Nigel Coleman

The Queen Elizabeth Hospital, Tarndarnya, South Australia, Australia

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Publications (6)5.9 Total impact

  • Source
    Shantanu Mandal, Nigel Patrick Coleman
    Annals of The Royal College of Surgeons of England 11/2008; 90(7):613-4. · 1.33 Impact Factor
  • John R Crawford, Douglas Hay, Nigel Coleman
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    ABSTRACT: The recent reduction in junior doctors' hours has lead to a change in working patterns. The aim of this study was to assess the effect of this change on documentation in orthopaedic surgery. Over a 6-week period, 25 patients were admitted to our unit with hip fractures. During this period, all junior doctors worked on a 'full-shift' working pattern. For comparison a control group was formed comprising of 29 patients admitted with hip fractures over an earlier 6 weeks when all junior doctors worked on a traditional 'on-call' system. The medical records of each patient were assessed for the quality of medical documentation using a published scoring system. The on-call group scored higher for the standard of documentation compared with the shift system group (mean 24.8 versus mean 21.3), p<0.05. The on-call group also had fewer weekdays without any documented entries in the medical records compared to the shift system group (mean 3.2 days versus mean 4.0 days), p<0.05. A change in the working pattern for junior doctors has lead to a reduction in the quality of medical documentation. With more personnel working fewer hours, maintaining a high standard of documentation is essential for the good clinical care of patients.
    Injury 03/2006; 37(2):134-7. · 2.46 Impact Factor
  • Source
    Shantanu Mandal, Nigel Coleman
    Injury Extra 10/2005; 36(10):418–420.
  • Source
    S. Mandal, N. Coleman
    Injury Extra 01/2005; 36(7):287-288.
  • John R Crawford, Nigel Coleman
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    ABSTRACT: We present the case of a 75-year-old woman who, following a below-knee amputation, developed worsening osteoarthritis of her knee in the same limb. A total knee replacement was subsequently performed in the amputated limb. The patient successfully mobilized following the procedure and remained pain-free on review after 8 months. The Knee Society score improved from 53 to 85, and the function score increased from 0 to 40. Modifications to the standard technique of total knee arthroplasty used in this case and the postoperative rehabilitation methods are described. Total knee replacement should be considered as an alternative option to arthrodesis or above-knee amputation in a below-knee amputee with advanced osteoarthritis of the knee.
    The Journal of Arthroplasty 09/2003; 18(5):662-5. · 2.11 Impact Factor
  • John R Crawford, Nigel Coleman
    [Show abstract] [Hide abstract]
    ABSTRACT: We present the case of a 75-year-old woman who, following a below-knee amputation, developed worsening osteoarthritis of her knee in the same limb. A total knee replacement was subsequently performed in the amputated limb. The patient successfully mobilized following the procedure and remained pain-free on review after 8 months. The Knee Society score improved from 53 to 85, and the function score increased from 0 to 40. Modifications to the standard technique of total knee arthroplasty used in this case and the postoperative rehabilitation methods are described. Total knee replacement should be considered as an alternative option to arthrodesis or above-knee amputation in a below-knee amputee with advanced osteoarthritis of the knee.
    Journal of Arthroplasty - J ARTHROPLASTY. 01/2003; 18(5):662-665.

Publication Stats

11 Citations
5.90 Total Impact Points

Institutions

  • 2003–2008
    • The Queen Elizabeth Hospital
      • Department of Orthopaedics and Trauma
      Tarndarnya, South Australia, Australia