the stomachPeter McCulloch
Nuffield Department of Surgery, John Radcliffe Hospital, Oxford, UK
Cochrane Database Syst Rev 1:CD001964. 2012..Surgeons disagree about the merits and risks of radical lymph node clearance during gastrectomy for cancer...
- The effects of an awareness-raising program for patients and primary care physicians on the early detection of gastro-oesophageal cancerPeter McCulloch
Academic Unit of Surgery, Department of Civic Design, Clinical Sciences Centre, University Hospital Aintree, University of Liverpool, Lower Lane, Liverpool L9 7AL, UK
Surgery 133:154-61. 2003..To test the efficacy of education by home letter, together with improved specialist/GP liaison, in promoting the detection of treatable gastro-oesophageal cancer in patients over 40...
- Human factors in critical care: towards standardized integrated human-centred systems of workKen Catchpole
Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK
Curr Opin Crit Care 16:618-22. 2010..Improvements in safety and quality benefit from a systems approach. Human factors is the study and practice of the relationship between humans and systems. This review examines recent advances in human factors in healthcare...
- Randomised trials in surgery: problems and possible solutionsPeter McCulloch
Academic Unit of Surgery, University of Liverpool, Clinical Sciences Centre, University Hospital Aintree, Liverpool L9 7AL
BMJ 324:1448-51. 2002
- Gastrectomy with extended lymphadenectomy for primary treatment of gastric cancerP McCulloch
Academic Unit of Surgery, University Hospital Aintree, University of Liverpool, Liverpool, UK
Br J Surg 92:5-13. 2005..The appropriate extent of lymph node clearance during gastrectomy for cancer remains controversial...
- Teaching evidence-based decision-makingNick Sevdalis
Clinical Safety Research Unit, Department of Bio Surgery and Surgical Technology, Imperial College, 10th Floor, QEQM, St Mary s Hospital, South Warf Road, London, England W2 1NY, UK
Surg Clin North Am 86:59-70, viii. 2006....
- Medical justice for undocumented migrantsFrank Arnold
Lancet 371:201. 2008
- Multidisciplinary crisis simulations: the way forward for training surgical teamsShabnam Undre
Department of Bio Surgery and Surgical Technology, Imperial College and St, Mary s Hospital, London, United Kingdom
World J Surg 31:1843-53. 2007..Recently safety skills training has been applied in the practice of medicine. In this study, we developed and piloted a module using multidisciplinary crisis scenarios in a simulated operating theatre to train entire surgical teams...
- The laws of diminishing objectivityPeter McCulloch
Lancet 363:994. 2004
- Mortality control charts for comparing performance of surgical units: validation study using hospital mortality dataParis P Tekkis
Academic Department of Surgery, King s College Hospital, London SE5 9RS
BMJ 326:786-8. 2003..To design and validate a statistical method for evaluating the performance of surgical units that adjusts for case volume and case mix...
- Laparoscopic gastrectomy for gastric cancer: early experience among the elderlyK K Singh
Worthing Hospital, Lyndhurst Road, Worthing, West Sussex, BN11 2HR, UK
Surg Endosc 22:1002-7. 2008..This report presents the authors' early experience with totally laparoscopic gastric resections for cancer in elderly patients...