TY - JOUR
T1 - Providing safe and effective pleural medicine services in the UK
T2 - An aspirational statement from UK pleural physicians
AU - Evison, Matthew
AU - Blyth, Kevin G.
AU - Bhatnagar, Rahul
AU - Corcoran, John
AU - Saba, Tarek
AU - Duncan, Tracy
AU - Hallifax, Rob
AU - Ahmed, Liju
AU - West, Alex
AU - Pepperell, Justin Charles Thane
AU - Roberts, Mark
AU - Sivasothy, Pasupathy
AU - Psallidas, Ioannis
AU - Clive, Amelia O.
AU - Latham, Jennifer
AU - Stanton, Andrew E.
AU - Maskell, Nick
AU - Rahman, Najib
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Physicians face considerable challenges in ensuring safe and effective care for patients admitted to hospital with pleural disease. While subspecialty development has driven up standards of care, this has been tempered by the resulting loss of procedural experience in general medical teams tasked with managing acute pleural disease. This review aims to define a framework though which a minimum standard of care might be implemented. This review has been written by pleural clinicians from across the UK representing all types of secondary care hospital. Its content has been formed on the basis of literature review, national guidelines, National Health Service England policy and consensus opinion following a round table discussion. Recommendations have been provided in the broad themes of procedural training, out-of-hours management and pleural service specification. Procedural competences have been defined into descriptive categories: emergency, basic, intermediate and advanced. Provision of emergency level operators at all times in all trusts is the cornerstone of out-of-hours recommendations, alongside readily available escalation pathways. A proposal for minimum standards to ensure the safe delivery of pleural medicine have been described with the aim of driving local conversations and providing a framework for service development, review and risk assessment.
AB - Physicians face considerable challenges in ensuring safe and effective care for patients admitted to hospital with pleural disease. While subspecialty development has driven up standards of care, this has been tempered by the resulting loss of procedural experience in general medical teams tasked with managing acute pleural disease. This review aims to define a framework though which a minimum standard of care might be implemented. This review has been written by pleural clinicians from across the UK representing all types of secondary care hospital. Its content has been formed on the basis of literature review, national guidelines, National Health Service England policy and consensus opinion following a round table discussion. Recommendations have been provided in the broad themes of procedural training, out-of-hours management and pleural service specification. Procedural competences have been defined into descriptive categories: emergency, basic, intermediate and advanced. Provision of emergency level operators at all times in all trusts is the cornerstone of out-of-hours recommendations, alongside readily available escalation pathways. A proposal for minimum standards to ensure the safe delivery of pleural medicine have been described with the aim of driving local conversations and providing a framework for service development, review and risk assessment.
KW - Pleural Disease
UR - http://www.scopus.com/inward/record.url?scp=85054473440&partnerID=8YFLogxK
U2 - 10.1136/bmjresp-2018-000307
DO - 10.1136/bmjresp-2018-000307
M3 - Article
AN - SCOPUS:85054473440
SN - 2052-4439
VL - 5
JO - BMJ Open Respiratory Research
JF - BMJ Open Respiratory Research
IS - 1
M1 - e000307
ER -