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dc.contributor.authorSkelly, Robert
dc.contributor.authorBrown, Lisa
dc.contributor.authorFakis, Apostolos
dc.contributor.authorKimber, Lindsey
dc.contributor.authorDownes, Charlotte
dc.contributor.authorLindop, Fiona
dc.contributor.authorJohnson, Clare
dc.contributor.authorBartliff, Caroline
dc.contributor.authorBajaj, Nin
dc.date.accessioned2016-09-14T14:43:30Z
dc.date.available2016-09-14T14:43:30Z
dc.date.issued2014-11
dc.identifier.citationParkinsonism Relat Disord. 2014 Nov;20(11):1242-7. doi: 10.1016/j.parkreldis.2014.09.015. Epub 2014 Sep 18.language
dc.identifier.urihttps://orda.derbyhospitals.nhs.uk/handle/123456789/289
dc.description.abstractOBJECTIVE: Suboptimal management of Parkinson's disease (PD) medication in hospital may lead to avoidable complications. We introduced an in-patient PD unit for those admitted urgently with general medical problems. We explored the effect of the unit on medication management, length of stay and patient experience. METHODS: We conducted a single-center prospective feasibility study. The unit's core features were defined following consultation with patients and professionals: specially trained staff, ready availability of PD drugs, guidelines, and care led by a geriatrician with specialty PD training. Mandatory staff training comprised four 1 h sessions: PD symptoms; medications; therapy; communication and swallowing. Most medication was prescribed using an electronic Prescribing and Administration system (iSOFT) which provided accurate data on time of administration. We compared patient outcomes before and after introduction of the unit. RESULTS: The general ward care (n = 20) and the Specialist Parkinson's Unit care (n = 24) groups had similar baseline characteristics. On the specialist unit: less Parkinson's medication was omitted (13% vs 20%, p < 0.001); of the medication that was given, more was given on time (64% vs 50%, p < 0.001); median length of stay was shorter (9 days vs 13 days, p = 0.043) and patients' experience of care was better (p = 0.01). DISCUSSION: If replicated and generalizable to other hospitals, reductions in length of stay would lead to significant cost savings. The apparent improved outcomes with Parkinson's unit care merit further investigation. We hope to test the hypothesis that specialized units are cost-effective and improve patient care using a randomized controlled trial design.language
dc.language.isoenlanguage
dc.subjectParkinson's Diseaselanguage
dc.subjectHospitalisationlanguage
dc.subjectErrorslanguage
dc.subjectMedicationlanguage
dc.subjectLength of Staylanguage
dc.subjectSpecialisationlanguage
dc.titleDoes a specialist unit improve outcomes for hospitalized patients with Parkinson's disease?language
dc.typeArticlelanguage


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