How can communication to GPs at hospital discharge be improved? A systems approach

Background: Poor communication to GPs at hospital discharge threatens patient safety and continuity of care, with reliance on discharge summaries that are commonly written by the most junior doctors. Previous quality improvement efforts have largely focused on adherence to standardised templates, with limited success. A lack of understanding...

Systems approaches to healthcare systems design and care delivery: An overview of the literature

The healthcare sector is facing significant challenges that require a systems approach, resulting in a rapid growth in the application of systems approaches in healthcare since the beginning of the 21st century. Consequently, healthcare practitioners and policymakers now desire to understand the evidence-base for the approach, but little...

Resilience to flooding: Draft building code

A significant issue associated Flood Defence Systems (FDS) is the difficulty of predicting how these structures will behave when inevitably they have been loaded beyond their designed capacity by a flood. The flood can cause these structures to fail catastrophically with loss of life and substantial damage to property. For a limited incremental...

Barge Impact Guidance