191 results on '"Moonesinghe, S. Ramani"'
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2. Systematic reviews and consensus definitions for the Standardised Endpoints in Perioperative Medicine (StEP) initiative: mortality, morbidity, and organ failure
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Myles, Paul, Gan, T.J., Kurz, Andrea, Peyton, Phil, Sessler, Dan, Tramèr, Martin, Cyna, Alan, De Oliveira, Gildasio S., Jr., Wu, Christopher, Jensen, Mark, Kehlet, Henrik, Botti, Mari, Boney, Oliver, Haller, Guy, Grocott, Mike, Cook, Tim, Fleisher, Lee, Neuman, Mark, Story, David, Gruen, Russell, Bampoe, Sam, Evered, Lis, Scott, David, Silbert, Brendan, van Dijk, Diederik, Kalkman, Cor, Chan, Matthew, Grocott, Hilary, Eckenhoff, Rod, Rasmussen, Lars, Eriksson, Lars, Beattie, Scott, Wijeysundera, Duminda, Landoni, Giovanni, Leslie, Kate, Biccard, Bruce, Howell, Simon, Nagele, Peter, Richards, Toby, Lamy, Andre, Lalu, Manoj, Pearse, Rupert, Mythen, Monty, Canet, Jaume, Moller, Ann, Gin, Tony, Schultz, Marcus, Pelosi, Paolo, Gabreu, Marcelo, Futier, Emmanuel, Creagh-Brown, Ben, Abbot, Tom, Klein, Andy, Corcoran, Tomas, Cooper, D. Jamie, Dieleman, Stefan, Diouf, Elisabeth, McIlroy, David, Bellomo, Rinaldo, Shaw, Andrew, Prowle, John, Karkouti, Keyvan, Billings, Josh, Mazer, David, Jayarajah, Mohindas, Murphy, Michael, Bartoszko, Justyna, Sneyd, Rob, Morris, Steve, George, Ron, Moonesinghe, Ramani, Shulman, Mark, Lane-Fall, Meghan, Nilsson, Ulrica, Stevenson, Nathalie, van Klei, Wilton, Cabrini, Luca, Miller, Tim, Jackson, Sandy, Buggy, Donal, Short, Tim, Riedel, Bernhard, Gottumukkala, Vijay, Pace, Nathan, Alkhaffaf, Bilal, Johnson, Mark, Jackson, Alexander I.R., Pearse, Rupert M., Cooper, D. James, van Klei, Wilton A., Miller, Timothy E., Moonesinghe, S. Ramani, Myles, Paul S., and Grocott, Michael P.W.
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- 2023
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3. Contributors
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Aggarwal, Geeta, primary, Andukuri, Venkata, additional, Arnold, Susan LaFollette, additional, Arriaga, Alexander F., additional, Bader, Angela M., additional, Balfour, Angie, additional, Berger, Elizabeth R., additional, Berlin, Nicholas L., additional, Blitz, Jeanna D., additional, Booth, Alexander, additional, Botwinick, Laura K., additional, Bozic, Kevin, additional, Buehler, Kate, additional, Chappell, Desiree, additional, Chen, Yun-Yun K., additional, Chereshneva, Maria, additional, Clapp, Justin T., additional, Cloyd, Benjamin H., additional, Cruikshanks, Claire, additional, Dauw, Casey A., additional, Dhesi, Jugdeep, additional, DiBianco, John Michael, additional, Dixon-Woods, Mary, additional, Duffy, Caoimhe C., additional, Edwards, Angela F., additional, Edwards, Kylie-Ellen, additional, El-Ghazali, Sally, additional, Englesbe, Michael, additional, Esper, Stephen A., additional, Falk, Scott, additional, Fischer, Chelsea P., additional, Fleisher, Lee A., additional, Fogerty, Robert L., additional, Fowler, Aidan, additional, Franz, Amber, additional, Ghani, Khurshid R., additional, Grocott, Michael P.W., additional, Gulotta, Lawrence V., additional, Hallway, Alexander, additional, Harpe-Bates, Jennifer, additional, Healey, Frances, additional, Azad, Kaveh Houshmand, additional, Howard, Ryan, additional, Incorvia, Joseph, additional, Jackiewicz, Thomas E., additional, Janda, Allison, additional, Johnson, Emily H., additional, Johnston, Carolyn, additional, Jordan, Lesley, additional, Kelz, Rachel R., additional, Khan, Maria, additional, Kheterpal, Sachin, additional, King, Christopher J., additional, Ko, Clifford Y., additional, Lane-Fall, Meghan B., additional, Lee, Thomas H., additional, Levett, Denny Z.H., additional, Lin, Della M., additional, Lloyd, Robert, additional, Lockett, Mark, additional, Low, Daniel, additional, Mahajan, Aman, additional, Mainey, Chris, additional, Manning, Michael W., additional, Martin, Graham P., additional, Martin, Lynn D., additional, Mathis, Michael, additional, McCulloch, Peter, additional, Moonesinghe, S. Ramani, additional, Murray, Dave, additional, Myles, Paul S., additional, Mythen, Monty G., additional, Odell, Wendy, additional, Offodile, Anaeze C., additional, Parry, Gareth, additional, Partridge, Judith, additional, Peden, Carol J., additional, Quiney, Nial, additional, Ragheb, Jacqueline W., additional, Raper, Steven E., additional, Rogerson, Andrew, additional, Rooney, Kevin, additional, Roper, Madeleine, additional, Santhirapala, Ramai, additional, Scott, Michael, additional, Shah, Nirav, additional, Singleton, Georgina F., additional, Soar, Harry, additional, Spencer, Paula, additional, Stephens, Timothy J., additional, Stevens, Emma, additional, Sweitzer, BobbieJean, additional, Tong, Jason, additional, Tung, Alan, additional, Vetter, Thomas R., additional, Vlisides, Phillip E., additional, Wain, Hester, additional, Wick, Elizabeth C., additional, Wu, Christopher L., additional, Wyatt, Ronald, additional, and YaDeau, Jacques T., additional
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- 2023
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4. Perioperative Quality Improvement Programme
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Singleton, Georgina F., primary, Edwards, Kylie-Ellen, additional, and Moonesinghe, S. Ramani, additional
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- 2023
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5. Large-Scale Audits: Using Citizen Science to Gather High-Quality “Big Data”
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Moonesinghe, S. Ramani, primary
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- 2023
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6. Highlighting uncertainty in clinical risk prediction using a model of emergency laparotomy mortality risk
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Mathiszig-Lee, Jakob F., Catling, Finneas J. R., Moonesinghe, S. Ramani, and Brett, Stephen J.
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- 2022
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7. The Perioperative Quality Improvement Programme (PQIP patient study): protocol for a UK multicentre, prospective cohort study to measure quality of care and outcomes after major surgery
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Moonesinghe, S. Ramani, McGuckin, Dermot, Martin, Peter, Bedford, James, Wagstaff, Duncan, Gilhooly, David, Santos, Cristel, Wilson, Jonathan, Dorey, Jenny, Leeman, Irene, Smith, Helena, Vindrola-Padros, Cecilia, Edwards, Kylie, Singleton, Georgina, Swart, Michael, Baumber, Rachel, Sahni, Arun, Warnakulasuriya, Samantha, Vohra, Ravi, Ellicott, Helen, Bougeard, Anne-Marie, Chazapis, Maria, Ignacka, Aleksandra, Cripps, Martin, Brent, Alexandra, Drake, Sharon, Goodwin, James, Martinez, Dorian, Williams, Karen, Singh, Pritam, Bedford, Matthew, Vallance, Abigail E., Samuel, Katie, Lourtie, Jose, Olive, Dominic, Taylor, Christine, Tucker, Olga, Aresu, Giuseppe, Swift, Andrew, Fulop, Naomi, and Grocott, Mike
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- 2022
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8. Implementation of corticosteroids in treatment of COVID-19 in the ISARIC WHO Clinical Characterisation Protocol UK: prospective, cohort study
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Baillie, J Kenneth, Semple, Malcolm G, Openshaw, Peter JM, Carson, Gail, Alex, Beatrice, Andrikopoulos, Petros, Bach, Benjamin, Barclay, Wendy S, Bogaert, Debby, Chand, Meera, Chechi, Kanta, Cooke, Graham S, da Silva Filipe, Ana, de Silva, Thushan, Docherty, Annemarie B, dos Santos Correia, Gon¸alo, Dumas, Marc-Emmanuel, Dunning, Jake, Fletcher, Tom, Green, Christopher A, Greenhalf, William, Griffin, Julian, Gupta, Rishi K, Harrison, Ewen M, Hiscox, Julian A, Ho, Antonia YW, Horby, Peter W, Ijaz, Samreen, Khoo, Say, Klenerman, Paul, Law, Andrew, Lewis, Matthew, Liggi, Sonia, Lim, Wei Shen, Maslen, Lynn, Mentzer, Alexander J, Merson, Laura, Meynert, Alison M, Moore, Shona C, Noursadeghi, Mahdad, Olanipekun, Michael, Osagie, Anthonia, Palmarini, Massimo, Palmieri, Carlo, Paxton, William A, Pollakis, Georgios, Price, Nicholas, Rambaut, Andrew, Robertson, David L, Russell, Clark D, Sancho-Shimizu, Vanessa, Sands, Caroline, Scott, Janet T, Sigfrid, Louise, Solomon, Tom, Sriskandan, Shiranee, Stuart, David, Summers, Charlotte, Swann, Olivia V, Takats, Zoltan, Takis, Panteleimon, Tedder, Richard S, Thompson, AA Roger, Thomson, Emma C, Thwaites, Ryan S, Turtle, Lance CW, Zambon, Maria, Hardwick, Hayley, Donohue, Chloe, Griffiths, Fiona, Oosthuyzen, Wilna, Donegan, Cara, Spencer, Rebecca G, Norman, Lisa, Pius, Riinu, Drake, Thomas M, Fairfield, Cameron J, Knight, Stephen R, Mclean, Kenneth A, Murphy, Derek, Shaw, Catherine A, Dalton, Jo, Girvan, Michelle, Saviciute, Egle, Roberts, Stephanie, Harrison, Janet, Marsh, Laura, Connor, Marie, Halpin, Sophie, Jackson, Clare, Gamble, Carrol, Plotkin, Daniel, Lee, James, Leeming, Gary, Wham, Murray, Clohisey, Sara, Hendry, Ross, Scott-Brown, James, Shaw, Victoria, McDonald, Sarah E, Keating, Seán, Ahmed, Katie A., Armstrong, Jane A, Ashworth, Milton, Asiimwe, Innocent G, Bakshi, Siddharth, Barlow, Samantha L, Booth, Laura, Brennan, Benjamin, Bullock, Katie, Catterall, Benjamin WA, Clark, Jordan J, Clarke, Emily A, Cole, Sarah, Cooper, Louise, Cox, Helen, Davis, Christopher, Dincarslan, Oslem, Dunn, Chris, Dyer, Philip, Elliott, Angela, Evans, Anthony, Finch, Lorna, Fisher, Lewis WS, Foster, Terry, Garcia-Dorival, Isabel, Gunning, Philip, Hartley, Catherine, Jensen, Rebecca L, Jones, Christopher B, Jones, Trevor R, Khandaker, Shadia, King, Katharine, Kiy, Robyn T., Koukorava, Chrysa, Lake, Annette, Lant, Suzannah, Latawiec, Diane, Lavelle-Langham, Lara, Lefteri, Daniella, Lett, Lauren, Livoti, Lucia A, Mancini, Maria, McDonald, Sarah, McEvoy, Laurence, McLauchlan, John, Metelmann, Soeren, Miah, Nahida S, Middleton, Joanna, Mitchell, Joyce, Murphy, Ellen G, Penrice-Randal, Rebekah, Pilgrim, Jack, Prince, Tessa, Reynolds, Will, Ridley, P. Matthew, Sales, Debby, Shaw, Victoria E, Shears, Rebecca K, Small, Benjamin, Subramaniam, Krishanthi S, Szemiel, Agnieska, Taggart, Aislynn, Tanianis-Hughes, Jolanta, Thomas, Jordan, Trochu, Erwan, van Tonder, Libby, Wilcock, Eve, Zhang, J. Eunice, Flaherty, Lisa, Maziere, Nicole, Cass, Emily, Doce Carracedo, Alejandra, Carlucci, Nicola, Holmes, Anthony, Massey, Hannah, Murphy, Lee, McCafferty, Sarah, Clark, Richard, Fawkes, Angie, Morrice, Kirstie, Maclean, Alan, Wrobel, Nicola, Donelly, Lorna, Coutts, Audrey, Hafezi, Katarzyna, MacGillivray, Louise, Gilchrist, Tammy, Adeniji, Kayode, Agranoff, Daniel, Agwuh, Ken, Ail, Dhiraj, Aldera, Erin L., Alegria, Ana, Allen, Sam, Angus, Brian, Ashish, Abdul, Atkinson, Dougal, Bari, Shahedal, Barlow, Gavin, Barnass, Stella, Barrett, Nicholas, Bassford, Christopher, Basude, Sneha, Baxter, David, Beadsworth, Michael, Bernatoniene, Jolanta, Berridge, John, Berry, Colin, Best, Nicola, Bothma, Pieter, Chadwick, David, Brittain-Long, Robin, Bulteel, Naomi, Burden, Tom, Burtenshaw, Andrew, Caruth, Vikki, Chambler, Duncan, Chee, Nigel, Child, Jenny, Chukkambotla, Srikanth, Clark, Tom, Collini, Paul, Cosgrove, Catherine, Cupitt, Jason, Cutino-Moguel, Maria-Teresa, Dark, Paul, Dawson, Chris, Dervisevic, Samir, Donnison, Phil, Douthwaite, Sam, Drummond, Andrew, DuRand, Ingrid, Dushianthan, Ahilanadan, Dyer, Tristan, Evans, Cariad, Eziefula, Chi, Fegan, Chrisopher, Finn, Adam, Fullerton, Duncan, Garg, Sanjeev, Garg, Atul, Gkrania-Klotsas, Effrossyni, Godden, Jo, Goldsmith, Arthur, Graham, Clive, Hardy, Elaine, Hartshorn, Stuart, Harvey, Daniel, Havalda, Peter, Hawcutt, Daniel B, Hobrok, Maria, Hodgson, Luke, Hormis, Anil, Jacobs, Michael, Jain, Susan, Jennings, Paul, Kaliappan, Agilan, Kasipandian, Vidya, Kegg, Stephen, Kelsey, Michael, Kendall, Jason, Kerrison, Caroline, Kerslake, Ian, Koch, Oliver, Koduri, Gouri, Koshy, George, Laha, Shondipon, Laird, Steven, Larkin, Susan, Leiner, Tamas, Lillie, Patrick, Limb, James, Linnett, Vanessa, Little, Jeff, Lyttle, Mark, MacMahon, Michael, MacNaughton, Emily, Mankregod, Ravish, Masson, Huw, Matovu, Elijah, McCullough, Katherine, McEwen, Ruth, Meda, Manjula, Mills, Gary, Minton, Jane, Mirfenderesky, Mariyam, Mohandas, Kavya, Mok, Quen, Moon, James, Moore, Elinoor, Morgan, Patrick, Morris, Craig, Mortimore, Katherine, Moses, Samuel, Mpenge, Mbiye, Mulla, Rohinton, Murphy, Michael, Nagel, Megan, Nagarajan, Thapas, Nelson, Mark, Norris, Lillian, O'Shea, Matthew K., Otahal, Igor, Ostermann, Marlies, Pais, Mark, Panchatsharam, Selva, Papakonstantinou, Danai, Paraiso, Hassan, Patel, Brij, Pattison, Natalie, Pepperell, Justin, Peters, Mark, Phull, Mandeep, Pintus, Stefania, Singh Pooni, Jagtur, Planche, Tim, Post, Frank, Price, David, Prout, Rachel, Rae, Nikolas, Reschreiter, Henrik, Reynolds, Tim, Richardson, Neil, Roberts, Mark, Roberts, Devender, Rose, Alistair, Rousseau, Guy, Ruge, Bobby, Ryan, Brendan, Saluja, Taranprit, Schmid, Matthias, Shah, Aarti, Shanmuga, Prad, Sharma, Anil, Shawcross, Anna, Sizer, Jeremy, Shankar-Hari, Manu, Smith, Richard, Snelson, Catherine, Spittle, Nick, Staines, Nikki, Stambach, Tom, Stewart, Richard, Subudhi, Pradeep, Szakmany, Tamas, Tatham, Kate, Thomas, Jo, Thompson, Chris, Thompson, Robert, Tridente, Ascanio, Tupper-Carey, Darell, Twagira, Mary, Vallotton, Nick, Vancheeswaran, Rama, Vincent-Smith, Lisa, Visuvanathan, Shico, Vuylsteke, Alan, Waddy, Sam, Wake, Rachel, Walden, Andrew, Welters, Ingeborg, Whitehouse, Tony, Whittaker, Paul, Whittington, Ashley, Papineni, Padmasayee, Wijesinghe, Meme, Williams, Martin, Wilson, Lawrence, Sarah, Sarah, Winchester, Stephen, Wiselka, Martin, Wolverson, Adam, Wootton, Daniel G, Workman, Andrew, Yates, Bryan, Young, Peter, Närhi, Fiina, Moonesinghe, S Ramani, Shenkin, Susan D, Mulholland, Rachel H, Hardwick, Hayley E, Ho, Antonia, Nguyen-Van-Tam, Jonathan S, Turtle, Lance, and Openshaw, Peter J M
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- 2022
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9. Validation of the days alive and out of hospital outcome measure after emergency laparotomy: a retrospective cohort study
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Spurling, Leigh-James, Moonesinghe, S. Ramani, and Oliver, C. Matthew
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- 2022
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10. Quality metrics for emergency abdominal surgery in children: a systematic review
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Sogbodjor, Lisa A., Singleton, Georgina, Davenport, Mark, Walker, Suellen, and Moonesinghe, S. Ramani
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- 2022
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11. Seasonality in surgical outcome data: a systematic review and narrative synthesis
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Spencer, Emma, Berry, Michael, Martin, Peter, Rojas-Garcia, Antonio, and Moonesinghe, S. Ramani
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- 2022
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12. Protocolised care pathways: a double‐edged sword?
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Rintoul, Edward, Moonesinghe, S. Ramani, and Bashford, Tom
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FEMORAL fractures , *COST effectiveness , *PERIOPERATIVE care , *SURGERY , *FEMUR neck , *OPERATING room nursing , *GERIATRICIANS , *TREATMENT delay (Medicine) - Abstract
The article explores the use of protocolised care pathways in emergency surgery in the UK, specifically for hip fracture and emergency laparotomy patients. These pathways aim to enhance care and outcomes for these patients, with support from national quality improvement programs and financial incentives. However, the article raises concerns about potential drawbacks, such as delays or disparities in care for other patient groups, as well as the impact on resources and workforce allocation. It emphasizes the need for further research and qualitative exploration to fully comprehend the effects of these pathways on diverse patient populations. The text also emphasizes the importance of considering individual clinical judgment and innovation alongside standardization, as well as understanding system-level resource constraints and potential unintended consequences. It mentions the "Getting It Right First Time" program as an opportunity to improve care quality through a systems-based approach. The article acknowledges the resource limitations of the NHS and calls for a nuanced understanding of the effects of care pathways on different patient groups. [Extracted from the article]
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- 2024
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13. Core Outcome Measures for Perioperative and Anaesthetic Care (COMPAC): a modified Delphi process to develop a core outcome set for trials in perioperative care and anaesthesia
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Bartoszko, J., Beattie, W.S., Bellomo, R., Buggy, D., Cabrini, L., Canet, J., Cook, T., Cooper, D.J., Corcoran, T., Devereaux, P.J., Eckenhoff, R., Evered, L., Gan, T.J., Gin, T., Grocott, H., Haller, G., Howell, S., Jayarajah, M., Kalkman, C., Karkouti, K., Kavanagh, B., Klein, A., Landoni, G., Leslie, K., McIlroy, D.R., Mazer, D., Moller, A., Mythen, M., Neuman, M., Pearse, R., Peyton, P., Prowle, J., Richards, T., Scott, D.A., Sessler, D., Shaw, A., Short, T., Shulman, M., Silbert, B., Singer, M., Sneyd, J.R., Story, D., van Dijk, D., van Klei, W., Boney, Oliver, Moonesinghe, S. Ramani, Myles, Paul S., and Grocott, Michael P.W.
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- 2022
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14. The Anesthesiologist as Public Health Physician
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Moonesinghe, S. Ramani
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- 2023
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15. Revitalising audit and feedback by understanding and responding to local contexts
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Wagstaff, Duncan, Vindrola, Cecilia, Fulop, Naomi, and Moonesinghe, S Ramani
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- 2020
16. Perioperative interventions for prevention of postoperative pulmonary complications : systematic review and meta-analysis
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Odor, Peter M, Bampoe, Sohail, Gilhooly, David, Creagh-Brown, Benedict, and Moonesinghe, S Ramani
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- 2020
17. Socioeconomic deprivation and long-term outcomes after elective surgery: analysis of prospective data from two observational studies
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Wan, Yize I., McGuckin, Dermot, Fowler, Alexander J., Prowle, John R., Pearse, Rupert M., and Moonesinghe, S. Ramani
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- 2021
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18. Causal inference in perioperative medicine observational research: part 1, a graphical introduction
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Krishnamoorthy, Vijay, Wong, Danny J.N., Wilson, Matt, Raghunathan, Karthik, Ohnuma, Tetsu, McLean, Duncan, Moonesinghe, S. Ramani, and Harris, Steve K.
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- 2020
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19. Complications and consequences: short-term harm has long-term impact
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Jackson, Alexander I.R., primary, Moonesinghe, S. Ramani, additional, and Grocott, Michael P.W., additional
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- 2023
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20. Preoperative chronic beta-blocker prescription in elderly patients as a risk factor for postoperative mortality stratified by preoperative blood pressure: a cohort study
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Venkatesan, Sudhir, Jørgensen, Mads Emil, Manning, Helen J., Andersson, Charlotte, Mozid, Abdul M., Coburn, Mark, Moonesinghe, S. Ramani, Foex, Pierre, Mythen, Monty, Grocott, Michael P.W., Hardman, Jonathan G., Myles, Puja R., and Sanders, Robert D.
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- 2019
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21. Cancelled operations: a 7-day cohort study of planned adult inpatient surgery in 245 UK National Health Service hospitals
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Moonesinghe, S. Ramani, Wong, Danny J.N., Harris, Steve K., Bedford, James, Boney, Oliver, Chazapis, Maria, Drake, Sharon, Farmer, Laura, Gilhooly, David, Goodwin, James, Lourtie, Jose, Wagstaff, Duncan, Grocott, Mike, Sneyd, Robert, Batchelor, Anna, Brett, Stephen, Plowright, Catherine, Shrestha, Suman, Shawyer, Richard, Ahmed, Shafi, Khondoker, Mizan, Nathanson, Mike, Cripps, Paul, Research & Audit Federation of Trainees (RAFT), Anaesthetic Audit and Research Matrix of Yorkshire (AARMY), Intensive Care & Anaesthesia Research Network of North East Trainees (INCARNNET), Merseyside Anaesthetic Group for Improving Quality (MAGIQ), Midlands East Research by Critical Care and Anaesthetic Trainees (MERCAT), North West Research and Audit Group (NWRAG), Oxford Critical Care Anaesthetic Research Enterprise (OxCCARE), Pan-London Peri-operative Audit & Research Network (PLAN), Scottish East Quality Improvement & Research Academy (SEQuoIA), SESSA Quality Improvement and Research Network (SQUARES), Severn Trainees Anaesthetic Research (STAR), South West Anaesthetic Research Matrix (SWARM), South Yorkshire Hospitals Audit and Research Collaboration (SHARC), Southcoast Peri-operative Audit and Research Collaboration (SPARC), Welsh Anaesthetic Audit Research & Engagement Network (WAAREN), West Midlands Trainee Research Anaesthesia & Intensive Care Network (WMTRAIN), Rawat, Shilpa, Sathe, Sonia, Campbell, Alison, Anandarajah, Janakan, Ball, Nicola, Bandara, Lalindra, Barnes, Dennis, Chapman, Catherine, Connor, Lynda, Cook, Amanda, Ebejer, Amanda, Evans, Samantha, Gallagher, Maire, Goff, Sarah, Halfacree, Irina, Harford, Rachel, Harris, Catherine, Jackson, Rebecca, James, Kathryn, Jones, Claire, Jones, Sharon, Malinovszky, Kathy, Mungai, Serah, Nageswaran, Hari, Perumal, Anand, Pudge, Harriet, Quinn, Leanne, Sheppard, Thomas, Smith, Trudy, Spargo, James, Storton, Sharon, Thomas, Caradog, Thomas, Charlotte, Tyrrell, Samuel, Vale, Owen, Williams, Catrin, Williams, Marie, Williams, Tom, Winfield-Young, Lewys, Worrell, Helen, Moloney, Dermot, Chuni, Chandini, Comara, Jasna, Conway, Brian, Eagle, Zara, Foster, Greg, Platt, Chris, Thorne, Alison, Hee, Wendy Lum, Armstrong, Lisa, Brennan, Albert, Burns, Justine, Busby, Chantal, Couch-Upite, Mechele, Dooks, Emma, Dunlop, Sally, Eijk, Anya, Govindaraju, Ramana, Gregory, Tamsin, Grover, Alka, Hairsine, Brigid, Hennell, Sarah, Hill, Philippa, Hollins, Thomas, Hood, Julian, Horner, Lisa, Hothersall, Helen, Ingham, Rachel, Jackson, Richard, Kitching, Amy, Kurasz, Claire, Munsie, Sarah, Nemeth, Ildiko, Paley, Carole, Premraj, Prabhakaran, Redhead, Sue, Scriven, John, Shaw, Alison, Shenton, Liz, Shiva, Hemantha, Snell, Josie, Sootheran, Lucy, Stewart, Josephine, Swinton, Frank, Totten, Claire, Varghese, Liz, Vest, Sarah, Wetherell, Ben, Hamlyn, Vincent, Tozer, James, Alce, Timothy, Bopanna, Poonam, Draper, Kevin, Emmett, Lucy, Falkner, Phillippa, Fisher, Ellie, Griffiths, Cat, Gunter, Una, Harris, Rebecca, Hashmi, Saima, Jewitt, Helen, Lodhi, Sonal, Organ, Angie, Owen, Elana, Taylor, Frances, Tritean, Maria, Wassall, Richard, Woolley, Jade, MacGregor, Mark, Atkinson, Claire, Croft, Maria, Frost, Victoria, George, Richard, Gray, Catherine, Kuttler, Anja, Lalani, Christina, Peers, Beth, Sharpe, Lisa, Skeoch, Christopher, Tarft, Hayley, Tyson, Emma, Wrigley, Martha, Qadri, Shabir, Abbas, Tahir, Barot, Niraj, Cole, Steve, Ganesh, Ritesh, Groves, Christopher, Iles, Lindsey, Petkova, Hristina, Rau, Clovis, Roberts, Jack, Shakir, Nadeem, Chaurasia, Sunil Kumar, Brown, Julia, Cunningham, Mishell, Daniels, Allison, Gannon, Emily, Haines, Annette, Johnson, Nicola, Ogle, Paul, Perumal, Srinivasan, Zeidan, Lisa, Torrance, Hew, Anwar, Sibtain, Gooneratne, Mevan, Raj, Ashok, Abbott, Tom, Ashton, Laura, Brown, Katherine, Butterfield, Emma, Fenn, Jon, Forsyth-Jones, Tim, Garth, Thomas, Gleeson, Liam, Haines, Ryan, Jacobs, Benjamin, Jyothiraj, Haren, Madhi, Shareef, Marriot, Charlotte, Martin, Rebecca, McMillan, Timothy, Menon, Arun, Mohr, Otto Ernst, Muelmenstaedt, Maria, Naeem, Hanzla, Nagendram, Myura, O'Connor, Cormac, Pang, Ching, Plummer, Kimberley, Rob, Zak, Sellers, Dan, Shaw, Michael, Smith, Christopher, Taylor, Tom, Thorat, Priya, Van Rensberg, Gerhardus, Walker, Sophie, Waqas, Farkhunda, Wicks, Peter, Wirth, Daniel, Armanious, Samuel, Allen, Kellie, Bruni, Salvatore, Burijinti Chenna, Keshava Reddy, Kaliappan, Agilan, Ocampo, Madelaine, Percuin, Adrian, Riches, Joanne, Saclot, Louie, Sevillano, Annaliza, Vertue, Mark, Knowlden, Peter, David, Beena, Gajendragadkar, Pushpaj, Gladstone, George, Hammerbeck, Henry, Iaverdino, Marina, Lilley, Carina, Linton-Willoughby, Ben, Murrell, Daniel, Patro, Shweta, Richie-Mclean, Susanna, Turnbull, Marc, Vatsala, Padmanabhan, McCourt, Killian, Black, Nick, Coary, Ciara, McCarter, Jonathan, Murphy, Alexandra, Pugh, Richard, Littler, Chris, Clements, Stephan, Bairkdar, Linda, Bennett, Gillian, Bird, Tom, Bolger, Annette, Dhar, King, Ene, Raluca, George, David, Haron, Dhania, Hobson, Lucie, Iqbal, Saba, Irvine, Lizzie, Lewis, Sion, McCallum, Roisin, O'Donovan, Benjamin, Patrick, Christopher, Perman, Christopher, Rahman, Nowfal, Roberts, Iolo, Sutcliffe, William, Towers, Tammy, Waite, Alicia, Wright, Stella, Pilsbury, Jane, Allan, Michael, Allen, Cody, Carden, Nikkita, Cotterill, Amanda, Cullis, Kerry, Eden, Daniel, Farmer, Nicola, Galloway, Andrea, Geoghegan, James, Gilani, Ahmed, Hard, Kelly, Hasan, Khalid, Horner, Christopher, Iqbal, Virginia, Lowe, Julie, Mallavalli, Ravindra, McCooty, Shanteela, McKillop, Sian, Mellers, Diane, Mukherjee, Ronan, Nicholas, Michelle, O'Hara, Chloe, Osborne, Fiona, Plunkett, Emma, Sharih, Gauhar, Westwood, John, Whapples, Annabelle, Whitehouse, Diane, Williams, Lucinda, Yasin, Bilal, Cupitt, Jason, Brown, Janette, Stoddard, Emma, Balasubramaniam, Madhu, Athanasopoulos, Paul, Bhatti, Mohammad, Blood, Laura, Buckley, Hugo, Chadwick, Julie, Cocks, Shirley, Fradkin, Deborah, Hetherington, Emily, Hill, Rebecca, Hull, Rob, Loftus, Alison, McKenna, Emma, Mcmanoman, Lucy, Milian, Lauren, Mistry, Raksha, Murthen, Lisa, Parkinson, Dave, Rhead, Kat, Sandbach, Peter, Walker, Ciara, Wheatley, Emma, Spencer, Robert, Alderson, Stephen, Bull, Christopher, Butterworth, Rachel, Cousins, Simon, Goellner, Sarah, Greasley, Mark, Lyle, Fiona, Munro, Michael, Northey, Martin, White, Stuart, Harrison, Alex, Whitney, Paul-Simon, Drake, Jeremy, Babla, Rohan, Bharti, Ash, Cole, Stephen, Crotty, Stephen, Farrow, Amy, Golhar, Anil, Indoe, Peter, Jackson, Rosada, Latif, Mariam, Leong, Melvin, Lewith, Henry, Maton-Howarth, Matthew, Millar, Victoria, Millette, Ben, Oliver, Hannah, Ralhan, Vandita, Rashid, Yasir, Rivero-Bosch, Maria, Rizvi, Sana, Saleh, Rosahn, Venkatesh, Harisg, Wilson, Kate, Nair, Ashok, Basvi, Precious, Bell, Gillian, Edwards, James, Lee, David, Luo, Guanmei, Mewies, Clare, Qureshi, Arif, Sohail, Behzad, Valap, Sachin, Hill, Stephen, Bhuwanee, Deepti, Chan, James, Dereix, John, George, Allen, Ghafoor, Tasmeen, Gold, Emma, Haigh, Daniel, Harding, David, Janardhana, Bhavia, Jayan, Jithu, King, James, Laloë, Pnt, Pearce, Lauren, Pruthi, Amit, Roscoe, Eleanor, Seharawat, Deepak, Stubbington, Mark, Vanjari, Vinayak, Venkataraman, Anantharaman, Yen, Serena, Patil, Vishal, Chan, Charles, Davenport, Garry, Featherstone, Peter, Fourie, Petrus, Hall, Christopher, Mahidik, Preeti, Masoni, Elisa, Ortu, Andrea, Patil, Anita, Pickett, Janet, Sharma, Sandeep, Goodwin, Naomi, Allen, Lucy, Anderson, Nathan, Bateson, Ethan, Bhatia, Sanchita, Churchill, Sara, Cohen, Leon, Colhoun, Patrick, Dunn, Charlotte, Durie, Carys, Elgarf, Sarah, Ferry, Jenny, Guilford, Jeremy, Halligan, Claire, Harrison, Jade, Hayes, Dominic, Holst, Ben, Hughes, Rhys, Hunt, Thomas, Jackson, John, Kohler, George, Kriger, Michael, Kulikouskaya, Svetlana, Kurani, Amit, Maden, Charlotte, Moore, Alex, Mounce, Adam, O'Donnell, Alice, Sparrow, Robert, Sutherland, Jayne, Hanison, James, Bansal, Sujesh, Greenwood, Nick, Alkholany, Mahmoud, Apple, Zoe, Asif, Anam, Bhardwaj, Neeraj, Braid, Karl, Coates, Rebecca, Czukowska, Liliana, Elliott, Lauren, Fang, Li, Greenlee, Hannah, Maria, Jashmin, Mostafa, Tarek, Patil, Amarjeet, Weigert, Andrea, Matson, Alexandra, Adamson, Christine, Barclay, Philip, Barker, Amy, Bautista, Carina, Biswas, Suman, Bull, Rhian, Carungcong, Jaime, Christoper, Fenner, Cifre, Elna, Clancy, Olivia, Friedman, Lauren, Frunza, Gabriella, Habib, Sadia, Keerthikumar, Hindusha, Kirwan, Ursula, Laycock, Helen, Leir, Sarah, Maduekwe, Victor, Martella, Carmela, Meritahti, Minna, Nundlall, Kribashnie, Oblak, Metod, Panesar, Kirat, Peters, Timothy, Pett, Eleanor, Routley, Catriona, Samani, Amee, Santhirapala, Vatsharlan, Sayan, Amrinda, Sisson, Alice, Svensson, Marie-Louise, Thankachen, Mini, Tilley, Bernadette, Topham, Charlotte, Visvendra, Sathya, Warrington, Anna, Wibberley, Helen, Spittle, Nick, Andrews, Mia, Beavis, Sarah, Bernotaitis, Daiva, Chinna, Shalini, Church, Helen, Edwards, Sian, Ford, Nicky, Hazeldine, Sarah, Hudson, James, Macey, Claire, Morgans, Matthew, Toms, Julie, Whileman, Amanda, Woodward, Jan, Wright, Stephanie, Nariani, Jaya, Clark, Sam, Duniec, Larysa, Slorach, Marc, Allan, Ashley, Burrill, Bryony, Fairless, Lynn, Francis, Nicholas, McAdam, Colin, Sheriff, Julie, McLoughlin, Thomas, Arshed, Shayan, Bird, Clare, Campbell, Debbie, Chinery, Elaine, Onya, Enoch, Perry, Ryan, Sabugueiro, Jose Miguel, Shatanda, Lydia, Sheik, Muzaffar, Jo simpson, Wong, Gabriela, Yun-Han, Chen, Wilson, Lawrence, Adshead, Duncan, Castillo, David, Faulkner, Maria, Gibson, Kim, Keogh, Tara, Michlig, Sam, Perritt, Elizabeth, Ridler, Simon, Tizzard, Kate, Troy, Anne, Rafi, Amir, Melsom, Helen, Atkinson, Vikki, Azad, Tariq, Bashliyski, Vladimir, Brown, Ellen, Clark, Sarah, Cowton, Sister Amanda, Deane, Jill, Dent, Jean, Duckett, Karin, Duncan, Louise, Hooper, Nicholas, Johnson, Tom, Kay, Andrea, Kelly, Donna, Kent, Melanie, Knight, Jo, McCarroll, Christina, Newby, Annie, Potts, Kathryn, Roe, James, Rollins, David, Sarwar, Asia, Schofield, Lewis, Skelton, Deborah, Somanath, Sameer, Taysum, Peter, Temple, Julie, Udall, William, Varin, Jane, Venyo, Lucy, Warin, Martin, Wood, Shelly, Dhileepan, Srinivasan, Saibaba, Ravishankar Jakkala, Stewart, Emma, Warwick, Eleanor, Pemberton, Omar Alex, Garmash, Maryna, Griffiths, Rhys, Hale, Suzi, Lahloub, Fatma, Lynch, Ceri, Majeed, Abbas, Patchell, Ifan, Quinton, Jennifer, Sedghi, Babak, Wallis, Stephanie, Mansoor, Sange, Belagodu, Zakaulla, Dastur, Shirin, Fuller, Bridget, Hayes, Imogen, Keshkamat, Ashwini, Monantera, Georgia, Sandhar, Roxana, Sivakumaran, Shamini, Thomas, Megan, Torne, Manish, Turner, Sherma, Wakefield, Phillipa, Rogerson, David, Addleton, Catherine, Aju, Lisha, Appleby, Marie, Barnes, Elizabeth, Boateng, Trish, Carrick, Laura, Coulborn, Elaine, Darbyshire, Rebecca, Downes, Charlotte, Fitzgerald, Jodie, Hall, Linda, Harvey, Laura, Hassan, Amr, Holding, Kathleen, Hufton, Lianne, Humphries, Louise, Humphries, Ryan, Inman, Laurence, Issit, Nicole, Longhurst, Sarah, MacGregor, Melody, Mistry, Trusha, Mohamed, Mona, Otieno, Charlene, Read, David, Scott, Michelle, Singleton, Abbie, Smith, Jill, Sohal, Aariana, Tou, Samson, Unsworth, Vanessa, Wan, Richard, Worth, Christopher, Dobson, Richard, Buckley, Rose, Codling, Rachel, Hunter, Cain, Jackson, Jenny, Lowrie, Caroline, McMillan, Catherine, McNab, Raj, Richardson, Max, Sylvester, James, Watkin, Anna, Chambers, Jonathan, Bown, Rachel, Christie, Colin, Dukes, Stephanie, Horton, Sarah, Rees, Andrew, Williams, Patricia, Williams, Sarah, Pierson, Richard, Agarwal, Nipun, Allcock, Clare, Banga, Irmeet, Baron, Kirsty, Cole, Andrea, Dalay, Santinder, Gidda, Ranjit, Lo, Phillip, Merotra, Susan, Newton, Kathryn, Riddell, Zoe, Sonksen, Julian, Jamadarkhana, Sunil, Alcock, Chanice, Allen, Wei Lin, Baker, Pearl, Beadle, Hannah, Bramall, Jon, Chiravasuta, Radu, Chohan, Amina, Christofides, Angela, Cook, Angela, Cotta, Janet, Cruz, Carina, Gilmore, Jemma, Hills, Vicky, King, Kathryn, McClelland, Lucy, Nishimura, Sei, Nyathi, Rumyana, Panagoda, Prasan, Peacock, Louise, Shinn, Emma, Spencer, Sophie, Vianzon, Mayumi, Kapoor, Ritoo, Natarajan, Nagendra, Moore, Joanna, Amoakwa-Adu, Freda, Bahlool, Sinan, Cosier, Tracey, Driscoll, Sarah, Dulea, Claudia, Feneley, Andrew, Fletcher, Marcus, Hammad, Walid, Hazelton, Tracy, Hoyland, Kim, Katyayani, Bennur, Lloyd, Catherine, Moon, Angela, Musselwhite, Janine, Nair, Ganesh, O'Donnell, Joshua, Patankar, Pushkar, Redington, Katy, Sange, Aalia, Snazelle, Mark, Srbljak, Vanja, Stead, Richard, Tariq, Ismail, Thomas, Janine, Turney, Sharon, Chukkambotla, Srikanth, Mathew, Aji, Lie, Jason, Badsha, Zackriah, Bews, Sam, Bhandari, Kumud, Cartmell, Catherine, Cox, Greg, Desai, Hawa, Doran, Mark, Duberley, Stephen, Fitchett, Jill, Forrest, Diane, Freeman, David, Gani, Asif, Gedling, Catherine, Giles, Jessica, Goddard, Wendy, Gregson, Linda, Grimes, Yvonne, Hammond, Bev, Hartley, Janice, Hudson, Gemma, Ibrahim, Ramez, Iqbal, Nasreen, Jewers, Karen, Johnston, Brian, Kakkar, Abhishek, Koczka, Istvan, Lovell, Matt, Mahmoud, Mohamad, Melvin, Cathie, Milner, Matt, Moss, Nicky, Patel, Jeet, Perry, David, Pollard, Mike, Reed, Stephanie, Rennie, Gillian, Riley, Karen, Samuels, Sherrie, Simionescu, Ioana, Sissons, Lorna, Traynor, Stephen, Tucker, Daniel, Vetuz, Glenn, Whalley, Gillian, Marshall, Philippa, Arnold, Tim, Brookes, Jamie, Cowley, Anne, Delascasas, Ruth, Edmunds, Emma, Espitalier-Noel, Dominic, Jeevananthan, Rajeev, Law, Jenni, Mintrim, Kelly, Reid, Jack, Terry, Jackie, Verma, Manish, Zahra, Jean-Paul, Thorning, Geoff, Bailes, John, Dawson, Lindsay, Donovan, Clare, Gan, Jo Han, Jeyarajah, Kaya, Selman, Andrew, Woods, Justin, Csabi, Peter, Choo, Yin Yong, Das, Saheli, Denford, Clare, Desai, Mihir, Dimber, Rahul, Ellisy, Khaled, Griffiths, Ben, Lee, Sindy, Linnett, Vanessa, Daniels, Alex, Perkin, Sadie, Ritzema, Sister Jenny, Storey, Sister Bryony, Wood, Christine, Orme, Robert, Koh, Sock, Banks, Charis, Barker, Oliver, Beames, Susan, Brown, Aislinn, Corbett, Lucy, Dalton, James, Davis, Fiona, Edmunds, Matthew, Gatfield, Will, Gerrans, Edmund, Hickish, Tom, Hignell, Emily, Hiltout, Paula, Johnston, Helen, Miller, Sam, Mullender, Jo, O'Connell, Susan, Rosedale, Kath, Samuel, Katie, Vannahme, Milena, Baigel, Gary, Grayland, Sarah, Hawley, Victoria, McAffrey, Laura, Peggler, Suzannah, Stevens, Joe, Bidd, Heena, El-Boghdadly, Kariem, Zucco, Liana, Adelaja, Yemi, Bhattacharyya, Sanjoy, Bickmore, Elsie, Body, Suzanne, May-Ling Cheung, Jenny, Chowdhury, Priaykam, Cuddihy, Joshua, Ekwere, Ndi, John-Baptiste, Ange Lise, Kelly, Paul, Leslie, Daniel, Mon, Wint, Muzengi, Natasha, Ong, Cheng, Pattni, Nisha, Potter, Thomas, Stanton, Elena, Zaky, Maryam, Partridge, Richard, Bromhead, Helen, Evans, Peter, Griffin, Denise, Kinsella, J. Joseph, Knight, Alexander, Lewis, Rosemary Anna, Lightfoot, Heidi, Martin, Jane, Mupudzi, McDonald, Nahajski, Katherine, Oladele, Segun, Ottaway, Julia, Petley, Stephen, Sheldrake, Ian, Stewart, Alexander Michael, Stokes, Aaron, Trodd, Dawn, Varsani, Nimu, Walshe, Eleanor, Brown, Caroline Wrey, Huntley, Martin, Baldry, Natalie, Bennett, Caroline, Earl, Sophie, Guy, Joyce, Peat, Maggie, Stephenson, Lorraine, Tan, Hao Ern, Wills, Louise, Yare, Michelle, Yeung, Joyce, Antrolikar, Supriya, Atterbury, Katie, Baba, Fayaz, Bancroft, Hollie, Begum, Safia, Bellamy, Mary, Couper, Keith, Evans, Lucy, Flight, Rachel, Frankling, Catriona, Ganesh, Srikant, Gresty, Joanne, Joslyn, Ruth, Kadiri, Salma, Karimi, Aalisha Mariam, Kerr, Amy, Melody, Teresa, Moore, Faye, Morrish, Jennifer, O'Sullivan, Mary, Patel, Vanisha, Reeves, Eleanor, Robley, Richard, Sampson, Julia, Sangombe, Mirriam, Shabangu, Vusumuzi, Sheppard, Lucy, Stafford, Sam, Sutton, Peter, Taylor, Joanne, Turner, James, Velho, Rochelle, Webb, Joanne, Webber, Linda, Werpachowska, Ewa, Wilkinson-Guy, Lisa, Papageorgiou, Constandinos, Bisonoothan, Sohan, Casely, Emma, Casey, Carina, Kam, Elisa, Landers, Geraldine, Pearse, Laura, Raja, Meera, Solomon, Daniel, Stoyanov, Plamen, Talati, Chiraag, Arunachalam, Hari, Ashton, Victoria, Full, Jens, Green, Samira, Gratrix, Andrew, Abernethy, Caroline, Clarke, Abigail, Desai, Pallavbhai, Martinson, Victoria, Parekh, Ravi, Phillips, Mirain, Raina, Anju, Raut, Sarah, Smales, Chris, Smith, Neil, Ugochukwu, Ruth, Willis, Matt, Ignatova, Zhana, Gill, Stuart, Agarwal, Sunita, Barclay, Harry, Campbell, Brian, Collingborn, Maggie, Dagnan, Richard, Davies, David Steven, Dhaliwal, Randeep, Dharmarathna, Ishan, Doriaswami, Yuvraj, Evans, Hywel, Foly, Ahmed, Francis, John, Green, Tim, Hassanin, Ahmed, Havalda, Peter, Huda, Ahmad, Jones, Beryl, Khoju, Ramesh, Lackmann, Maria, Mensah, Kofi, Nwaefulu, Christopher, Schmidt, Ilona, Selvraj, Gopinath, Skarbit, Norbert, Suganthi, Obla, Zeber, Jacek, Nagaratnam, Vidhya, Mukherjee, Smitangshu, Kirby, Sue, Arnold, Glenn, Bendel, Daniel, Boynton, Claire, Carvell, James, Carver, Anthony, Clayton, Matt, Desai, Keyury, Fadhlillah, Fiqry, Georgiou, Christiana, Jayakumar, Vineetha, Jeanes, Lara, Jhugursing, Mhairi, Jose, Jasmine, Karsten, Emma, Kormendy, Flora, Lewis, Stephanie, Lloyd, Dafydd, Mautadin, Francisca, McCahill, Claire, McInerney, Susan, Morland, Laura, Morsman, Elaine, Nayee, Sunny, O'Callaghan, David, Pickford, Emily, Pratap, Bhavesh, Rao, Chandana, Shah, Alka, Smith, Stephen, Smyth, Claire, Souleimanova, Icel, Templeton, Maie, Upadhyaya, Kavita, Uren, Sophie, Voralia, Shree, Wilson, Rebecca, Kushakavsky, Vlad, Ang, Justin, Beeby, Debroah, Bell, Stephanie, Boys, Helen, Brixey, Sue, Chabo, Cathleen, Cubitt, Lynsey, Dawson, Maggie, Finch, Jenny, Lewis, Robert, Purewal, Bally, Pyae, Kaung, Ramsey, Judi, Scoones, Ben, Debreceni, Gabor, Tarin, Obaid, Zondo, Nicola, Bothma, Pieter, Carmichael, Jack, Ferreira, Teresa, Goffin, Kelly, Gurung, Sarada, Kundu, Ashish, MacLennan, Sarah, Murray, Theresa, Verma, Karan, Wilson, Graeme, Winthein, Aleinmar, Jakkampudi, Satyanarayan, Ahmed, Muneeba, Baines, Duncan, Beirnes, Charmaine, Braybrook, Chrissy, Fernandez, Olga, Gracey, Jayshree, Guha, Snehasish, Jain, Arihant, Krishnaiyan, Raghavendran, Moody, Thomas, Novaga, Jo, Tait, Frances, Tate, Jemma, Taylor, Jennifer Claire, Waldron, Molly, White, Sonia, Gupta, Anish, Botfield, Claire, Ahmed, Mohamed, Ashton, Lizzie, Bailey, Andrew Robert, Banugo, Pele, Birch, Sian, Boyle, Henry, Brown, Alice, Chen, Mark, Connolly, Lucy, Dalal, Viral, Edwards, Alexandra, Elnour, Shaima, Faccini, Timothy, Floyd, Theodore, Georgiou, Thomas, Gill, James, Hedley, Russell, Hopkins, Philip, Kumar, Roshmi, Michell, Alice, O'Shaughnessy, Rhiann Marie, O'Sullivan, Laura, Pai, Seema, Parsons, Benjamin, Peltola, Laura, Penhaligan, Beth, Place, Merate, Ramsden, Jonathan, Ratnayake, Gamunu, Shammas, Kathy, Watts, Ali, Williams, Thomas, Woodham, Valantine, Puranik, Sarang, Crooks, Jennifer, Dean, Ania, Honstvet, Chris, Hunter, Katherine, Steynberg, Sarah, Swain, Andrew, Laha, Shondipon, Bonner, Alex, Doyle, Donna, Fallon, Robert, Verlander, Mark, Williams, Alexandra, Yardley, Richard, Whiteley, Simon, Ahmed, Zaid, Child, Ossian Aukland, Black, Sheila, Calderwood, Jamie, Chapman, Andy, Collin, Robert, Dwornik, Kinga, Gallagher, Kate, Gardener, Michelle, Harrop, Gareth, Hart, Peter, Howcroft, Clare, Ilyas, Carl, Kempanna, Umakanth, Krishnamurthy, Gnanshree, Kumara, Paramesh, Loh, LI Lian, Morgan, James, Pipe, Jonathan, Sathiapillai, Anand, Stones, John, Wilby, Elizabeth, Shephard, Buzz, Agarwal, Manju, Bolonenkova, Tatyana, Dunlop, Lisa, Duraisamy, Karthick, Kelly, Jenna, Nurmi, Eveliina, Patel, Mitul, Perry, Jonathan, Prior, Charles, Reece-Anthony, Rosie, Rose, Bernd Oliver, Rowland, Katie, Van Ross, Jennifer, McNamara, Helen, Permall, Natasha, Robertson, Gillian, Siew, Sarah, Smith, Amy, Spearritt, Sue, Verma, Dipali, Williams, Rhys, Zaidi, Suhail, Clayton, Samantha, Goddin, James, Joy, Stuart, Malhotra, Vikram, Mindel, Samuel, Neilson, Zoe, Wijesuria, Shanelle Tharuka, Wilkins, Ryan, Mukherjee, Kirtida, Bradley, Andrew, Coetzee, Samantha, Crook, Alexandra, Emeakaroha, Eunice, Frenkiel, Marek, Hatton, Tom, Kamraj, Kootharajan, Long, Natalie, Manikundalam, Badrinath, Peiris, Muditha, Roche, Matthew, Sandhu, Banher, White, Nichola, Woods, Annette, Yarnold, Adam, Price, Nicolas, Ashe, Marion, Disney, Tom, Dixon, Caroline, Dodds, Emily, El-Sheika, Sarah, Hameed, Yasir, Jones, Rob, Kanal, Karan, Ranaweera, Sanjeewa, Ripoll, Simon, Russell, Nicki, Smith, Sally Anne, Tung, Swee Ang, Emerson, Bruce, Apps, Victoria, Austin, Mandy, Catchpole, Laura, Catley, Christine, Child, Jenny, Cranmer, Karen, Dawson, Lizzie, Farr, Beth, Gerrish, Helen, Gibson, Sian, Gunn, Jacqueline, Holland, Kim, James, Lorri, Jayasekera, Dushyanthi, Lester, Yvonne, Lyle, Amanda, McNeela, Fiona, Oborska, Aneta, Pennington, James, Perkins, Lauren, Robinson-Perrie, Hollie, Shillito, Lauren, Singizi, Bryan, Smolen, Susan, Topliffe, Joanne, Vowles, Ben, Whybro, Natalie, Wijunamai, Amon, Willsher, Lucy, Wootton, Joanne, Varma, Sandeep, Atkinson, Philip, Buckley, Sarah, Darian, Thelma, Dhamaratne, Sachini, Gould, Richard, Graham, Laura, Hirst, Charlotte, Peeling, Andrew, Prentice, Saxon, Rajasekar, Naresh, Rose, Alastair, Smith, Craig, Wilkinson, Kate, Stewart, Richard, Chevis, Chrissie, Ekpa, John, Greig, Nurse Sara, Hinch, Nurse Rebecca, Holder, Carole, Makris, Nikolaos, Moran, Nurse Louise, Padilla Harris, Nurse Cheryl, Scarletta, Nurse Diane, Smith, Jeanette, Sara-Beth Sutherland, Nurse, Turner, Joanne, Valentine, Peter, van Manen, Amelia, Walia, Nurse Sonia, White, Nurse Charlotte, Wilson, Georgina, Wren, Nurse Lynn, Wright, Nurse Francesca, Faulds, Matthew, Agius, Claire-Marie, Ahmed, Raheel, Ahmed, Sameer, Alva, Arjun, Bird, Rachael, Buckley, David, Calder, Verity, Clark, Caroline, Craven, Emily, Cullen, Katherine, Davis, John, Diamond-Fox, Sadie, Doherty, Helen, Dutta, Bhaskar, Fortune, Jonathan, Gatehouse, Alexandra, Gibson, Jane, Hay, David, Hillier, Steve, Hindmarch, Paul, James, Michael, Keshvara, Kiran, Kotur, Karuna, Lawley, Peter, Lochanie, Nimali, Macbeth, Lisa, Madhu, Yamuna, Marcangelo, Sam, McShane, Lesley, Morgan, Amy, Mowat, Stephen, Nelson, Joshua, O'Leary, Denis, Partridge, Jennifer, Pearson, Janaki, Poulton, Tom, Prasad, Sneha, Protheroe, Kay, Qureshi, Adnaan, Rangaswamy, Girish, Richardson, Victoria, Scott, Carmen, Smallshaw, Karen, Soliman, Abdelrahman, Soulsby, Graham, Wahed, Anna, Walker, Iain, Welch, Sarah, Wilson, Jessica, Winkley, Elaine, Womack, Jonathan, Mitchell, Joellene, O'Brien, Peter, Callaghan, Debbie, Clarke, Ruth, Foggo, Graeme, Gilmour, Danielle, Hickey, Stephen, Hii, Stephanie, Livingstone, Susan, McAtear, Megan, Meehan, Sharon, Milne, Gemma, Small, James, Williams, Dewi, Jardine, Catherine, White, Graham, Wright, David, Hunter, Katie, Fleming, Gillian, Marc Hastie, P.A.-A., Hunter, Catherine, Lockhart, Jennifer, Reid, Kirsten, Robb, Hilary, Harten, Johann, Crooks, Barbara A., Ratnasabapathy, Urmila, Staber, Manfred, Pettigrew, Tom, Varveris, Daphne, Brett, Michael, Appleton, Richard, Briskoe, Michael, Brown, Graeme, Brown, Stewart, Christie, Fiona, Coady, Guy, Cowan, Richard, Drysdale, Alice, D'Sylva, Stewart, Edgar, Paul, Finnie, Graeme, Gardner, John, Gupta, Shub, Hall, Colin, Hamilton, Jane, Hunter, Laura, Ikram, Umairali, Imrie, Gregor, Kerr, Euan, Kinsella, Michael, Kommer, Maya, Lafferty, Brian, Lochrin, Christopher, Lovejoy, Tom, Loy, Maria, MacLean, Aillison, MacPherson, David, Marshall, Cara, Mawhinney, Ruth, McAteer, Claire, McCaul, Prof James, McCusker, Michael, McDowall, Katherine, McGovern, Christopher, Mckie, Stewart, Morrison, Melanie, Mulla, Suleman, Neale, Elizabeth, Niciu, Cristina, Ong, Su Ying, O'Sullivan, Finbar, Parcell, Sophie, Ramsay, Sarah, Robson, Rebecca, Roy, Nithin, Samuel, Jasmine, Scotland, Gemma, Sharma, Natasha, Slade, Kate, Soosay, Alvin, Soulsby, Charlotte, Steuart, Lois, Stevenson, Sara, Sweeney, Laura, Tan, Kerwei, Taylor, Calum, Th'ng, Francesca, Thompson, Caroline, Wardlow, James, Watson, Martin, Williams, Robin, Woodier, James, Young, Simon, Robinson, David, Howes, Jacqueline, Berwick, Scott, Boyle, Andrew, Brown, Neil, Celnik, Anna, Coleman, Alistair, Elwkhiee, Mohamed, Fernandes, Mario, Hanlon, Katie, MacLean, Sarah, Morgan, Rhian, Edgar, Jonathan, Chapman, Roddy, Razouk, Khaled, Atrah, Ali, Bhat, Sunny, Bramma, Yvonne, Campbell, Euan, Campbell, Rachel, Cormack, Anna, Dalchow, Stephan, Dodd, Ammy, Ferguson, Laura, Ferraioli, Donna, Hynd, Moyra, Janeczko, Adam, Jeffrey, Sally, Kinsey, Tony, Kummur, Yuvaraj, McIntosh, Karen, McKenna, John, Mclaughlin, Maria, Millington, Ryhs, Murphy, Emma, Parker, Kris, Reevell, Tom, Robertson, Fiona, Shankey-Smith, Will, Slorach, Colum, Szelei, Tamas, Warnock, Geoff, Watson, Stuart, Alston, Peter, Geddes, Murray, McLellan, Stuart, Allen, Eireann, Birnie, Karen, Brown, Kirsteen, Critchley, Julia, Cullen, Margaret, Eros, Alex, Forbes, Callum, French, Helen, Hall, David, Hetherington, Jonathan, Kellner, Maximiliane, Kelly, Keith, Khaled, Hiba, Mantle, Damien, McLenachan, John, Midgley, Susan, Nimmo, Susan, Ordys, Bart, Phelan, Hannah, Roddam, Philip, Shaw, Louise, Smith, Carolyn, Steel, Elizabeth, Stuart, Robert, Sturrock, John, Waite, Alasdair, Waterson, Fraser, Watson, Hannah, Wood, Elizabeth, Schraag, Stefan, Boyd, Elizabeth, Jain, Surabhi, Matthews, Elaine, Rappai, Geejo, Barr, Catriona, Stewart, Michael, Christie, Sharon, Smith, Tim, Arrow, Kate, Austin, Pauline, Chapman, Susie, Little, Jonathan, Malein, William, Sadler, Amy, Younger, Rhona, Reavley, Caroline, Allan, Katy, Ashok, Vignesh, Boroojeny, Ayda Borjian, Cutts, John-Paul, Faulds, Fiona, Fernie, Mark, Gadre, Amit, Gately, Tom, Haddon, Richard, Induruwage, Lalani, King, Siobhan, Liddle, Sian, Mallett, Paul, Mehotra, Saurabh, Ali, Inthekab Mohammed, Morris, Rachel, Nunn, David, Ferraro, Rocio Ochoa, Padhi, Pulak, Prusack, Ewa, Quak, Edmund, Singleton, Georgina, So, Kin, Stolady, Daniel, Welch, Drew, Whitear, Michael, Wilkinson, Kathy, Wu, James, Yusaf, Alex, Kakodkar, Prashant, Ghoneim, Hoda Abou, Balliston, Sara, Dudgeon, Lucy, Idris, Muna Elsheikh, Karattuparambil, Juneenath, Nanda, Lohita, Raithatha, Bhavesh, Saad, Mahmood, Spimpolo, Jenny, Titinchi, Linda, Wilson, Julie, Winstone, Ulrika, Martindale, Sarah, Cameron, Ewen, Fenner, Lynn, Hartford-Beynon, Jake, Mooney, Iain, Mundy, Charlotte, Rhidian, Rhys, Scutt, Sophie, Todd, Anna, Graham, Fiona, Ashton, Amy, Cooper, Theresa, Davidson, Katherine, Eapen, Suresh, Crowther, Hannah, Hindmoor, Claire, McSkeane, Anna, Mostafa, Mahamed, Mudimadagu, Gururaj, Rice, Polly, Wilson, Antoinette, Henry, Garry, Hollister, Nigel, Hunt, Jane, Isaac, Amanda, Morris, David, Paredes-Guerra, Antonio, Pass, Katherine, Paul, Martin, Rait, Kiran, Rousseau, Guy, Shacklock, Emma, Skinner, Amanda, Stancombe, Lucia, Thomson, Laura, Nutt, Christopher, Wright, Geoffrey, Holland, Johnny, O'Neill, Orla, Sengottaiyans, Arun, Mitra, Atideb, Garg, Sanjeev, Adams, Jonathan, Aiyedun, Temitope, Ali, Hani, Biuk, Sahar, Bond, Bryany, Cheeseman, Michelle, Clayton, Mark, Cottam, Lisa-Jayne, Dent, Kathy, Evans, Elizabeth, Evans, Sandra, Goodhand, Hannah, Green, Karen, Hatton, Jonathan, Hill, Joanne, Hutchinson, Dorothy, Jacob, Shibu, Joseph, Renjith, MacNally, Laura, Mann, Jason, McTaggart, Virginia, Newton, Maria, Pearson, Sandra, Rayet, Jaspreet, Saunders, Rebecca, Saxena, Sandeep, Venkatesh, Hemamangala, Whotton, Nikita, Ezihe-Ejiofor, Ada, Barot, Hemangini, Bridger, Hayley, Elhallous, Shady, Ghafoor, Rizana, Manhas, Vitul, Patil, Tanmay, Sadavarte, Nitin, Tharmalingam, Bhamini, Pritchard, David, Bage, Jean, Higgin, Sarah, Krishnaier, Asokan, Neilly, Esther, Rayappu, Sean, Siaw, Chye, Songaile, Ilma, Standen, Peter, Suresh, Narayanan, Weston, William, Williams, Lynne, Yuchen, Jiang, Alagar, Ravi, Taylor, Adrian, Matata, Claire, McCrossan, Roopa, Robertson, Andrew, Shekar, Priya, Stoker, Wendy, Turnbull, Elizabeth, Watkinson, Clare, Worthy, Stephen, Yates, Bryan, Ignatov, Dancho, Davies, Matthew, Abdu, Ayman, Banni, Donata, Bowyer, Helen, Brooks, David, Buhmann, Ulf, Christenssen, Victoria, Collins, James, D'Sa, Aaron, Forde, Steven, Groves, Alice, Hosahalli, Jyothi, Hunt, Lauren, Koshy, George, Lee, Robyn, Martin, Susan, McKnight, Angus, Murphy, Piers, Nash, Henry, Nkanang, Bassey, Oracki, Pamela, Pauley, Tara, Pope, Alan, Samanta, Romit, Sgardelis, Panagiotis, Stocks, Tom, Vaitheeswaran, Sivaprakash, Verma, Priya, Vrazhalska, Madlena Ivanova, Weisz, Mike, Moppett, Iain, Arunachalam, Subha, Begum, Zorba, Bhangu, Sonia, Bown, Gemma, Chana, Avninder, Chhaniyara, Puja, Constable, Natalie, Delme, Luff, Fenner, Helen, Griffith, Oliver, Hackett, Stephen, Hewson, David, Inkpin, Kristofor, Jones, Richard, Kirkdale, Richard, Lyons, Ian, Mandal, Arnab, Mehrotra, Prerna, Murphy, Martin, Pearce-Smith, Alison, Priestley, Martin, Pyke, Shirley, Rasoli, Sonia, Sharma, Suneal, Squires, Gemma, Tsim, Peter, Veitch, Jonathan, Bond-Smith, Giles, Kay, Olivia, Siviter, Richard, Allen, John, Baxter, Linden, Beer, Sally, Bernardo, Mariana, Coles, Holly, Cudlip, Jo, Devries, Talitha, Duggleby, Phil, Espinosa, Alexis, Fitzgibbon, Karina, Galente, Joao, Georgiou, Domonique, Ghosh, Soumi, Hingley, Nicholas, Kingan, Ryan, Levett, Chris, Martinez, Jose, Mattin, Alex, Moore, Anna, Morrish, Samuel, Nash, Amy, Patel, Tejuswi, Roe, Cieron, Thwaites, Victoria, Wali, Anuj, Watterson, Dafydd, Charlotte Yates, Anna Wilson, Gimenez, Marc, Boltres, Anita, McClean, Rebecca, Papadopoullos, Sam, Teh, Elena, Webb, Stephen, Brammar, Andrew, Humphreys, Joanne, Alibhai, Moiz, Alston, Daisy, Cohen, Jolyon, Coleman, Laura, Davies, Simon, Dervin, Dionne, Dooley, Rebecca, Drummond, Andrew, Findlay, Douglas, Fleming, Naomi, Hammoud, Yazzim, Hussain, Sanniah, Irwin, Katy, Javed, Asad, Kent, Linda, Lock, Lorraine, McSorland, Denise, Meadows, Alison, Mulligan, Paula, Nichols, Wendy, O'Callaghan, Maria, Ogor, Jonathan, Poole, Joanna, Ryder, Geoffrey, Shakoor, Akmal, Teo, Wei, Minto, Gary, Adshead, Stephen, Anderson, Helen, Carpenter, Adam, Clelland, Stuart, Datar, Priya, Elloway, Esme, Holl, Matt, Hulbert, Aidan, Humphreys, James, Hyams, Ben, McAleer, Sam, Newmarch, Mary, Notman, Holly, Patrick, Abigail, Perham, Anna, Pitman, Catherine, Reed, Fiona, Sampson, Paul, Smith, Hannah, Spinney, Sam, Toms, Nina, Warrener, Tim, Girgis, Michael, Barcraft-Barnes, Helena, Camsooksai, Julie, Colvin, Carolyn, Davies, Jack, Hamilton, Alex, Linton, Fiona, Nussbaum, Greg, Patch, Sarah, Simpson, Diane, Tbaily, Lee, Bain, James, A'Court, Alicja, Barr, Emma, Blethyn, Kate, Craig, Thomas, Cutler, Hugh, Davies, Jenny, Fry, Rebecca, Hawes, Elizabeth, Jenkins, Nicholas, Knight, Martin, Restall, David, Stubbs, Matthew, Sutherland, Angus, Swarbrick, Claire, Wilson, Robin, Winwright, Paul, Hamilton, Kevin, Adams, Anne, Allen, Orlanda, Boampomaa, Marilyn, Boniface, Anna-Marie, Coe, Robert, Daniel, Amelia, Finn, Joanne, Gill, Issac, Griffiths, Huw, Hackney, Joanna, Han, Ruth, Hare, Edward, Rintoul, Edward, Shpuza, Ervin, Smith, Ruth, Staines, Nikki, Suppiah, Puvan, White, Tracey, Pearson, Darcy, Cracknell, Ben, Farrell, Nadine, Hermanowski, Jane, Hodgson, Ruth, Hoskins, Toby, Jones, Rhiannon, Keable, Sam, Rosbergen, Melissa, Giles, Julian, Dawes, Thomas, Green, Ben Eden, Pottinger, Gail, Weller, Debbie, John, John, Burgess, Lisa, Denton, Jean, Done, Alaine, Edwards, Jayne, Garrett, Theresa, Gilla, Rajesh, Griffith-Norris, Samantha, Jones, Teresa, Linklater-Jones, Barbara, Nicholas, Claire, Owen, Sara, Perkins, Charlotte, Rowlands, Tessa, Steen, Julie, Turner, Sarah, Wales, Johanna, Woolley, Carol-Ann, Hormis, Anil, Collier, Dawn, Dixon, Kathryn, Gardner, Michael, Murray, Vicky, Soar, Harry, Walker, Rachel, Yaruk, Shifa, Yarwood, Daniel, Dill-Russell, Patrick, ruthy Arumugam, Bird, Georgina, Bleasby, Nichola, Chater-Lea, Peter, Craig, Emma, Davies, George, Foxton, Julie, Gilfillan, Helen, Jerram, Keelan, Kudsk-Iversen, Søren, Lee, Rebecca, Livesy, John, Mohabir, Amanda, Morris, Katherine, Raffles, Mike, Smith, Annika, Wang, Huiqi, Craig, James, Barratt, Nina, Bates, Andy, Bokor, Norbert, Cranshaw, Julius, Dominguez, Sergio, Fraine, Annette, Green, Richard, Molloy, Katie, Penny, Christina, Pitts, Sally, Purandare, Laura, Rabbi, Taslima, Serrano, Monica, Stoycheva, Tina, Vamplew, Luke, Williams, Steve, Berry, Julian, Adams, Benita, Bean, Sarah, Burt, Karen, Devooght-Johnson, Nicki, Hammonds, Fiona, Nicholls, Tom, Rowe, Michelle, Summers, Jessica, Ward, Olivia, Wroath, Belinda, Young, Gabbie, Matthews, Cathryn, Crosbie, Gearoid, Dunn, Alex, Eddy, Sara, Garcia, Lynda, Garwood, James, Green, Adam, Gupwell, Karin, Jones, Nicola, Marriott, Suzie, Masood, Mohammad, Mazzola, Francesca, McEvoy, Evanna, Ng, Yang, Park, Linda, Pauling, Stephanie, Potter, Alison, Renton, Caroline, Samways, Adam, Sibley, Pauline, Stead, Jenny, Thorpe, Kevin, Turner, Elizabeth, Walter, Michelle, Windsor, Kevin, Jha, Rajeev, Hooker, Nicolas, Kidel, Carlos, Abayalingam, Mayavan, Boulding, Richard, Coakley, Philip, Elahi, Noor, Helder, Filipe, Hilton, James, Joshi, Kunal, Kaur, Rupinder, Male, Victoria, Naji, Saqib, Pinto, Manuel, Rajendran, Yohinee, Save, Manjeet, Smith, Megan, Spence, Emily, Tang, Sophie, Urwin, Thomas, Wittenberg, Marc, Yan, Ruoling, Williams, Colin, Ardeshna, Arjun, Bamford, Peter, Hagyard, Sarah, Johnson, Patrick, McMonagle, Martina, Morris, Hayleigh, Murphy, Thomas, Papadopoulos, Stavros, Simpson, Emma, Smith-Williams, Jonathan, Vyapury, Vin, Juneja, Rohit, Black, Ethel, Eeles, Alex, Elliot, Justine, Jhanji, Shaman, Knoetze, Reynard, McCanny, Jamie, Oswald, Lauren, Roderick, Ellie, Gunning, Paul, Siddaiah, Narendra, Balachandar, Krishna, Bhimarasetty, Chandra, Bird, Laura, Blunt, Conny, Da Silva, Egidio, Darbyshire, Mark, Echaveznaguicni, Irene, Girgis, Youssef, Goodman, Martin, Gowda, Dinkar, Gowni, Rajashekar, Hayes, Melony, Jackson, Natalie, James, Anitha, Jayapal, Rekha, Jones, Claudette, Leung, Enid, Minhas, Simran, Mubarak, Mona, Muniyappa, Sudeshkumar, Nassa, Zehrin, Neal, Tom, Nyangoni, Kudakwashe, Panchakshariah, Suresh, Philpott, Bethany, Pinner, Craig, Pygall, Daniel, Rangaiah, Manamohan, Rao, Anil, Rea, William, Shellard, Richard, Shinner, Guy, Sutherland, Tony, Tharakan, Liza, Thomas, Sue, Travasso, Betty, Venkatesh, Pyda, Wortley, Dionne, Dickinson, Matthew, Benoliel, Sophie, Doyle, Nanci, Marriott, Cheryl, Martin, Sarah, Montague, Laura, Penhaligon, Kate, Saha, Rita, Santhirapala, Ramai, Suntharanathan, Lushani, Wakeford, Nichola, Webb, Carly, Winterbottom, Toby, Jordan, Lesley, Aldridge, Matt, Bolton-Hill, Clare, Cook, Prof Tim, Kangesan, Inthu, Kettley, Laura, Mew, Edward, Penketh, James, Quinn, Eleonore, Scholes, Sam, Uppugonduri, Sreekanth Rayalu, Allen, Lara, Lyndsay Bibb, Jill Brown, Busby, Charlotte, Katherine Cheshire, Davis, Matron Beryl, Denyer, Rebecca, Julie Edwards, Gardiner, Laura, Haque, Shamim, Icke, Julia, Jones, Katherine, Donna McIntosh, Mandy Oakley, Prasad, Linda, Victoria Roberts, Smallwood, Andrew, Tammy Smith, Stelfox, Lucy, Angela Stevens, Angela Willberry, Pratt, Oliver, Chincholkar, Mahindra, Darwin, Leanne, Dearden, Joy, Flowerdew, Adele, Harrison, Louise, Hartley, Robert, Ingham, Andrea, Jones, Ben, Lee, Stephanie, Longdon, Elizabeth, Marsden, Tracy, Meats, Kirsty, Michael, Angiy, Norwood-Green, Drew, O'Loughlin, Victoria, Owen, Holly, Patel, Manju, Perez, Jane, Whiston, Jessica, Wood, Andrea, Williams, Simon, Billingham, Chloe, Clarke, Caroline, Holmwood, Xantha, Knighton, Melba, Sands, Becky, Stevens, Paul, Strong-Sheldrake, Sophia, Taylor, Matthew, Rambhatla, Mrutyunjaya Rao, Brodier, Elizabeth, Choudhry, Ozerah, Choudhry, Usman, Fitzmaurice, Bethany, Hulme, Jonathan, Kannan, Santhana, Mak, Kay Anne, Namih, Miriam, Rajdev, Bharati, Rambhatla, Swetha, Reilley, Stuart, Rice, Rebecca, Sethia, Nalini, Smith, Katy, Wakhle, Rahul, Walmsley, Chris, Wrench, Ian, Agyemang, Michael, Bell, Elizabeth, Bird, Sarah, Briscoe, James, Cruickshanks, Andy, Drinkwater, Jake, Eggleston, Sam, Elms, Henry, Hammon, Laura, Harris, Meredith, Harrison, Christopher, Hirst, Claire, Housley, Kay, Kapoor, Krish, Kibutu, Faith, Kilner, Beverly, King, Emily, Kirk, Emily, Marshall, Esme, Mazzone, Paolo, Middle, Janet, Milner, Leanne, Mitchell, Adam, Morris, Becky, Mudd, Alexandra, Needham, Matthew, Nicholas, James, Penson, Rob, Perfitt, Joel, Pinkerton, Mark, Recto, Mayeth, Rehnstrom, Maria, Riley, Catherine, Ryan, Lorna, Smith, Jennie, Strong, Samantha, Thornley, Helen, Tookey, Bethany, West, Daniel, Whitaker, John, Willcock, Sarah, Willoughby, Shay, Wright, Jane, Jones, Paul, Abbott, Riquella, Bacon, Lisa, Godden, Christopher, Howe, David, Loughlin, Angela, Moore, Helen, Passey, Samuel, Rodgers, Rebekah, Foley, Paul, Hagan, Samantha, Marcus, Simon, Gardner, Irene, Haslam, Zena, Morrison, Moira, Obeysekera, Chai, Porter, Kim, Terrett, Helen, Henning, Jeremy, Baillie, Kirsty, Buchanan, Ella, Cain, Martyn, Colling, Kerry, Duarte, Raquel, Gibb, Chris, Hynd, Ryan, Irvine, Victoria, Lyons, Rob, Middleton, Karoline, Razaque, Usman, Sheikh, Faisal, Tabiner, Tariq, Frey, Christian, Brown, Carly, Clifford, Gayle, McKee, Madeleine, Stidolph, Beverley, White, Emert, Campbell, Bridget, Mason, Sophie, Parsons, Penny, Santana-Vaz, Natasha, Stagg, Camilla, Shah, Nirav, Barnes, Veronica, Bedoes, Penny, Clarke, Jonathan, Crichton, Robert, Das, Madhurima, Davies, Paul, Farrah, Helen, Hegarty, Aoife, Howlett, Luisa, Kleine-Brueggeney, Maren, Ma, Samson, Marsh, Veronica, McAndrew, Katherine, Mellinghoff, Johannes, Oscier, Christopher, Ryan, Christine, Smee, Elizabeth, Thurairasa, Dushanthi, Goel, Vandana, Adeney, Christopher, Behl, Sanjay, Chadwick, Karen, Coleman, Thomas, Davies, Claire, Dealing, Sharon, Elwood, Jamie, Fadden, Emma, Gillies, Stella, Kennedy, Tom, Miller, Thomas, Morton, Simon, Reilly, Rebecca, Smyth, Sue, Syratt, Thomas, Welfare, Emma, Thomas, Elizabeth, Awolesi, Jennifer, Bennett, Hannah, Bradshaw, Elizabeth, Crabtree, David, Duraman, Lauren, Hughes, Kerry, Kirk, Sarah, Leonard, Dee, Stoeter, Rachel, Parrington, Simon, Andorka, Matyas, Ang, Kingsin, Bailey, Linda, Brooks, Stephanie, Chiu, Oon, Collins, Sally, Jack, James, Knight, Harry, Lynn-Smith, Anastasia, Mackenzie, Matt, Maher, Sarah, Nimako, Louise, Sangaralingham, Siva, Sanusi, Seliat, Weller, Samantha, Willard, Elizabeth, Kulkarni, Anand, Carroll, Peter, Clark, Martyn, Coulding, Martina, Denman, Elizabeth, El Habishi, Mohyman, Haywood, Patrick, McConniffe, Jane, McCormick, Jacqueline, Melachuri, Krishnakar, Philip, Evelyn, Ridgway, Stephanie, Savill, Heather, Sharif, Kamal, Vere, Joanne, Harris, Stephen, Coombs, Alex, Darch, Flora, Doble, Patricia, Foot, Jayne, Gillett, Chris, Judd, Thomas, Moss, Alison, Pawley, Corinne, Tait, Moira, Whitcher, Alison, Wood, Natalie, Montgomery, Jane, De Selincourt, Gabrielle, Fitzell, Pauline, Flower, Katie, Horan, Kathleen, Hulance, Bianca, Mercer, Pauline, Shaw, Sarah, Webber, Robin, Kakkar, Manish, Joachim, Suganthi, Aggarwal, Seetal, Ali, Amr, Ang, Boon, Bhardwa, Vishnu, Deamer, Wendy, Filby, Lorna, Fletcher, Jo, Fombon, Felix, Gawley, Shannon, Gosavi, Chandrakant, Hindle, Julia, Lawrence, Tara, Maher, Robert, Moore, Samantha, Netherton, Kimberley, Orasanu, Teodora, Poimenidi, Evangelia, Potter, Louise, Ranasinghe, Niyesa, Ribeiro, Lester, Ruth, Thoy, Butler, Susie, Sutton, Tim, Thomas, Issy, Veluvolu, Divya, Walker, Thomas, Wariyapola, Charindri, Zaheer, Lail, Luoma, Valpuri, Ferguson, Catriona, Stewart, Adrienne, Bapat, Smita, Bose, Gahan, Bugo, John, Campbell, Marta, Cervi, Elizabeth, Ciechanowicz, Sarah, Coathup, Rachel, El-Wahab, Niveen, Frith, Claire, Gill, Preea, Gray, Martin, Luoma, Astri, Mehta, Sachin, Murali, Mayur, Mussad, Asya, Parker, Laura, Patch, Josh, Perella, Paolo, Robson, Emily, Setty, Thunga, Vieira, Filipe, Wall, Josh, Witby, Jon, Zghaibe, Wael, Zhang, Sheldon, Merron, Stephen, Abano, Nenette, Barnett, Loretta, Barry, Adrian, Birks, Pamela, Brade, Judith, Butler, Adrian, Carpio, Racquel, Colclough, Viv, Eaton, Katrina, Edwards, Carol, Emery, Lisa, Finney, Kay, Gallagher, Susan, Ghatge, Satyajeet, Grocott, Jeanette, Hall, Amanda, Hardwick, Alison, Harrison, Anne, Hendy, Susan, Hiden, Joanne, James, Alex, Jeganath, Vijay, Kumar, Rahul, Lord, Stephen, Lovatt, Rachel, Lyjko, Susan, Maguire, Holly, Marsden, Mia, Mehta, Venu, Mishra, Rajeev, Mittal, Rohit, Moores, Andrew, Nalwaya, Pramod, Omeara, Matthew, Orosz, Sandor, Patel, Nehal, Pattison, Nicola, Ponce, Ida, Puttapa, Ashok, Rajamanickam, Tamilselvan, Rao, Nagaraj, Remegoso, Alda, Rhodes, Rochelle, Rooney, Angela, Sadler, Emma, Singh, Permendra, Soon, Wai, Tomlins, Simon, Umbarje, Kanchan, Vallabhaneni, Murali, Varquez, Resti, Wain, Jill, White, Sorana, Willetts, Elizabeth, Williams, Benedict, Wood, Andrew, Washington, Stephen, Anipindi, Sujata, Aston, Jennifer, Bradley-Potts, Joanne, Butler, Ian, Cunningham, Jennifer, Duncan, Alastair, Garrard, Hywel, Haslam, Daniel, Kirk, Danielle, McCormick, Richard, McEvoy, Michael, Mistry, Sara, Ormandy, Danielle, Sharp, Tracy, Song, Andrew, Williamson, Georgina, Young, Francis, Tasker, Laura, Bailey, Elizabeth, Baker, Roisin, Bamford, Amy, Bergin, Colin, Blackburn, Julia, Bodo, Kinga, Carrera, Ronald, Cooper, Lauren, Despy, Liesl, Ellis, Karen, Foster, Morgan, Garner, Sharon, Harkett, Lyndon, Harkett, Samantha, Ip, Peter, Lay, Frances, Liu, Hon Sum, Mee, Laura, Nazir, Samir, Osbourne-Wylde, Jacob, Patel, Krupali, Pope, Martin, Reeves, Emma, Sahni, Melanie, Small, Charlotte, Spooner, Brendon, Spruce, Elaine, Whitehouse, Arlo, Wharton, Nicholas, Alexander, Rachel, Ashford, Amy, Aspinall, Rebecca, Bateman, Richard, Bell, Matthew, Bennett-Britton, Jennifer, Bewley, Jeremy, Blanshard, Hannah, Bourdeaux, Christopher, Brook, Peter, Cain, Helen, Cameron, Claire, Cassells, Naomi, Chauhan, Nilesh, Clarke, Adrian, Cockroft, Melanie, Cohen, Alan, Collins, Joanna, Cominos, Timothy, Craven, Rachael, Davies, Ian, Dolling, Sarah, Dowse, Claire, Driver, Kate, Duffen, Adam, Dunn, Sarah-Jane, Earnshaw, Charlotte, Forrest, Frances, Freshwater-Turner, Dan, Gardner, Issie, Gibbins, Matthew, Gibbison, Ben, Gleeson, Suzanne, Gould, Timothy, Govier, Matthew, Gupta, Benjamin, Hadfield, John, Harvey, Nicola, Henderson, Sophia, Herbert, Lara, Hillier, James, Hood, Elizabeth, Howes, Ben, Howes, Helen, Hughes, Sian, Jackson, Kathryn, Jacobs, Toby, Jenkins, Emma, Jenkins, Ian, Johnstone, Alistair, Jones, Lydia, Jones, Rebecca, Joshi, Natasha, Kamalanathan, Kajan, Kellie, Neil, Kidd, Lawrence, Kinsella, Mike (Stephen), Knight, Thomas, Leslie, Rebecca, Linter, Stephen, Lovell, Tim, Martin, Matthew, McHugh, Ursula, McIndoe, Andrew, McKendry, Rachel, Middleditch, Alexander, Miles, Edward, Milne, Lesley, Molyneux, Mat, Muchatuta, Neil, Murphy, Ruth, O'Higgins, Fran, Oglesby, Kieran, Pachucki, Marcin, Paoloni, Claudia, Patel, Nishita, Patton, Catherine (Katie), Paulich, Skylar, Pearson, Annabel, Pickering, Anthony, Platt, Martin, Pope, Charlie, Pryn, Steve, Ranjan, Amit, Rasburn, Neil, Ray, Andrew, Rivers, Jonathan, Rooney, Kieron, Ryder, Ian, Sanders, Sarah, Sasi-Kumar, Kavita, Scott, Liam, Scrutton, Mark, Searles, Chloe, Self, James, Shah, Sanjoy, Sheils, Mark, Shipway, Toby, Short, Heather, Simmonds, Lauren, Smith, Daniela, Soodan, Anjali, Steeds, Charlotte, Sweet, Katie, Syme, Phoebe, Thomas, Matthew J., Tomkins, Sally, Underwood, Susan, Wagstaff, Adrian, Watson, Paul, Webster, Denise, Welham, Katie, Whaley, Anne, Williams, Helen, Wilson, Hannah, Winton, Anoushka, Woodward, Thomas, Worthington, Jeanie, Younie, Stuart, Bradbury, Carol, Auldin, Mohammad, Bosworth, Kate, Choksey, Falguni, Dudkowsky, Bernice, Elton, John, Evans, Gail, Grove, Charlotte, Ingram, Clare, Kelly, Andrew, Lax, Peter, Lynes, Elena, Madden, George, Mistry, Vinesh, Molitor, Timothy, Morgan, Catherine, Morris, Natalie, Pallister, Emily, Patel, Pooja, Ragothaman, Vijay, Ramm, Katie, Robinson, Ben, Sharma, Meghna, Shuttleworth, Daniel, Vaidyanath, Chandrashekhar, Warren, Jen, Wong, Rachel, Lau, Gary, Conway, Hannah, Majeed, Adeel, Parmar, Jaina, Rana, Meenal, Yusuff, Hakeem, Rimmer, Corinne, Abdelrhamen, Wael, Allison, Kathryn, Burns, Karen, Cahill, Nichola, Clark, Jon, Donaldson, Hannah, Heseltine, Nick, Mackenzie, Nicola, McArthur, Carol, Moreland, Neil, Shohelly, Sharmin, Thatcher, Hilary, Tran, Steven, Walker, Catriona, Al-Rawi, Samar, Wakatsuki, Mai, Aarvold, Alice, Addy, Melissa, Ashfield, Georgina, Beauchamp, Nigel, Belcher, Alex, Bennett, Tom, Burgess, Victoria, Burton, Andy, Campbell, Matthew, Cruikshank, Ross, Cumpstey, Andy, Davies, Rhys, Ford, Chris, Ford, Renee, Hawkins, Lesley, Hendra, Tim, Huttley, Thomas, Jolly, Erica, Kalcheva, Nevena, Kennedy, Charlie, Lees, Jessica, Lowe, Richard, Martindale, Tim, McCormick, Sarah, McPhee, Hannah, Millinchamp, Fran, Muddanyake, Rahul, Osorio, Eduardo, Patel, Kiran, Pestell, Samuel, Phillips, Steve, Plumb, Jamie, Pratt, Thomas, Quartermain, Bert, Reeves, Rebecca, Robin, Sophie, Scully, Thecla, Sehgal, Anamika, Seifalan, Said, Shuttleworth, Suzanne, Siddique, Omar, Sleap, Esme, Smith, Victoria, Snooks, Richard, Solanki, Virginia, Timmons, Christina, Trimble, Alice, Tunney, Doug, Walker, Kat, Wee, Naomi, Wigley, James, Wilkins, Huw, Wong, Hanna, Wood, Laura, Yogya, Dinithi, Young, Ruth, Shanbhag, Sumant, Ameer, Farrukh, Finnity, Jonathan, Haddock, James, Hunt, Alex, Kuravi, Aditya, Lenehen, Fionnuala, McOwat, Lindsay, Naqvi, Asad, Richardson, Lisa, Siddons, Victoria, Charters, Seema, Jumani, Deepa, Bradley, Peter, Bubb, Laura, Chan, Rebekah, Connell, Lynne, Crone, Rachel, Davis, Hannah, Defeyter, Pascal, Evans, Alison, Howard, Ramdas, Prady, Helena, Rogers, Natalie, Roughley, Lindsay, Whittle, Helen, Zeinali, Daniel, Cherian, Vinanti, Latif, Muhammad Usman, Bajwa, Maqsood, Guy, Jonny, Guz, Krzysztos, Iftikhar, Nauman, Iwanicka, Beata, Khan, Mujeeb, Love, Anna-Marie, Montgomery, Celia, Mulvany, Stephen, O'Kane, Emma, O'Kane, Sinead, Siddiqui, Mansoor, Small, Cathal, Subhani, Shaik, Dana, Emily, Kennedy, Richard, Amey, Isobel, Ashton, Hilary, Baird, Yolanda, Bushell, Caroline, Chadbourn, Indra, Cohen, Merle, Finlay, Emma, Gilbert, Jeanette, Helm, David, Lewis, Carla, Macallan, Jenny, Margalef, Jordi, Martins, Nic, Metiu, Gabi, Moore, Sally, Rose, Hannah, Standley, Tom, Page, Valerie, Bakonyi, Tomas, Ben-Nathan, Simon, Claridge, Melanie, Evans, Jackie, Gardiner, Harriet, Kantsedikas, Ilya, Lachana, Ann, Makker, Ratna, Markwell, Karen, Merrill, Colin, Mukerjee, Prasun, O'Donohoe, Lynn, Oglesby, Fiona, Osbourne, Laura, Parker, Beena, Passaro, Emelia, Russell, Katherine, Shah, Sneh, Sundayi, Saul, Walker, Elaine, Zhao, Xiao, Hosdurga, Guru, Cotterill, Donna, Crowther, Nicola, Dymond, Harvey, Ratcliffe-Law, Thomas, Saunders, Glenn, Saunders, Thomas, Gopal, Vijayakumar, Ahmed, Sajjad, Ali, Abdalla, Crawford, Sarah, De'Ath, Clare, Humphreys, Sally, Swanevelder, Carin, Yap, Yeng, Silk, Jane, Adeniba, Rashidat, Armstrong, Richard, Egole, Osi, Fan, Karen, Gilbert, Kayleigh, Gould, Laura, Hickman, John, Long, Fei, Pahary, Sheik, Reichman, Michelle, Simpson, Kathryn, Singaravelu, Suresh, Ahmed, Dabeeruddeen, Brailsford, Fiona, Bridge, Laura, Collis, Lauren, Jacob, Reni, Jones, Cathy, Kirrage, Amanda, Lowe, Jessica, Mullen, Joanne, Prenter, Andrew, Sarao, Sarbpreet, Sharpley, David, Wankhade, Kavita, Persad, Cindy, Burtenshaw, Andrew, Blyth, Kate, Corcoran, Felicity, Davis, Caroline, Dolan, Rachel, Hussain, Nageena, Pearson, Emma, Pierson, Anna, Poyntz, Victoria, Thrush, Jessica, Wollaston, Alex, Wollaston, Julie, Clements, Paul, Biswas, Arindam, Clayton, Sarah, Clayton, Thomas, Cochrane, Naomi, Duell, Kirsty, Evans, James, Gaskell, Mark, Heaton, Dianne, Heaton, Linzi, Hill, Claire, Killen, Ruth, Latham, Sandra, McIntosh, Gemma, Moore, Chris, Parkinson, Val, Pemberton, Nicola, Robinson, Matthew, Sawyer, Alastair, Sykes, Isabelle, Taylor, Tracey, Tierney, Caroline, van de Snepscheut-Jones, Katja, Wade, Emily, Wahid, Mohammed, Wang, Henry, Williams, Claire, Wu, Dominic, Yadagiri, Manjula, Zabauski, Dmitry, Troth, Laura, Andrews, Eleanor, Bains, Ranjit, Beard, Laura, Birch, Janine, Britton, Rachael, Salmon, Mike, Vassell, Elizabeth, Kubisz-Pudelko, Agnieszka, Allen, Jamie, Allison, Joanna, Baird, Andrew, Gregory, Rob, Luckhurst, Hannah, Mairs, Rebecca, Marshall, Ben, Pippard, Lucy, Pitt-Kerby, Tressy, Savva, Andrew, Walkden, Graham, Weegenaar, Celly, Chandler, Ben, Kanakaraj, Muthuraj, Chamberlain, Andy, Dyer, Simon, Elliott, Kerry, Forshaw, Greg, Furness, Rosie, Gibson, Andy, Howe, Laura, Kent, Sarah, Rodgers, Alicia, Straughan, Ben, Temlett, Emma, Whitwell, John, Wong, D.J.N., Harris, S.K., and Moonesinghe, S.R.
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- 2018
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22. Patient-reported outcomes for ambulatory surgery
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Warnakulasuriya, Samantha R., Patel, Reshma C., Singleton, Georgina F., and Moonesinghe, S. Ramani
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- 2020
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23. National statutory reporting: not even ticking the boxes? The quality of ‘Learning from Deaths’ reporting in quality accounts within the NHS in England 2017–2020
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Brummell, Zoe, primary, Braun, Dorit, additional, Hussein, Zainab, additional, Moonesinghe, S Ramani, additional, and Vindrola-Padros, Cecilia, additional
- Published
- 2023
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24. Is anybody ‘Learning’ from deaths? Sequential content and reflexive thematic analysis of national statutory reporting within the NHS in England 2017–2020
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Brummell, Zoe, primary, Braun, Dorit, additional, Hussein, Zainab, additional, Moonesinghe, S Ramani, additional, and Vindrola-Padros, Cecilia, additional
- Published
- 2023
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25. Structural indicators of quality care for children undergoing emergency abdominal surgery.
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Selman, Andrew M. R., Sogbodjor, Lisa A., Williams, Karen, Davenport, Mark, and Moonesinghe, S. Ramani
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SURGICAL emergencies ,ABDOMINAL surgery ,CHILD care - Published
- 2023
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26. Systematic reviews and consensus definitions for the Standardised Endpoints in Perioperative Medicine (StEP) initiative: mortality, morbidity, and organ failure
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Jackson, Alexander I.R., primary, Boney, Oliver, additional, Pearse, Rupert M., additional, Kurz, Andrea, additional, Cooper, D. James, additional, van Klei, Wilton A., additional, Cabrini, Luca, additional, Miller, Timothy E., additional, Moonesinghe, S. Ramani, additional, Myles, Paul S., additional, Grocott, Michael P.W., additional, Myles, Paul, additional, Gan, T.J., additional, Peyton, Phil, additional, Sessler, Dan, additional, Tramèr, Martin, additional, Cyna, Alan, additional, De Oliveira, Gildasio S., additional, Wu, Christopher, additional, Jensen, Mark, additional, Kehlet, Henrik, additional, Botti, Mari, additional, Haller, Guy, additional, Grocott, Mike, additional, Cook, Tim, additional, Fleisher, Lee, additional, Neuman, Mark, additional, Story, David, additional, Gruen, Russell, additional, Bampoe, Sam, additional, Evered, Lis, additional, Scott, David, additional, Silbert, Brendan, additional, van Dijk, Diederik, additional, Kalkman, Cor, additional, Chan, Matthew, additional, Grocott, Hilary, additional, Eckenhoff, Rod, additional, Rasmussen, Lars, additional, Eriksson, Lars, additional, Beattie, Scott, additional, Wijeysundera, Duminda, additional, Landoni, Giovanni, additional, Leslie, Kate, additional, Biccard, Bruce, additional, Howell, Simon, additional, Nagele, Peter, additional, Richards, Toby, additional, Lamy, Andre, additional, Lalu, Manoj, additional, Pearse, Rupert, additional, Mythen, Monty, additional, Canet, Jaume, additional, Moller, Ann, additional, Gin, Tony, additional, Schultz, Marcus, additional, Pelosi, Paolo, additional, Gabreu, Marcelo, additional, Futier, Emmanuel, additional, Creagh-Brown, Ben, additional, Abbot, Tom, additional, Klein, Andy, additional, Corcoran, Tomas, additional, Cooper, D. Jamie, additional, Dieleman, Stefan, additional, Diouf, Elisabeth, additional, McIlroy, David, additional, Bellomo, Rinaldo, additional, Shaw, Andrew, additional, Prowle, John, additional, Karkouti, Keyvan, additional, Billings, Josh, additional, Mazer, David, additional, Jayarajah, Mohindas, additional, Murphy, Michael, additional, Bartoszko, Justyna, additional, Sneyd, Rob, additional, Morris, Steve, additional, George, Ron, additional, Moonesinghe, Ramani, additional, Shulman, Mark, additional, Lane-Fall, Meghan, additional, Nilsson, Ulrica, additional, Stevenson, Nathalie, additional, van Klei, Wilton, additional, Miller, Tim, additional, Jackson, Sandy, additional, Buggy, Donal, additional, Short, Tim, additional, Riedel, Bernhard, additional, Gottumukkala, Vijay, additional, Pace, Nathan, additional, Alkhaffaf, Bilal, additional, and Johnson, Mark, additional
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- 2023
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27. The incidence of postoperative vasopressor usage, a prospective international observational study: ‘SQUEEZE’
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Creagh-Brown, Ben, primary, Wunsch, Hannah, additional, Martin, Peter, additional, Harlem, Pierre, additional, Forni, Lui, additional, Moonesinghe, S. Ramani, additional, and Jammer, Ib, additional
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- 2022
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28. Additional file 1 of The incidence of postoperative vasopressor usage: protocol for a prospective international observational cohort study (SQUEEZE)
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Creagh-Brown, Ben, Wunsch, Hannah, Martin, Peter, Harlet, Pierre, Forni, Lui, Moonesinghe, S. Ramani, and Jammer, Ib
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Additional file 1: Appendix 3. LOGISTICS of delivery.
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- 2023
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29. Additional file 3 of The incidence of postoperative vasopressor usage: protocol for a prospective international observational cohort study (SQUEEZE)
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Creagh-Brown, Ben, Wunsch, Hannah, Martin, Peter, Harlet, Pierre, Forni, Lui, Moonesinghe, S. Ramani, and Jammer, Ib
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Additional file 3. Statistical Analysis Plan v4 - FINAL [2021-10-21].
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- 2023
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30. Additional file 2 of The incidence of postoperative vasopressor usage: protocol for a prospective international observational cohort study (SQUEEZE)
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Creagh-Brown, Ben, Wunsch, Hannah, Martin, Peter, Harlet, Pierre, Forni, Lui, Moonesinghe, S. Ramani, and Jammer, Ib
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Additional file 2. Case Report Form.
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- 2023
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31. Improvement Science in Anaesthesia
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Wagstaff, Duncan T., Bedford, James, and Moonesinghe, S. Ramani
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- 2017
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32. Developing and validating subjective and objective risk-assessment measures for predicting mortality after major surgery: An international prospective cohort study
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Wong, Danny J. N., Harris, Steve, Sahni, Arun, Bedford, James R., Cortes, Laura, Shawyer, Richard, Wilson, Andrew M., Lindsay, Helen A., Campbell, Doug, Popham, Scott, Barneto, Lisa M., Myles, Paul S., Moonesinghe, S. Ramani, Gaynor-Brook, Louise, and Stone, Clare
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Surgery -- Complications and side effects -- Patient outcomes ,Prognosis -- Methods -- Evaluation ,Perioperative care -- Quality management ,Postoperative complications -- Risk factors ,Biological sciences - Abstract
Background Preoperative risk prediction is important for guiding clinical decision-making and resource allocation. Clinicians frequently rely solely on their own clinical judgement for risk prediction rather than objective measures. We aimed to compare the accuracy of freely available objective surgical risk tools with subjective clinical assessment in predicting 30-day mortality. Methods and findings We conducted a prospective observational study in 274 hospitals in the United Kingdom (UK), Australia, and New Zealand. For 1 week in 2017, prospective risk, surgical, and outcome data were collected on all adults aged 18 years and over undergoing surgery requiring at least a 1-night stay in hospital. Recruitment bias was avoided through an ethical waiver to patient consent; a mixture of rural, urban, district, and university hospitals participated. We compared subjective assessment with 3 previously published, open-access objective risk tools for predicting 30-day mortality: the Portsmouth-Physiology and Operative Severity Score for the enUmeration of Mortality (P-POSSUM), Surgical Risk Scale (SRS), and Surgical Outcome Risk Tool (SORT). We then developed a logistic regression model combining subjective assessment and the best objective tool and compared its performance to each constituent method alone. We included 22,631 patients in the study: 52.8% were female, median age was 62 years (interquartile range [IQR] 46 to 73 years), median postoperative length of stay was 3 days (IQR 1 to 6), and inpatient 30-day mortality was 1.4%. Clinicians used subjective assessment alone in 88.7% of cases. All methods overpredicted risk, but visual inspection of plots showed the SORT to have the best calibration. The SORT demonstrated the best discrimination of the objective tools (SORT Area Under Receiver Operating Characteristic curve [AUROC] = 0.90, 95% confidence interval [CI]: 0.88-0.92; P-POSSUM = 0.89, 95% CI 0.88-0.91; SRS = 0.85, 95% CI 0.82-0.87). Subjective assessment demonstrated good discrimination (AUROC = 0.89, 95% CI: 0.86-0.91) that was not different from the SORT (p = 0.309). Combining subjective assessment and the SORT improved discrimination (bootstrap optimism-corrected AUROC = 0.92, 95% CI: 0.90-0.94) and demonstrated continuous Net Reclassification Improvement (NRI = 0.13, 95% CI: 0.06-0.20, p < 0.001) compared with subjective assessment alone. Decision-curve analysis (DCA) confirmed the superiority of the SORT over other previously published models, and the SORT-clinical judgement model again performed best overall. Our study is limited by the low mortality rate, by the lack of blinding in the 'subjective' risk assessments, and because we only compared the performance of clinical risk scores as opposed to other prediction tools such as exercise testing or frailty assessment. Conclusions In this study, we observed that the combination of subjective assessment with a parsimonious risk model improved perioperative risk estimation. This may be of value in helping clinicians allocate finite resources such as critical care and to support patient involvement in clinical decision-making., Author(s): Danny J. N. Wong 1,2, Steve Harris 3, Arun Sahni 1,2, James R. Bedford 1,2, Laura Cortes 2, Richard Shawyer 4, Andrew M. Wilson 5, Helen A. Lindsay 5, [...]
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- 2020
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33. Perioperative care for older people
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Partridge, Judith S L, primary, Moonesinghe, S Ramani, additional, Lees, Nicholas, additional, and Dhesi, Jugdeep K, additional
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- 2022
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34. Chapter 50 - Perioperative Quality Improvement Programme
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Singleton, Georgina F., Edwards, Kylie-Ellen, and Moonesinghe, S. Ramani
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- 2023
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35. Chapter 7 - Large-Scale Audits: Using Citizen Science to Gather High-Quality “Big Data”
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Moonesinghe, S. Ramani
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- 2023
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36. Predicting severe pain after major surgery: a secondary analysis of the Peri‐operative Quality Improvement Programme (PQIP) dataset.
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Armstrong, R. A., Fayaz, A., Manning, G. L. P., Moonesinghe, S. R., Oliver, C. M., Moonesinghe, S. Ramani, Wagstaff, Duncan, Bedford, James, Sahni, Arun, McGuckin, Dermot, Gilhooly, David, Santos, Cristel, Wilson, Jonathan, Martin, Peter, Singleton, Georgina, Edwards, Kylie, Vindrola‐Padros, Cecilia, Warnakulasuriya, Samantha, Dorey, Jenny, and Leemans, Irene
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SECONDARY analysis ,TYPE 1 diabetes ,POSTOPERATIVE pain ,PSYCHOLOGICAL well-being ,SURGERY ,CANCER pain ,ANALGESIA - Abstract
Summary: Acute postoperative pain is common, distressing and associated with increased morbidity. Targeted interventions can prevent its development. We aimed to develop and internally validate a predictive tool to pre‐emptively identify patients at risk of severe pain following major surgery. We analysed data from the UK Peri‐operative Quality Improvement Programme to develop and validate a logistic regression model to predict severe pain on the first postoperative day using pre‐operative variables. Secondary analyses included the use of peri‐operative variables. Data from 17,079 patients undergoing major surgery were included. Severe pain was reported by 3140 (18.4%) patients; this was more prevalent in females, patients with cancer or insulin‐dependent diabetes, current smokers and in those taking baseline opioids. Our final model included 25 pre‐operative predictors with an optimism‐corrected c‐statistic of 0.66 and good calibration (mean absolute error 0.005, p = 0.35). Decision‐curve analysis suggested an optimal cut‐off value of 20–30% predicted risk to identify high‐risk individuals. Potentially modifiable risk factors included smoking status and patient‐reported measures of psychological well‐being. Non‐modifiable factors included demographic and surgical factors. Discrimination was improved by the addition of intra‐operative variables (likelihood ratio χ2 496.5, p < 0.001) but not by the addition of baseline opioid data. On internal validation, our pre‐operative prediction model was well calibrated but discrimination was moderate. Performance was improved with the inclusion of peri‐operative covariates suggesting pre‐operative variables alone are not sufficient to adequately predict postoperative pain. [ABSTRACT FROM AUTHOR]
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- 2023
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37. Understanding recruitment to a perioperative randomised controlled trial: protocol for a mixed-methods substudy nested within a feasibility trial of octreotide infusion during liver transplantation
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Brodkin, Edgar, primary, Loh, Ee-Neng, additional, Spiro, Michael, additional, Hannon, Vivienne, additional, Fabes, Jez, additional, Moonesinghe, S Ramani, additional, and Wagstaff, Duncan, additional
- Published
- 2022
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38. Implementation of corticosteroids in treatment of COVID-19 in the ISARIC WHO Clinical Characterisation Protocol UK: prospective, cohort study
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Närhi, Fiina, primary, Moonesinghe, S Ramani, additional, Shenkin, Susan D, additional, Drake, Thomas M, additional, Mulholland, Rachel H, additional, Donegan, Cara, additional, Dunning, Jake, additional, Fairfield, Cameron J, additional, Girvan, Michelle, additional, Hardwick, Hayley E, additional, Ho, Antonia, additional, Leeming, Gary, additional, Nguyen-Van-Tam, Jonathan S, additional, Pius, Riinu, additional, Russell, Clark D, additional, Shaw, Catherine A, additional, Spencer, Rebecca G, additional, Turtle, Lance, additional, Openshaw, Peter J M, additional, Baillie, J Kenneth, additional, Harrison, Ewen M, additional, Semple, Malcolm G, additional, Docherty, Annemarie B, additional, Openshaw, Peter JM, additional, Carson, Gail, additional, Alex, Beatrice, additional, Andrikopoulos, Petros, additional, Bach, Benjamin, additional, Barclay, Wendy S, additional, Bogaert, Debby, additional, Chand, Meera, additional, Chechi, Kanta, additional, Cooke, Graham S, additional, da Silva Filipe, Ana, additional, de Silva, Thushan, additional, dos Santos Correia, Gon¸alo, additional, Dumas, Marc-Emmanuel, additional, Fletcher, Tom, additional, Green, Christopher A, additional, Greenhalf, William, additional, Griffin, Julian, additional, Gupta, Rishi K, additional, Hiscox, Julian A, additional, Ho, Antonia YW, additional, Horby, Peter W, additional, Ijaz, Samreen, additional, Khoo, Say, additional, Klenerman, Paul, additional, Law, Andrew, additional, Lewis, Matthew, additional, Liggi, Sonia, additional, Lim, Wei Shen, additional, Maslen, Lynn, additional, Mentzer, Alexander J, additional, Merson, Laura, additional, Meynert, Alison M, additional, Moore, Shona C, additional, Noursadeghi, Mahdad, additional, Olanipekun, Michael, additional, Osagie, Anthonia, additional, Palmarini, Massimo, additional, Palmieri, Carlo, additional, Paxton, William A, additional, Pollakis, Georgios, additional, Price, Nicholas, additional, Rambaut, Andrew, additional, Robertson, David L, additional, Sancho-Shimizu, Vanessa, additional, Sands, Caroline, additional, Scott, Janet T, additional, Sigfrid, Louise, additional, Solomon, Tom, additional, Sriskandan, Shiranee, additional, Stuart, David, additional, Summers, Charlotte, additional, Swann, Olivia V, additional, Takats, Zoltan, additional, Takis, Panteleimon, additional, Tedder, Richard S, additional, Thompson, AA Roger, additional, Thomson, Emma C, additional, Thwaites, Ryan S, additional, Turtle, Lance CW, additional, Zambon, Maria, additional, Hardwick, Hayley, additional, Donohue, Chloe, additional, Griffiths, Fiona, additional, Oosthuyzen, Wilna, additional, Norman, Lisa, additional, Knight, Stephen R, additional, Mclean, Kenneth A, additional, Murphy, Derek, additional, Dalton, Jo, additional, Saviciute, Egle, additional, Roberts, Stephanie, additional, Harrison, Janet, additional, Marsh, Laura, additional, Connor, Marie, additional, Halpin, Sophie, additional, Jackson, Clare, additional, Gamble, Carrol, additional, Plotkin, Daniel, additional, Lee, James, additional, Wham, Murray, additional, Clohisey, Sara, additional, Hendry, Ross, additional, Scott-Brown, James, additional, Shaw, Victoria, additional, McDonald, Sarah E, additional, Keating, Seán, additional, Ahmed, Katie A., additional, Armstrong, Jane A, additional, Ashworth, Milton, additional, Asiimwe, Innocent G, additional, Bakshi, Siddharth, additional, Barlow, Samantha L, additional, Booth, Laura, additional, Brennan, Benjamin, additional, Bullock, Katie, additional, Catterall, Benjamin WA, additional, Clark, Jordan J, additional, Clarke, Emily A, additional, Cole, Sarah, additional, Cooper, Louise, additional, Cox, Helen, additional, Davis, Christopher, additional, Dincarslan, Oslem, additional, Dunn, Chris, additional, Dyer, Philip, additional, Elliott, Angela, additional, Evans, Anthony, additional, Finch, Lorna, additional, Fisher, Lewis WS, additional, Foster, Terry, additional, Garcia-Dorival, Isabel, additional, Gunning, Philip, additional, Hartley, Catherine, additional, Jensen, Rebecca L, additional, Jones, Christopher B, additional, Jones, Trevor R, additional, Khandaker, Shadia, additional, King, Katharine, additional, Kiy, Robyn T., additional, Koukorava, Chrysa, additional, Lake, Annette, additional, Lant, Suzannah, additional, Latawiec, Diane, additional, Lavelle-Langham, Lara, additional, Lefteri, Daniella, additional, Lett, Lauren, additional, Livoti, Lucia A, additional, Mancini, Maria, additional, McDonald, Sarah, additional, McEvoy, Laurence, additional, McLauchlan, John, additional, Metelmann, Soeren, additional, Miah, Nahida S, additional, Middleton, Joanna, additional, Mitchell, Joyce, additional, Murphy, Ellen G, additional, Penrice-Randal, Rebekah, additional, Pilgrim, Jack, additional, Prince, Tessa, additional, Reynolds, Will, additional, Ridley, P. Matthew, additional, Sales, Debby, additional, Shaw, Victoria E, additional, Shears, Rebecca K, additional, Small, Benjamin, additional, Subramaniam, Krishanthi S, additional, Szemiel, Agnieska, additional, Taggart, Aislynn, additional, Tanianis-Hughes, Jolanta, additional, Thomas, Jordan, additional, Trochu, Erwan, additional, van Tonder, Libby, additional, Wilcock, Eve, additional, Zhang, J. Eunice, additional, Flaherty, Lisa, additional, Maziere, Nicole, additional, Cass, Emily, additional, Doce Carracedo, Alejandra, additional, Carlucci, Nicola, additional, Holmes, Anthony, additional, Massey, Hannah, additional, Murphy, Lee, additional, McCafferty, Sarah, additional, Clark, Richard, additional, Fawkes, Angie, additional, Morrice, Kirstie, additional, Maclean, Alan, additional, Wrobel, Nicola, additional, Donelly, Lorna, additional, Coutts, Audrey, additional, Hafezi, Katarzyna, additional, MacGillivray, Louise, additional, Gilchrist, Tammy, additional, Adeniji, Kayode, additional, Agranoff, Daniel, additional, Agwuh, Ken, additional, Ail, Dhiraj, additional, Aldera, Erin L., additional, Alegria, Ana, additional, Allen, Sam, additional, Angus, Brian, additional, Ashish, Abdul, additional, Atkinson, Dougal, additional, Bari, Shahedal, additional, Barlow, Gavin, additional, Barnass, Stella, additional, Barrett, Nicholas, additional, Bassford, Christopher, additional, Basude, Sneha, additional, Baxter, David, additional, Beadsworth, Michael, additional, Bernatoniene, Jolanta, additional, Berridge, John, additional, Berry, Colin, additional, Best, Nicola, additional, Bothma, Pieter, additional, Chadwick, David, additional, Brittain-Long, Robin, additional, Bulteel, Naomi, additional, Burden, Tom, additional, Burtenshaw, Andrew, additional, Caruth, Vikki, additional, Chambler, Duncan, additional, Chee, Nigel, additional, Child, Jenny, additional, Chukkambotla, Srikanth, additional, Clark, Tom, additional, Collini, Paul, additional, Cosgrove, Catherine, additional, Cupitt, Jason, additional, Cutino-Moguel, Maria-Teresa, additional, Dark, Paul, additional, Dawson, Chris, additional, Dervisevic, Samir, additional, Donnison, Phil, additional, Douthwaite, Sam, additional, Drummond, Andrew, additional, DuRand, Ingrid, additional, Dushianthan, Ahilanadan, additional, Dyer, Tristan, additional, Evans, Cariad, additional, Eziefula, Chi, additional, Fegan, Chrisopher, additional, Finn, Adam, additional, Fullerton, Duncan, additional, Garg, Sanjeev, additional, Garg, Atul, additional, Gkrania-Klotsas, Effrossyni, additional, Godden, Jo, additional, Goldsmith, Arthur, additional, Graham, Clive, additional, Hardy, Elaine, additional, Hartshorn, Stuart, additional, Harvey, Daniel, additional, Havalda, Peter, additional, Hawcutt, Daniel B, additional, Hobrok, Maria, additional, Hodgson, Luke, additional, Hormis, Anil, additional, Jacobs, Michael, additional, Jain, Susan, additional, Jennings, Paul, additional, Kaliappan, Agilan, additional, Kasipandian, Vidya, additional, Kegg, Stephen, additional, Kelsey, Michael, additional, Kendall, Jason, additional, Kerrison, Caroline, additional, Kerslake, Ian, additional, Koch, Oliver, additional, Koduri, Gouri, additional, Koshy, George, additional, Laha, Shondipon, additional, Laird, Steven, additional, Larkin, Susan, additional, Leiner, Tamas, additional, Lillie, Patrick, additional, Limb, James, additional, Linnett, Vanessa, additional, Little, Jeff, additional, Lyttle, Mark, additional, MacMahon, Michael, additional, MacNaughton, Emily, additional, Mankregod, Ravish, additional, Masson, Huw, additional, Matovu, Elijah, additional, McCullough, Katherine, additional, McEwen, Ruth, additional, Meda, Manjula, additional, Mills, Gary, additional, Minton, Jane, additional, Mirfenderesky, Mariyam, additional, Mohandas, Kavya, additional, Mok, Quen, additional, Moon, James, additional, Moore, Elinoor, additional, Morgan, Patrick, additional, Morris, Craig, additional, Mortimore, Katherine, additional, Moses, Samuel, additional, Mpenge, Mbiye, additional, Mulla, Rohinton, additional, Murphy, Michael, additional, Nagel, Megan, additional, Nagarajan, Thapas, additional, Nelson, Mark, additional, Norris, Lillian, additional, O'Shea, Matthew K., additional, Otahal, Igor, additional, Ostermann, Marlies, additional, Pais, Mark, additional, Panchatsharam, Selva, additional, Papakonstantinou, Danai, additional, Paraiso, Hassan, additional, Patel, Brij, additional, Pattison, Natalie, additional, Pepperell, Justin, additional, Peters, Mark, additional, Phull, Mandeep, additional, Pintus, Stefania, additional, Singh Pooni, Jagtur, additional, Planche, Tim, additional, Post, Frank, additional, Price, David, additional, Prout, Rachel, additional, Rae, Nikolas, additional, Reschreiter, Henrik, additional, Reynolds, Tim, additional, Richardson, Neil, additional, Roberts, Mark, additional, Roberts, Devender, additional, Rose, Alistair, additional, Rousseau, Guy, additional, Ruge, Bobby, additional, Ryan, Brendan, additional, Saluja, Taranprit, additional, Schmid, Matthias, additional, Shah, Aarti, additional, Shanmuga, Prad, additional, Sharma, Anil, additional, Shawcross, Anna, additional, Sizer, Jeremy, additional, Shankar-Hari, Manu, additional, Smith, Richard, additional, Snelson, Catherine, additional, Spittle, Nick, additional, Staines, Nikki, additional, Stambach, Tom, additional, Stewart, Richard, additional, Subudhi, Pradeep, additional, Szakmany, Tamas, additional, Tatham, Kate, additional, Thomas, Jo, additional, Thompson, Chris, additional, Thompson, Robert, additional, Tridente, Ascanio, additional, Tupper-Carey, Darell, additional, Twagira, Mary, additional, Vallotton, Nick, additional, Vancheeswaran, Rama, additional, Vincent-Smith, Lisa, additional, Visuvanathan, Shico, additional, Vuylsteke, Alan, additional, Waddy, Sam, additional, Wake, Rachel, additional, Walden, Andrew, additional, Welters, Ingeborg, additional, Whitehouse, Tony, additional, Whittaker, Paul, additional, Whittington, Ashley, additional, Papineni, Padmasayee, additional, Wijesinghe, Meme, additional, Williams, Martin, additional, Wilson, Lawrence, additional, Sarah, Sarah, additional, Winchester, Stephen, additional, Wiselka, Martin, additional, Wolverson, Adam, additional, Wootton, Daniel G, additional, Workman, Andrew, additional, Yates, Bryan, additional, and Young, Peter, additional
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- 2022
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39. Setting rate, volume, and time in ventilatory support
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Oliver, Charles M., primary and Moonesinghe, S. Ramani, additional
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- 2016
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40. Surgical Antibiotic Prophylaxis in an Era of Antibiotic Resistance: Common Resistant Bacteria and Wider Considerations for Practice
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Menz,Bradley D, Charani,Esmita, Gordon,David L, Leather,Andrew JM, Moonesinghe,S Ramani, and Phillips,Cameron J
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Infection and Drug Resistance - Abstract
Bradley D Menz,1 Esmita Charani,2,3 David L Gordon,4,5 Andrew JM Leather,6 S Ramani Moonesinghe,7,8 Cameron J Phillips1,4,9 1SA Pharmacy, Flinders Medical Centre, Southern Adelaide Local Health Network, Adelaide, South Australia, Australia; 2Division of Infectious Diseases and HIV Medicine, Department of Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa; 3National Institute for Health Research, Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, Department of Medicine, Imperial College London, London, UK; 4Flinders Health & Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia; 5Division of Medicine, Flinders Medical Centre, Southern Adelaide Local Health Network, Adelaide, South Australia, Australia; 6Centre for Global Health and Health Partnerships, School of Population Health and Environmental Science, Kings College London, London, UK; 7Centre for Perioperative Medicine, UCL Division of Surgery and Interventional Science, London, UK; 8UCL Hospitals NIHR Biomedical Research Centre, London, UK; 9Clinical and Health Sciences, University of South Australia, Adelaide, South Australia, AustraliaCorrespondence: Cameron J PhillipsCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, 5001, AustraliaTel +61 8 8204 4400Email Cameron.Phillips@flinders.edu.auAbstract: The increasing incidence of antimicrobial resistance (AMR) presents a global crisis to healthcare, with longstanding antimicrobial agents becoming less effective at treating and preventing infection. In the surgical setting, antibiotic prophylaxis has long been established as routine standard of care to prevent surgical site infection (SSI), which remains one of the most common hospital-acquired infections. The growing incidence of AMR increases the risk of SSI complicated with resistant bacteria, resulting in poorer surgical outcomes (prolonged hospitalisation, extended durations of antibiotic therapy, higher rates of surgical revision and mortality). Despite these increasing challenges, more data are required on approaches at the institutional and patient level to optimise surgical antibiotic prophylaxis in the era of antibiotic resistance (AR). This review provides an overview of the common resistant bacteria encountered in the surgical setting and covers wider considerations for practice to optimise surgical antibiotic prophylaxis in the perioperative setting.Keywords: antibiotic resistance, perioperative care, surgical antibiotic prophylaxis, surgical site infection, antimicrobial stewardship
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- 2021
41. Core Outcome Measures for Perioperative and Anaesthetic Care (COMPAC): a modified Delphi process to develop a core outcome set for trials in perioperative care and anaesthesia
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Boney, Oliver, primary, Moonesinghe, S. Ramani, additional, Myles, Paul S., additional, Grocott, Michael P.W., additional, Bartoszko, J., additional, Beattie, W.S., additional, Bellomo, R., additional, Buggy, D., additional, Cabrini, L., additional, Canet, J., additional, Cook, T., additional, Cooper, D.J., additional, Corcoran, T., additional, Devereaux, P.J., additional, Eckenhoff, R., additional, Evered, L., additional, Gan, T.J., additional, Gin, T., additional, Grocott, H., additional, Haller, G., additional, Howell, S., additional, Jayarajah, M., additional, Kalkman, C., additional, Karkouti, K., additional, Kavanagh, B., additional, Klein, A., additional, Landoni, G., additional, Leslie, K., additional, McIlroy, D.R., additional, Mazer, D., additional, Moller, A., additional, Mythen, M., additional, Neuman, M., additional, Pearse, R., additional, Peyton, P., additional, Prowle, J., additional, Richards, T., additional, Scott, D.A., additional, Sessler, D., additional, Shaw, A., additional, Short, T., additional, Shulman, M., additional, Silbert, B., additional, Singer, M., additional, Sneyd, J.R., additional, Story, D., additional, van Dijk, D., additional, and van Klei, W., additional
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- 2022
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42. Peak power output testing: novel method for preoperative assessment of exercise capacity
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Milliken, Don, primary, Rooms, Martin, additional, Moonesinghe, S Ramani, additional, and Jhanji, Shaman, additional
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- 2021
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43. Development and internal validation of a model for postoperative morbidity in adults undergoing major elective colorectal surgery: the peri‐operative quality improvement programme (PQIP) colorectal risk model.
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Bedford, J., Martin, P., Crowe, S., Wagstaff, D., Santos, C., Singleton, G., Baumber, R., Vindrola‐Padros, C., Vohra, R., Swart, M., Oliver, C. M., Dorey, J., Leeman, I., Moonesinghe, S. R., Moonesinghe, S. Ramani, Wagstaff, Duncan, Bedford, James, Sahni, Arun, McGuckin, Dermot, and Gilhooly, David
- Abstract
Summary: Over 1.5 million major surgical procedures take place in the UK NHS each year and approximately 25% of patients develop at least one complication. The most widely used risk‐adjustment model for postoperative morbidity in the UK is the physiological and operative severity score for the enumeration of mortality and morbidity. However, this model was derived more than 30 years ago and now overestimates the risk of morbidity. In addition, contemporary definitions of some model predictors are markedly different compared with when the tool was developed. A second model used in clinical practice is the American College of Surgeons National Surgical Quality Improvement Programme risk model; this provides a risk estimate for a range of postoperative complications. This model, widely used in North America, is not open source and therefore cannot be applied to patient populations in other settings. Data from a prospective multicentre clinical dataset of 118 NHS hospitals (the peri‐operative quality improvement programme) were used to develop a bespoke risk‐adjustment model for postoperative morbidity. Patients aged ≥ 18 years who underwent colorectal surgery were eligible for inclusion. Postoperative morbidity was defined using the postoperative morbidity survey at postoperative day 7. Thirty‐one candidate variables were considered for inclusion in the model. Death or morbidity occurred by postoperative day 7 in 3098 out of 11,646 patients (26.6%). Twelve variables were incorporated into the final model, including (among others): Rockwood clinical frailty scale; body mass index; and index of multiple deprivation quintile. The C‐statistic was 0.672 (95%CI 0.660–0.684), with a bootstrap optimism corrected C‐statistic of 0.666 at internal validation. The model demonstrated good calibration across the range of morbidity estimates with a mean slope gradient of predicted risk of 0.959 (95%CI 0.894–1.024) with an index‐corrected intercept of −0.038 (95%CI −0.112–0.036) at internal validation. Our model provides parsimonious case‐mix adjustment to quantify risk of morbidity on postoperative day 7 for a UK population of patients undergoing major colorectal surgery. Despite the C‐statistic of < 0.7, our model outperformed existing risk‐models in widespread use. We therefore recommend application in case‐mix adjustment, where incorporation into a continuous monitoring tool such as the variable life adjusted display or exponentially‐weighted moving average‐chart could support high‐level monitoring and quality improvement of risk‐adjusted outcome at the population level. [ABSTRACT FROM AUTHOR]
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- 2022
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44. Peri-Operative Intensive Care Medicine
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Moonesinghe, S. Ramani, primary and Mythen, Michael G., additional
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- 2014
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45. The Perioperative Quality Improvement Programme (PQIP Patient Study): Protocol for a UK Multicentre, Prospective Cohort Study to Measure, Report and Improve Quality and Outcomes of Major Surgery
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Moonesinghe, S. Ramani, primary, McGuckin, Dermot, additional, Martin, Peter, additional, Bedford, James, additional, Wagstaff, Duncan, additional, Vindrola-Padros, Cecilia, additional, Sahni, Arun, additional, Edwards, Kylie, additional, Singleton, Georgina, additional, Singh, Pritam, additional, Wilson, R.Jonathan T., additional, Gilhooly, David Anthony, additional, Baumber, Rachel, additional, Bougeard, Anne-Marie, additional, Samuel, Katie, additional, Brent, Alexandra, additional, Chazapis, Maria, additional, Cripps, Martin, additional, Dorey, Jenny, additional, Leeman, Irene, additional, Smith, Helena, additional, Swart, Michael, additional, Drake, Sharon, additional, Goodwin, James, additional, Lourtie, Jose, additional, Martinez, Dorian, additional, Olive, Dominic, additional, Taylor, Christine, additional, Williams, Karen, additional, Santos, Cristel, additional, Ellicott, Helen, additional, Warnakulasuriya, Samantha, additional, Ignacka, Aleksandra, additional, Bedford, Matthew, additional, Aresu, Giuseppe, additional, Tucker, Olga, additional, Vallance, Abigail E, additional, Vohra, Ravinder, additional, Swift, Andrew, additional, Fulop, Naomi J, additional, and Grocott, Michael PW, additional
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- 2021
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46. NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year of a countrywide patient safety programme
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Brummell, Zoe, primary, Vindrola-Padros, Cecilia, additional, Braun, Dorit, additional, and Moonesinghe, S Ramani, additional
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- 2021
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47. Preoperative assessment and optimisation: the key to good outcomes after the pandemic
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McNally, Scarlett A, primary, El-Boghdadly, Kariem, additional, Kua, Justin, additional, and Moonesinghe, S Ramani, additional
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- 2021
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48. Surgical antibiotic prophylaxis in an era of antibiotic resistance: common resistant bacteria and wider considerations for practice
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Menz, Bradley D, Charani, Esmita, Gordon, David L, Leather, Andrew J M, Moonesinghe, S Ramani, Phillips, Cameron J, Menz, Bradley D, Charani, Esmita, Gordon, David L, Leather, Andrew JM, Ramani Moonesinghe, S, and Phillips, Cameron J
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Pharmacology ,antimicrobial stewardship ,Infectious Diseases ,antibiotic resistance ,perioperative care ,surgical antibiotic prophylaxis ,Pharmacology (medical) ,Review ,surgical site infection - Abstract
Refereed/Peer-reviewed The increasing incidence of antimicrobial resistance (AMR) presents a global crisis to healthcare, with longstanding antimicrobial agents becoming less effective at treating and preventing infection. In the surgical setting, antibiotic prophylaxis has long been established as routine standard of care to prevent surgical site infection (SSI), which remains one of the most common hospital-acquired infections. The growing incidence of AMR increases the risk of SSI complicated with resistant bacteria, resulting in poorer surgical outcomes (prolonged hospitalisation, extended durations of antibiotic therapy, higher rates of surgical revision and mortality). Despite these increasing challenges, more data are required on approaches at the institutional and patient level to optimise surgical antibiotic prophylaxis in the era of antibiotic resistance (AR). This review provides an overview of the common resistant bacteria encountered in the surgical setting and covers wider considerations for practice to optimise surgical antibiotic prophylaxis in the perioperative setting.
- Published
- 2021
49. Peak power output testing: novel method for preoperative assessment of exercise capacity.
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Milliken, Don, Rooms, Martin, Moonesinghe, S. Ramani, and Jhanji, Shaman
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PREHABILITATION ,AEROBIC capacity ,RECEIVER operating characteristic curves ,EXERCISE tests ,ABDOMINAL surgery ,SURGICAL complications - Abstract
Background: Assessment of exercise capacity is an important component of risk assessment before major surgery. Cardiopulmonary exercise testing (CPET) provides comprehensive assessment but is resource-intensive, limiting widespread adoption. Measurement of a patient's peak power output (PPO) using a simplified test on a cycle ergometer has the potential to identify patients likely to have abnormal CPET findings and to be at increased perioperative risk. The aim of this study was to investigate the potential for PPO to identify those with abnormal CPET and to determine whether PPO predicted the risk of adverse postoperative outcomes. Methods: In a retrospective analysis of a single-centre cohort, the ability of PPO to predict a high-risk CPET result in patients undergoing major cancer surgery was analysed. The assessment was validated in patients undergoing major abdominal surgery from a UK national multicentre cohort. The association between PPO and adverse postoperative outcomes to traditional CPET-derived variables were compared. Results: In 2262 patients from a single centre, PPO was an excellent discriminator of high-risk CPET, with an area under the receiver operating characteristic curve (AUROC) of 0.901 (95 per cent c.i. 0.888 to 0.913). In the national cohort of 2742 patients, there was excellent discrimination, with an AUROC of 0.856 (0.842 to 0.871). A PPO cut-off of 1.5 W/kg may be appropriate for use in screening, with a sensitivity of 90 per cent in both cohorts. PPO and traditional CPET-derived predictors demonstrated similar discrimination of major postoperative complications and death. The association between PPO and major postoperative complications persisted on multivariable analysis. Conclusion: These results suggest a role for the PPO test in preoperative screening and risk stratification for major surgery. Prospective evaluation is recommended. [ABSTRACT FROM AUTHOR]
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- 2022
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50. NHS Hospital ‘Learning from Deaths’ reports: A qualitative and quantitative analysis of the first year of a countrywide patient safety programme
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Brummell, Zoe, primary, Vindrola-Padros, Cecilia, additional, Braun, Dorit, additional, and Moonesinghe, S. Ramani, additional
- Published
- 2020
- Full Text
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