Porter, B;
John, NA;
Brenner, R;
Wilson, HC;
Turner, B;
Chataway, J;
(2019)
Urinary tract infection in multiple sclerosis: closing an audit loop by co-design and innovation.
British Journal of Neuroscience Nursing
, 15
(1)
10.12968/bjnn.2019.15.1.20.
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Abstract
Multiple sclerosis (MS) can result in multi-level uro-neurological dysfunction that significantly increases the risk of urinary tract infections (UTIs). UTIs in patients with MS can lead to significant patient morbidity and cost to the National Health Service (NHS). Data collected from the NHS clinical commissioning groups in 2012/2013, and again in 2016/2017, revealed that UTI remains the most common cause of non-elective hospital admission in patients with MS, and that the overall cost of such admissions continued to rise across this period. In order to address this burgeoning problem, we used the evidence-based co-design methodology to collaborate with patients, their families and clinical staff to create a novel and innovative, patient-centred model called NeuroResponse®. We present the multi-faceted NeuroResponse® model and the results of the pilot study in the London Borough of Camden.
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