Aloysius Niroshan Siriwardena

Summary

Affiliation: University of Lincoln
Country: UK

Publications

  1. ncbi request reprint Individual practice and how to improve it
    A Niroshan Siriwardena
    Professor of Primary and Prehospital Health Care, Community and Health Research Unit CaHRU, Faculty of Health and Social Sciences, University of Lincoln, Brayford Pool, Lincoln LN6 7TS, UK
    Qual Prim Care 22:133-8. 2014
  2. pmc Effectiveness of non-benzodiazepine hypnotics in treatment of adult insomnia: meta-analysis of data submitted to the Food and Drug Administration
    Tania B Huedo-Medina
    Department of Allied Health Sciences, University of Connecticut, 358 Mansfield Road U 2101, Storrs, CT 06269 2101, USA
    BMJ 345:e8343. 2012
  3. ncbi request reprint Evaluating improvement
    A Niroshan Siriwardena
    Community and Health Research Unit CaHRU, School of Health and Social Care, College of Social Science, University of Lincoln, Brayford Pool, Lincoln LN6 7TS, UK
    Qual Prim Care 22:63-70. 2014
  4. ncbi request reprint Patient perspectives on quality
    A Niroshan Siriwardena
    Primary and Prehospital Health Care, Community and Health Research Unit CaHRU, University of Lincoln, Brayford Pool Lincoln LN6 7TS, UK
    Qual Prim Care 22:11-5. 2014
  5. ncbi request reprint Systems and spread
    A Niroshan Siriwardena
    Primary and Prehospital Health Care, Community and Health Research Unit CaHRU, University of Lincoln, Brayford Pool, Lincoln LN6 7TS, UK
    Qual Prim Care 22:7-10. 2014
  6. ncbi request reprint Influenza and pneumococcal vaccination and risk of stroke or transient ischaemic attack-matched case control study
    A Niroshan Siriwardena
    Community and Health Research Unit, University of Lincoln and Lincolnshire Community Health Services NHS Trust, School of Health and Social Care, College of Social Science, Brayford Campus, Lincoln LN6 7TS, UK Electronic address
    Vaccine 32:1354-61. 2014
  7. pmc The effect of a national quality improvement collaborative on prehospital care for acute myocardial infarction and stroke in England
    Aloysius Niroshan Siriwardena
    East Midlands Ambulance Service NHS Trust EMAS, Cross O Cliff Court, Lincoln LN4 2HN, England
    Implement Sci 9:17. 2014
  8. pmc General practitioners' experiences and perceptions of benzodiazepine prescribing: systematic review and meta-synthesis
    Coral Sirdifield
    Community and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincoln, UK
    BMC Fam Pract 14:191. 2013
  9. ncbi request reprint Measuring for improvement
    A Niroshan Siriwardena
    Community and Health Research Unit CaHRU, University of Lincoln, UK
    Qual Prim Care 21:293-301. 2013
  10. ncbi request reprint Understanding processes and how to improve them
    A Niroshan Siriwardena
    Faculty of Health and Social Sciences, University of Lincoln, Lincoln LN6 7TS, UK
    Qual Prim Care 21:179-85. 2013

Collaborators

Detail Information

Publications35

  1. ncbi request reprint Individual practice and how to improve it
    A Niroshan Siriwardena
    Professor of Primary and Prehospital Health Care, Community and Health Research Unit CaHRU, Faculty of Health and Social Sciences, University of Lincoln, Brayford Pool, Lincoln LN6 7TS, UK
    Qual Prim Care 22:133-8. 2014
    ..We show how quality improvement techniques can be used to improve individual practice and how this can be incorporated into the appraisal process for doctors, nurses and other healthcare professionals. ..
  2. pmc Effectiveness of non-benzodiazepine hypnotics in treatment of adult insomnia: meta-analysis of data submitted to the Food and Drug Administration
    Tania B Huedo-Medina
    Department of Allied Health Sciences, University of Connecticut, 358 Mansfield Road U 2101, Storrs, CT 06269 2101, USA
    BMJ 345:e8343. 2012
    ..To investigate the effectiveness of non-benzodiazepine hypnotics (Z drugs) and associated placebo responses in adults and to evaluate potential moderators of effectiveness in a dataset used to approve these drugs...
  3. ncbi request reprint Evaluating improvement
    A Niroshan Siriwardena
    Community and Health Research Unit CaHRU, School of Health and Social Care, College of Social Science, University of Lincoln, Brayford Pool, Lincoln LN6 7TS, UK
    Qual Prim Care 22:63-70. 2014
    ..Finally, mixed methods designs such as action research or case study methods are widely used to design and evaluate improvement interventions. ..
  4. ncbi request reprint Patient perspectives on quality
    A Niroshan Siriwardena
    Primary and Prehospital Health Care, Community and Health Research Unit CaHRU, University of Lincoln, Brayford Pool Lincoln LN6 7TS, UK
    Qual Prim Care 22:11-5. 2014
    ....
  5. ncbi request reprint Systems and spread
    A Niroshan Siriwardena
    Primary and Prehospital Health Care, Community and Health Research Unit CaHRU, University of Lincoln, Brayford Pool, Lincoln LN6 7TS, UK
    Qual Prim Care 22:7-10. 2014
    ..This is the fifth in a series of papers about the science of quality improvement. In this paper, we explore the issue of healthcare as a system and how this contributes to our understanding of how to spread improvement. ..
  6. ncbi request reprint Influenza and pneumococcal vaccination and risk of stroke or transient ischaemic attack-matched case control study
    A Niroshan Siriwardena
    Community and Health Research Unit, University of Lincoln and Lincolnshire Community Health Services NHS Trust, School of Health and Social Care, College of Social Science, Brayford Campus, Lincoln LN6 7TS, UK Electronic address
    Vaccine 32:1354-61. 2014
    ..We aimed to investigate whether influenza or pneumococcal vaccination or both together were associated with reduced risk of stroke or transient ischaemic attack (TIA)...
  7. pmc The effect of a national quality improvement collaborative on prehospital care for acute myocardial infarction and stroke in England
    Aloysius Niroshan Siriwardena
    East Midlands Ambulance Service NHS Trust EMAS, Cross O Cliff Court, Lincoln LN4 2HN, England
    Implement Sci 9:17. 2014
    ..We aimed to evaluate the effectiveness of implementing a Quality Improvement Collaborative (QIC) for improving ambulance care for AMI and stroke...
  8. pmc General practitioners' experiences and perceptions of benzodiazepine prescribing: systematic review and meta-synthesis
    Coral Sirdifield
    Community and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincoln, UK
    BMC Fam Pract 14:191. 2013
    ....
  9. ncbi request reprint Measuring for improvement
    A Niroshan Siriwardena
    Community and Health Research Unit CaHRU, University of Lincoln, UK
    Qual Prim Care 21:293-301. 2013
    ..These help us to understand healthcare processes, to assess whether they are stable or improving and to determine how they can be improved further. ..
  10. ncbi request reprint Understanding processes and how to improve them
    A Niroshan Siriwardena
    Faculty of Health and Social Sciences, University of Lincoln, Lincoln LN6 7TS, UK
    Qual Prim Care 21:179-85. 2013
    ....
  11. ncbi request reprint Patients' and emergency clinicians' perceptions of improving pre-hospital pain management: a qualitative study
    Mohammad Iqbal
    East Midlands Ambulance Service NHS Trust, Lincoln, UK
    Emerg Med J 30:e18. 2013
    ..The authors aimed to investigate patients' and practitioners' views and experiences of pre-hospital pain management to inform improvements in care and a patient-centred approach to treatment...
  12. pmc Comparing performance among male and female candidates in sex-specific clinical knowledge in the MRCGP
    A Niroshan Siriwardena
    Primary and Prehospital Healthcare, School of Health and Social Care, University of Lincoln, UK
    Br J Gen Pract 62:e446-50. 2012
    ..Few studies have investigated differences in knowledge by sex of candidate on sex-specific questions in medical examinations...
  13. pmc Parents' beliefs about appropriate infant size, growth and feeding behaviour: implications for the prevention of childhood obesity
    Sarah A Redsell
    School of Nursing, Midwifery and Physiotherapy, University of Nottingham, Queen s Medical Centre, and Nottingham University Hospital NHS Trust, B Floor, South Block, Nottingham, NG7 2HA, UK
    BMC Public Health 10:711. 2010
    ..This study aimed to explore UK parents' beliefs concerning their infant's size, growth and feeding behaviour and parental receptiveness to early intervention aimed at reducing the risk of childhood obesity...
  14. pmc Strategies for improving patient recruitment to focus groups in primary care: a case study reflective paper using an analytical framework
    Jane V Dyas
    National Institute for Health Research, Research Design Service East Midlands, Tower Building, University Park, Nottingham, NG7 2RD, UK
    BMC Med Res Methodol 9:65. 2009
    ..The aim of this paper is to reflect on recruitment to a focus group study comparing the methods used with existing evidence using a resource for research recruitment, PROSPeR (Planning Recruitment Options: Strategies for Primary Care)...
  15. pmc Preventing childhood obesity during infancy in UK primary care: a mixed-methods study of HCPs' knowledge, beliefs and practice
    Sarah A Redsell
    School of Nursing, Midwifery and Physiotherapy, The University of Nottingham, Queen s Medical Centre, B Floor, South Block, Nottingham, NG7 2HA, UK
    BMC Fam Pract 12:54. 2011
    ..This study explored obesity-related knowledge of UK HCPs and the beliefs and current practice of general practitioners (GPs) and practice nurses in relation to identifying infants at risk of developing childhood obesity...
  16. pmc GPs' attitudes to benzodiazepine and 'Z-drug' prescribing: a barrier to implementation of evidence and guidance on hypnotics
    A Niroshan Siriwardena
    School of Health and Social Care, University of Lincoln, Lincoln
    Br J Gen Pract 56:964-7. 2006
    ..GPs' beliefs about effectiveness and safety are not determined by current evidence or national (NICE) guidance which may explain the increase in Z-drug prescribing relative to benzodiazepine prescribing...
  17. ncbi request reprint Healthcare workers and influenza vaccination. Commentary on Canning HS, Phillips J & Allsup S (2005). Healthcare workers beliefs about influenza vaccine and the reasons for non-vaccination - a cross-sectional survey. Journal of Clinical Nursing 14, 92
    Aloysius Niroshan Siriwardena
    School of Health and Social Care, University of Lincoln, Lincoln, UK
    J Clin Nurs 16:1186-8. 2007
  18. pmc Drivers for change in primary care of diabetes following a protected learning time educational event: interview study of practitioners
    Aloysius Niroshan Siriwardena
    School of Health and Social Care, University of Lincoln, Lincoln, UK
    BMC Med Educ 8:4. 2008
    ....
  19. pmc Magic bullets for insomnia? Patients' use and experiences of newer (Z drugs) versus older (benzodiazepine) hypnotics for sleep problems in primary care
    A Niroshan Siriwardena
    Faculty of Health, Life and Social Sciences, University of Lincoln, Brayford Pool, Lincoln
    Br J Gen Pract 58:417-22. 2008
    ..Little is known about patients' perceptions of newer hypnotics...
  20. pmc Effectiveness and cost-effectiveness of an educational intervention for practice teams to deliver problem focused therapy for insomnia: rationale and design of a pilot cluster randomised trial
    A Niroshan Siriwardena
    Faculty of Health, Life and Social Sciences, University of Lincoln Brayford Pool, Lincoln, UK
    BMC Fam Pract 10:9. 2009
    ....
  21. pmc Performance and views of examiners in the Applied Knowledge Test for the nMRCGP licensing examination
    A Niroshan Siriwardena
    School of Health and Social Care, University of Lincoln, Lincoln
    Br J Gen Pract 59:e38-43. 2009
    ..A new computer-based Applied Knowledge Test (AKT) has been developed for the licensing examination for general practice administered by the Royal College of General Practitioners...
  22. ncbi request reprint Investigation of the effect of a countywide protected learning time scheme on prescribing rates of ramipril: interrupted time series study
    A N Siriwardena
    School of Health and Social Care, University of Lincoln, Lincoln, UK
    Fam Pract 24:26-33. 2007
    ..Protected learning time (PLT) schemes have been set up in primary care across the UK. There is little published evidence of their effectiveness...
  23. doi request reprint Room for improvement? Leadership, innovation culture and uptake of quality improvement methods in general practice
    Tanefa A Apekey
    NHS Lincolnshire, Lincolnshire Teaching Primary Care Trust, Cross O Cliff Court, Bracebridge Heath, Lincoln, UK
    J Eval Clin Pract 17:311-8. 2011
    ..This study aimed to assess the relationship between leadership behaviour, culture of innovation and adoption of quality improvement methods in general practice...
  24. ncbi request reprint An evaluation of an educational intervention to reduce inappropriate cannulation and improve cannulation technique by paramedics
    A N Siriwardena
    Faculty of Health, Life and Social Sciences, University of Lincoln, Brayford Pool, Lincoln LN6 7TS, UK
    Emerg Med J 26:831-6. 2009
    ..We aimed to investigate the effect of an educational intervention designed to reduce the rate of inappropriate cannulation and to improve cannulation technique...
  25. ncbi request reprint Using a common cause strategy for quality improvement: improving hypnotic prescribing in general practice within a Quality Improvement Collaborative
    A Niroshan Siriwardena
    School of Health and Social Care, University of Lincoln, Lincoln LN6 7TS, UK
    Qual Prim Care 19:283-7. 2011
    ....
  26. ncbi request reprint Out of the healthcare crisis
    A Niroshan Siriwardena
    School of Health and Social Care, University of Lincoln, Lincoln, UK
    Qual Prim Care 19:127-31. 2011
    ..This discussion paper reviews what Deming can teach us about causes of failure in management, including health care, what can be done to remedy them and how to avert problems in future...
  27. doi request reprint Supporting research and development in ambulance services: research for better health care in prehospital settings
    A Niroshan Siriwardena
    Faculty of Health, Life and Social Sciences, University of Lincoln, Brayford Pool, Lincoln LN6 7TS, UK
    Emerg Med J 27:324-6. 2010
    ....
  28. doi request reprint Development and pilot of clinical performance indicators for English ambulance services
    A Niroshan Siriwardena
    Faculty of Health, Life and Social Sciences, University of Lincoln, Brayford Pool, Lincoln LN6 7TS, UK
    Emerg Med J 27:327-31. 2010
    ..We report on progress on the national pilot of clinical performance indicators for English ambulance services...
  29. doi request reprint Exploratory cross-sectional study of factors associated with pre-hospital management of pain
    A Niroshan Siriwardena
    Faculty of Health, Life and Social Sciences, University of Lincoln, Lincoln, UK
    J Eval Clin Pract 16:1269-75. 2010
    ..Improving pain management is important in pre-hospital settings. We aimed to investigate how pain was managed in pre-hospital suspected acute myocardial infarction (AMI) or fracture and how this could be improved...
  30. ncbi request reprint General practitioners' preferences for managing insomnia and opportunities for reducing hypnotic prescribing
    A Niroshan Siriwardena
    Faculty of Health, Life and Social Sciences, University of Lincoln, Brayford Pool, Lincoln, UK
    J Eval Clin Pract 16:731-7. 2010
    ..The aim of this study was to investigate GPs' management preferences for sleep problems and their awareness and perception of opportunities for improving care as well as reducing the use of benzodiazepines and Z drugs...
  31. pmc Involve the patient and pass the MRCGP: investigating shared decision making in a consulting skills examination using a validated instrument
    A Niroshan Siriwardena
    University of Lincoln, Lincoln
    Br J Gen Pract 56:857-62. 2006
    ..Shared decision making is an important aspect of patient centredness. Lack of this consulting behaviour is a common reason for failure in the Membership of the Royal College of General Practitioners (MRCGP) consulting skills examination...
  32. ncbi request reprint Patients' and ambulance service clinicians' experiences of prehospital care for acute myocardial infarction and stroke: a qualitative study
    Fiona Jayne Togher
    Community and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincoln, UK
    Emerg Med J 30:942-8. 2013
    ..Little is known about experiences of prehospital care which are important for measuring the quality of services for patients with AMI or stroke...
  33. doi request reprint Exploratory study of factors associated with adverse clinical features in patients presenting with non-fatal drug overdose/self-poisoning to the ambulance service
    Stella May Gwini
    Centre for Occupational and Environmental Health, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
    Emerg Med J 28:892-4. 2011
    ..To investigate the factors associated with adverse clinical features presented by drug overdose/self-poisoning patients and the treatments provided...
  34. ncbi request reprint General practitioners, revalidation and appraisal: a cross sectional survey of attitudes, beliefs and concerns in Lincolnshire
    Jo Middlemass
    West Lincolnshire Primary Care Trust, Lincoln, UK
    Med Educ 37:778-85. 2003
    ..All general practitioners (GPs) are expected to have an appraisal from 2002 and the first cohort will experience revalidation in 2005. Although there is a link between appraisal and revalidation, this has yet to be clarified...
  35. ncbi request reprint Identifying barriers and facilitators to ambulance service assessment and treatment of acute asthma: a focus group study
    Deborah Shaw
    Clinical Audit and Research Department, East Midlands Ambulance Service NHS Trust, East Division Headquarters, Cross O Cliff Court, Lincoln LN4 2HL, England
    BMC Emerg Med 14:18. 2014
    ..Our research aim was to explore paramedics' attitudes, perceptions and beliefs about prehospital management of asthma, to identify barriers and facilitators to guideline adherence...