Richard G Thomson
Affiliation: University of Newcastle
- From guidelines to careflows: modelling and supporting complex clinical processesJohn Fox
Department of Engineering Science, University of Oxford, Oxford, UK
Stud Health Technol Inform 139:44-62. 2008..We conclude that these offer complementary views of clinical processes and that a key research challenge is find a way of unifying them...
- More in hope than expectation: a systematic review of women's expectations and experience of pain relief in labourJoanne E Lally
Institute of Health and Society, The Medical School, Newcastle University, Newcastle upon Tyne NE2 4HH, UK
BMC Med 6:7. 2008..Our aim was to systematically review the empirical literature on women's expectations and experiences of pain and pain relief during labour, as well as their involvement in the decision-making process...
- Decision analysis and guidelines for anticoagulant therapy to prevent stroke in patients with atrial fibrillationR Thomson
Department of Epidemiology and Public Health, School of Health Sciences, Newcastle Medical School, Newcastle upon Tyne, UK
Lancet 355:956-62. 2000..We did a Markov decision analysis to model decision-making with regard to warfarin treatment in patients with atrial fibrillation, and used the model to develop evaluative guidelines...
- Towards an International Classification for Patient Safety: a Delphi surveyRichard Thomson
Institute of Health and Society, Newcastle University Medical School, Newcastle upon Tyne, UK
Int J Qual Health Care 21:9-17. 2009..The World Alliance set out to develop an International Classification for Patient Safety (ICPS) to address this, and to test the relevance and acceptability of the draft ICPS and progressively refine it prior to field testing...
- Tensions in public health policy: patient engagement, evidence-based public health and health inequalitiesR Thomson
Medical School, University of Newcastle, Newcastle upon Tyne NE2 4HH, UK
Qual Saf Health Care 14:398-400. 2005....
- UK Quality Indicator Project (UK QIP) and the UK independent health care sector: a new developmentRichard Thomson
UK Quality Indicator Project, School of Population and Health Sciences Epidemiology and Public Health, University of Newcastle upon Tyne Medical School, Newcastle upon Tyne, UK
Int J Qual Health Care 16:i51-6. 2004..We describe the history of the project, with an emphasis on recent developments, reflecting upon the critical features of the project and its value for participants...
- Why people do, or do not, immediately contact emergency medical services following the onset of acute stroke: qualitative interview studyJoan E Mackintosh
Institute of Health and Society, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom
PLoS ONE 7:e46124. 2012..To identify the reasons why individuals contact, or delay contacting, emergency medical services in response to stroke symptoms...
- Systematic review of mass media interventions designed to improve public recognition of stroke symptoms, emergency response and early treatmentJan Lecouturier
Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK
BMC Public Health 10:784. 2010..Mass media interventions have been implemented to improve emergency response to stroke given the emergence of effective acute treatments, but their impact is unclear...
- Validating the stroke-thrombolytic predictive instrument in a population in the United kingdomPeter McMeekin
Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK
Stroke 43:3378-81. 2012..This study aimed to test the explanatory qualities of the Stroke-Thrombolytic Predictive Instrument (S-TPI) when applied to patients treated in routine practice...
- Situationally-sensitive knowledge translation and relational decision making in hyperacute stroke: a qualitative studyMadeleine J Murtagh
Institute of Health and Society, Newcastle University, Newcastle upon Tyne, United Kingdom
PLoS ONE 7:e37066. 2012..The principal responses to the challenges of decision making about rtPA in hyperacute stroke were relational decision support and situationally-sensitive knowledge translation...
- Witness response at acute onset of stroke: a qualitative theory-guided studyStephan U Dombrowski
Institute of Health and Society, Newcastle University, Baddiley Clark building, Newcastle upon Tyne, United Kingdom
PLoS ONE 7:e39852. 2012..This study explored appraisal and behavioural factors that are potentially important in influencing witness behaviour in response to stroke...
- Medical communication and technology: a video-based process study of the use of decision aids in primary care consultationsEileen Kaner
Institute of Health and Society, The Medical School, Newcastle University, NE2 4HH, UK
BMC Med Inform Decis Mak 7:2. 2007..This study aimed to quantitatively describe the behaviour shown by doctors and patients during primary care consultations when three types of decision aids were used to promote treatment decision-making in a randomised controlled trial...
- A systematic review of cognitive decline in the general elderly populationHelen L Park
University of Newcastle Department of Geriatric Medicine, Sunderland Royal Hospital, UK
Int J Geriatr Psychiatry 18:1121-34. 2003..The public health impact of cognitive decline and dementia is increasing as the population ages. Studies exploring therapies or risk factors for cognitive impairment require understanding of expected age-related decline...
- Patients or research subjects? A qualitative study of participation in a randomised controlled trial of a complex interventionBen Heaven
Health Technologies and Human Relations Research Group, Centre for Health Services Research, School of Population and Health Sciences, University of Newcastle upon Tyne, 21 Claremont Place, Newcastle upon Tyne, NE2 4AA, UK
Patient Educ Couns 62:260-70. 2006..To explore participants' understandings regarding treatment decisions, made within an efficacy randomised controlled trial (RCT) of decision-support tools...
- Doctor-patient interaction in a randomised controlled trial of decision-support toolsTim Rapley
University of Newcastle upon Tyne, UK
Soc Sci Med 62:2267-78. 2006..We demonstrate how the RCT coordinates the world of the clinical environment and the world of experimental evidence...
- A patient decision aid to support shared decision-making on anti-thrombotic treatment of patients with atrial fibrillation: randomised controlled trialRichard G Thomson
Institute of Health and Society, University of Newcastle upon Tyne, Newcastle upon Tyne, UK
Qual Saf Health Care 16:216-23. 2007..To determine the efficacy of a computerised decision aid in patients with atrial fibrillation making decisions on whether to take warfarin or aspirin therapy...
- Professional centred shared decision making: patient decision aids in practice in primary careDuika Burges Watson
Institute of Health and Society, Newcastle University, 21 Claremont Place, Newcastle upon Tyne NE2 4AA, UK
BMC Health Serv Res 8:5. 2008..Despite broad acceptance of their value, there remains little evidence of their successful implementation in primary care settings...
- Development and description of a decision analysis based decision support tool for stroke prevention in atrial fibrillationRichard Thomson
Department of Epidemiology and Public Health, School of Health Sciences, Newcastle Medical School, Framlington Place, Newcastle upon Tyne NE2 4HH, UK
Qual Saf Health Care 11:25-31. 2002..The treatment of patients in atrial fibrillation (AF) with warfarin to prevent stroke is a decision that is sensitive to patient preferences as shown by a previous decision analysis...
- Response to symptoms of stroke in the UK: a systematic reviewJan Lecouturier
Institute for Ageing and Health Stroke Research Group, Medical School, Newcastle University, Newcastle upon Tyne, UK
BMC Health Serv Res 10:157. 2010..We wished to review the evidence base regarding the knowledge, attitudes and behaviours of stroke patients, witnesses and the public to the symptoms of stroke and the need for an urgent response at the onset of symptoms...
- How can epidemiological studies help us to prevent stroke? The example of atrial fibrillationRichard Thomson
School of Population and Health Sciences Epidemiology and Public Health, Medical School, Framlington Place, Newcastle upon Tyne NE2 4HH, UK
Age Ageing 31:9-16. 2002
- The importance of patient preferences in treatment decisions--challenges for doctorsRebecca E Say
Medical School, University of Newcastle upon Tyne, Newcastle upon Tyne NE2 4HH
BMJ 327:542-5. 2003
- Patients' preference for involvement in medical decision making: a narrative reviewRebecca Say
School of Population and Health Sciences, Medical School, University of Newcastle, Framlington Place, Newcastle upon Tyne NE2 4HH, UK
Patient Educ Couns 60:102-14. 2006..PRACTICE IMPLICATIONS: By identifying the factors which might influence patients' preference for involvement, health professionals may be more sensitive to individual patients' preferences and provide better patient-centred care...
- Risk factors for first-ever stroke in older people in the north East of England: a population-based studyHelen Rodgers
School of Population and Health Sciences Epidemiology and Public Health, University of Newcastle upon Tyne, UK
Stroke 35:7-11. 2004..Although older people potentially have most to gain from prevention, they have been excluded from or underrepresented in many stroke incidence studies. We sought to determine the risk factors for stroke in older people...
- Decision support for health care: the PROforma evidence baseJohn Fox
Head of Laboratory, Advanced Computation Laboratory, London Research Institute, Cancer Research UK, London, UK
Inform Prim Care 14:49-54. 2006....
- A cautionary note on data sources for evidence-based clinical decisions: warfarin and stroke preventionRichard Thomson
Public Health Research Group, School of Population and Health Sciences, University of Newcastle upon Tyne, United Kingdom
Med Decis Making 27:438-47. 2007..The authors compared methods of risk assessment and their implications for risk communication and treatment...
- Patients' preferences need thinking through for the NHSAnn P Bowling
BMJ 327:450. 2003
- How research-conscious GPs make decisions about anticoagulation in patients with atrial fibrillation: a qualitative studyToby Lipman
Westerhope Medical Group, 377, Stamfordham Road, Westerhope, Newcastle upon Tyne NE5 2LH, UK
Fam Pract 21:290-8. 2004..New findings, such as the use of warfarin to prevent stroke in patients with atrial fibrillation, have been found to be implemented patchily in clinical practice, in both primary and secondary care...
- Health needs assessment and needs-led health service change: a survey of projects involving public health doctorsJoanne Jordan
Department of Sociology, University of Ulster, Jordanstown, Newtownabbey, UK
J Health Serv Res Policy 7:71-80. 2002..However, it is clear that needs assessment does not occupy a central position in health service decision-making, remaining vulnerable to a range of factors over which those responsible for its conduct have little or no control...
- Patients experience with long-term percutaneous endoscopic gastrostomy feeding following primary surgery for oral and oropharyngeal cancerSimon N Rogers
Regional Maxillofacial Unit, University Hospital Aintree, Lower Lane, Liverpool, Merseyside L9 7AL, United Kingdom
Oral Oncol 43:499-507. 2007..More can be done to counsel and support patients with long-term PEG placement...
- Validation of a method to establish practice-based stroke and TIA registersBruce Willoughby
Public Health, Northumberland Care Trust, Loansdean, Morpeth, Northumberland NE61 2DL, UK
Br J Gen Pract 54:127-9. 2004..This study suggests that the pragmatic method could be used to help build practice-based stroke and TIA registers...
- Use and misuse of process and outcome data in managing performance of acute medical care: avoiding institutional stigmaRichard Lilford
Department of Public Health and Epidemiology, University of Birmingham, UK
Lancet 363:1147-54. 2004....
- Assessing patients' preferences for treatments for angina using a modified repertory grid methodGene Rowe
Institute of Food Research, Norwich Research Park, Colney, Norwich NR4 7UA, UK
Soc Sci Med 60:2585-95. 2005..We consider the implications of these results for involving patients in choosing amongst treatments...
- Preference-based antithrombotic therapy in atrial fibrillation: implications for clinical decision makingMalcolm Man-Son-Hing
Elisabeth Bruyere Research Institute and Division of Geriatric Medicine, University of Ottawa, Ottawa, Ontario, Canada
Med Decis Making 25:548-59. 2005..The authors compared the thresholds for antithrombotic treatment from studies that determined or modeled the treatment preferences of patients with atrial fibrillation with recommendations from clinical practice guidelines...
- Risk communication in the clinical consultationRichard Thomson
National Patient Safety Agency, London
Clin Med 5:465-9. 2005..The purpose of this review is to provide an accessible and practical guide to better communication of risk by clinicians...
- Measurement of the safety and quality of health careSarah Scobie
National Patient Safety Agency, London, UK
Med J Aust 184:S51-5. 2006..Measures need to be valid, reliable, accurate, timely, collectable, meaningful, relevant and important to those who will use them. Clinicians value appropriate measures and respond to them...
- Non-valvular atrial fibrillation and cognitive decline: a longitudinal cohort studyHelen Park
Departments of Geriatric Medicine, University of Newcastle upon Tyne, UK
Age Ageing 36:157-63. 2007..We compared change in cognitive function between patients with recent onset NVAF and controls 12 and 36 months after baseline assessment, and examined the impact of anti-thrombotic therapy...
- Developing a quality criteria framework for patient decision aids: online international Delphi consensus processGlyn Elwyn
Department of General Practice, Centre for Health Sciences Research, Cardiff University, Cardiff CF14 4YS
BMJ 333:417. 2006..To develop a set of quality criteria for patient decision support technologies (decision aids)...