Early discharge hospital at home

Cochrane Database of Systematic Reviews, June 2017

This update of a Cochrane Review aims to determine the effectiveness and cost of managing patients with early discharge hospital at home compared with inpatient hospital care.  The authors conclude that despite increasing interest in the potential of early discharge hospital at home services as a less expensive alternative to inpatient care, this review provides insufficient evidence of economic benefit (through a reduction in hospital length of stay) or improved health outcomes.

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Interprofessional collaboration to improve professional practice and healthcare outcomes

Cochrane Database of Systematic Reviews, June 2017

This systematic review aims to assess the impact of practice-based interventions designed to improve interprofessional collaboration (IPC) amongst health and social care professionals, compared to usual care or to an alternative intervention, on at least one of the following primary outcomes: patient health outcomes, clinical process or efficiency outcomes or secondary outcomes (collaborative behaviour).

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Prescribing roles for health professionals other than doctors

Cochrane Group, November 2016

The aim of this Cochrane review was to find out if prescribing by health professionals other than doctors delivers comparable outcomes to prescribing by doctors.  Cochrane researchers collected and analysed all relevant studies from various countries.

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Occupational therapy delivered by specialists versus non-specialists for people with schizophrenia

Cochrane Database of Systematic Reviews, October 2016

This review protocol was co-written by Graeme Reid, Consultant Clinical Psychologist at Lancashire Care NHS Foundation Trust.

The objectives are to examine the effects of occupational therapy delivered by occupational therapists compared to occupational therapy delivered by any other person for people with schizophrenia. Our secondary objectives are to determine whether the response differs by specific type (e.g. hospital versus non-hosptial setting), intensity (e.g. more therapist contact time or more frequent task repetition), or duration of occupational therapy.

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Impact of institutional smoking bans on reducing harms and secondhand smoke exposure

Cochrane Database of Systematic Reviews, June 2016

This Cochrane review aims to assess the extent to which institutional smoking bans may reduce passive smoke exposure and active smoking, and affect other health-related outcomes.

The study found evidence of an effect of settings-based smoking policies on reducing smoking rates in hospitals and universities. In prisons, reduced mortality rates and reduced exposure to secondhand smoke were reported. However, the reviewers rated the evidence base as low quality. The study concludes that more robust studies assessing the evidence for smoking bans and policies in these important specialist settings are needed.

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Mini-Mental State Examination (MMSE) for the detection of dementia in clinically unevaluated people aged 65 and over in community and primary care populations

Cochrane Systematic Reviews, January 2016

This Cochrane Review finds that the MMSE contributes to a diagnosis of dementia in low prevalence settings, but should not be used in isolation to confirm or exclude disease. They recommend that future work evaluates the diagnostic accuracy of tests in the context of the diagnostic pathway experienced by the patient and that investigators report how undergoing the MMSE changes patient-relevant outcomes.

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