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    Does radiography advanced practice improve patient outcomes and health service quality? A systematic review

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    Publication date
    2016
    Author
    Hardy, Maryann L.
    Johnson, Louise
    Sharples, Rachael
    Boynes, Stephen
    Irving, Donna
    Keyword
    Radiography; Radiographer advanced practice; Patient outcomes; Health service; Quality; Systematic review
    Rights
    © 2016 The Authors. Published by the British Institute of Radiology. Reproduced in accordance with the publisher's self-archiving policy.
    Peer-Reviewed
    yes
    
    Metadata
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    Abstract
    Objectives To investigate the impact of radiographer advanced practice on patient outcomes and health service quality. Methods Using the World Health Organisation definition of quality, this review followed the Centre for Reviews and Dissemination guidance for undertaking reviews in healthcare. A range of databases were searched using a defined search strategy. Included studies were assessed for quality using a tool specifically developed for reviewing studies of diverse designs and data were systematically extracted using electronic data extraction proforma. Results 407 articles were identified and reviewed against the inclusion/exclusion criteria. Nine studies were included in the final review, the majority (n=7) focussing on advanced radiography practice within the UK. Advanced practice activities considered were radiographer reporting, leading patient review clinics and barium enema examinations. The papers were generally considered to be of low to moderate quality with most evaluating advanced practice within a single centre. With respect to specific quality dimensions, included studies considered cost reduction, patient morbidity, time to treatment and patient satisfaction. No papers reported data relating to time to diagnosis, time to recovery or patient mortality. Conclusions Radiographer advanced practice is an established activity both in the UK and internationally. However, evidence of the impact of advanced practice in terms of patient outcomes and service quality is limited. Advances in knowledge This systematic review is the first to examine the evidence base surrounding advanced radiography practice and its impact on patient outcomes and health service quality. Powered by
    URI
    http://hdl.handle.net/10454/8043
    Version
    Published version
    Citation
    Hardy ML, Johnson L, Sharples R et al (2016) Does radiography advanced practice improve patient outcomes and health service quality? A systematic review. The British Journal of Radiology. 89(1062): 20151066.
    Link to publisher’s version
    https://doi.org/10.1259/bjr.20151066
    Type
    Article
    Collections
    Health Studies Publications

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