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Research
  1. Queen Mary University of London
  2. Research
  3. Publications

Publications: Mr Timothy Stephens

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Thomson WR, Puthucheary Z, Stavrinou P, Barghouthy D, Champanerkar S, Findlay D, Gordon S, McWilliams D et al. ( 2024 ) . Delivery of evidence-based critical care practices across the United Kingdom: A UK-wide multi-site service evaluation in adult units . Journal of the Intensive Care Society ( Immediate Access )
Azzopardi G, Mekhaimar A, Haines RW, Stephens TJ, Puthucheary Z, Prowle JR ( 2024 ) . Clinician assessment of kidney function from plasma creatinine values during critical illness: A scenario-based international multi-professional survey . Journal of Critical Care vol. 85 ,
Hewitt-Smith A, Bulamba F, Patel A, Nanimambi J, Adong LR, Emacu B, Kabaleta M, Khanyalano J et al. ( 2024 ) . Family supplemented patient monitoring after surgery (SMARTER): a pilot stepped-wedge cluster-randomised trial . British Journal of Anaesthesia vol. 133 , ( 4 ) 846 - 852 .
Hughes G, Stephens TJ, Seuren LM, Pearse RM, Shaw SE ( 2024 ) . Clinical context and communication in shared decision-making about major surgery: Findings from a qualitative study with colorectal, orthopaedic and cardiac patients . Health An Interdisciplinary Journal for the Social Study of Health Illness and Medicine
del Arroyo AG, Patel A, Abbott TEF, Begum S, Dias P, Somanath S, Middleditch A, Cleland S et al. ( 2024 ) . Preoperative N-terminal pro-B-type natriuretic peptide and myocardial injury after stopping or continuing renin–angiotensin system inhibitors in noncardiac surgery: a prespecified analysis of a phase 2 randomised controlled multicentre trial . British Journal of Anaesthesia vol. 132 , ( 5 ) 857 - 866 .
Hughes G, Shaw SE, Pearse RM, Stephens TJ ( 2023 ) . Opportunities for shared decision-making about major surgery with high-risk patients: the switch from ‘fixing the problem’ to undertaking shared decision-making. Response to Br J Anaesth 2023; 131: e152–3 . British Journal of Anaesthesia vol. 132 , ( 2 )
Ludwiczak A, Stephens TJ, Prowle J, Pearse R, Osman M ( 2023 ) . Supporting effective shared decision‐making in surgical context: Why framing of choices matters for high‐risk patients and clinicians . Colorectal Disease vol. 26 , ( 1 ) 110 - 119 .
Matsumoto K, Malcolm H, Thomson W, Osman M, Puthucheary Z, Prowle J, Stephens T ( 2023 ) . Determining influences on ventilatory decision-making in COVID-19 ARDS . Conference: Acute critical care
Stephens TJ, Thomson WR ( 2023 ) . Choosing Wisely for quality improvement: more is not always better . BMJ Quality & Safety vol. 32 , ( 8 ) 444 - 446 .
Shaw SE, Hughes G, Pearse R, Avagliano E, Day JR, Edsell ME, Edwards JA, Everest L et al. ( 2023 ) . Opportunities for shared decision-making about major surgery with high-risk patients: a multi-method qualitative study . British Journal of Anaesthesia vol. 131 , ( 1 ) 56 - 66 .
Stephens TJ, Peden CJ ( 2023 ) . Chapter 49 Quality Improvement in Emergency Surgery: Learning From Two Large-Scale Programs to Reduce Mortality After Emergency Laparotomy . Perioperative Quality Improvement , Elsevier
Fowler AJ, Stephens TJ, Partridge J, Dhesi J ( 2022 ) . Surgery in older patients: learning from shared decision-making in intensive care . British Journal of Anaesthesia vol. 129 , ( 5 ) 652 - 655 .
Stephens TJ, Pearse RM ( 2022 ) . The limitations of shared decision-making in surgery . British Journal of Surgery vol. 109 , ( 11 ) 1051 - 1052 .
Bedwell GJ, Dias P, Hahnle L, Anaeli A, Baker T, Beane A, Biccard BM, Bulamba F et al. ( 2022 ) . Barriers to Quality Perioperative Care Delivery in Low- and Middle-Income Countries: A Qualitative Rapid Appraisal Study . Anesthesia & Analgesia vol. 135 , ( 6 ) 1217 - 1232 .
Patel J, Tolppa T, Biccard BM, Fazzini B, Haniffa R, Marletta D, Moonesinghe R, Pearse R et al. ( 2022 ) . Perioperative Care Pathways in Low‐ and Lower‐Middle‐Income Countries: Systematic Review and Narrative Synthesis . World Journal of Surgery vol. 46 , ( 9 ) 2102 - 2113 .
Stephens T, Vail EA, Billings J ( 2022 ) . Silver linings: will the COVID-19 pandemic instigate long overdue mental health support services for healthcare workers? . British Journal of Anaesthesia vol. 128 , ( 6 ) 912 - 914 .
Stephens TJ, Beckingham IJ, Bamber JR, Peden CJ ( 2022 ) . What Influences the Effectiveness of Quality Improvement in Perioperative Care: Learning From Large Multicenter Studies in Emergency General Surgery? . Anesthesia & Analgesia vol. 134 , ( 3 ) 559 - 563 .
Stephens TJ, Peden CJ ( 2022 ) . Quality Improvement in Emergency Surgery: Learning From Two Large-Scale Programs to Reduce Mortality After Emergency Laparotomy . Perioperative Quality Improvement ,
Vickery N, Stephens T, du Toit L, van Straaten D, Pearse R, Torborg A, Rolt L, Puchert M et al. ( 2021 ) . Understanding the performance of a pan-African intervention to reduce postoperative mortality: a mixed-methods process evaluation of the ASOS-2 trial . British Journal of Anaesthesia vol. 127 , ( 5 ) 778 - 788 .
Pearse R ( 2021 ) . Enhanced postoperative surveillance versus standard of care to reduce mortality among adult surgical patients in Africa (ASOS-2): a cluster-randomised controlled trial . The Lancet Global Health
Pearse R, ABBOTT T, Patel A, Dias P, Hewson R, Stephens T ( 2021 ) . Postoperative continuous positive airways pressure (CPAP) to prevent pneumonia, re-intubation and death after major abdominal surgery: An international randomised trial . The Lancet Respiratory Medicine
Bulamba F, Hewitt-Smith A, Stephens T, Uddin R, Patel A, Pearse R ( 2021 ) . Failure to rescue in postpartum haemorrhage: a mixed-methods study to determining why mainstream, evidence-based treatments fail . ANESTHESIA AND ANALGESIA . vol. 133 , 1038 - 1038 .
Smith AH, Bulamba F, Patel A, Stephens T, Pearse R ( 2021 ) . Family SuppleMented pAtient monitoRing afTEr suRgery (SMARTER) pilot trial. An intervention to train family carers to measure and document basic vital signs for surgical in-patients in a resource limited hospital in Uganda . ANESTHESIA AND ANALGESIA . vol. 133 , 714 - 714 .
Mcnelly AS, Flower L, Stevens TJ, Fowler AJ, Pearse RM, Prowle J, Puthucheary ZA ( 2020 ) . Attitudes of multimorbid patients to surviving future acute illness and subsequent functional disability: A systematic review . medRxiv2020.06.03.20121293 - 2020.06.03.20121293 .
Shaw S, Hughes G, Stephens T, Pearse R, Prowle J, Ashcroft RE, Avagliano E, Day J et al. ( 2020 ) . Understanding decision making about major surgery: protocol for a qualitative study of shared decision making by high-risk patients and their clinical teams . BMJ open vol. 10 , ( 5 ) e033703 - e033703 .
Yang F, Walker S, Richardson G, Stephens T, Phull M, Thompson A, Pearse RM, group EP-OCFH-RPT ( 2019 ) . Reply letter to: “A commentary on “cost-effectiveness of a national quality improvement programme to improve survival after emergency abdominal surgery, health economic evaluation” (int J Surg 2019; epub ahead of print)” . International Journal of Surgery vol. 72 , 252 - 253 .
Stephens T, Johnston C, Hare S ( 2019 ) . Quality improvement and emergency laparotomy care: what have we learnt from recent major QI efforts? . Clinical Medicine vol. 19 , ( 6 ) 454 - 457 .
Yang F, Walker S, Richardson G, Stephens T, Phull M, Thompson A, Pearse RM, Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial group ( 2019 ) . Cost-effectiveness of a national quality improvement programme to improve survival after emergency abdominal surgery: Learning from 15,856 patients . International Journal of Surgery vol. 72 , 25 - 31 .
Bamber JR, Stephens TJ, Cromwell DA, Duncan E, Martin GP, Quiney NF, Abercrombie JF, Beckingham IJ et al. ( 2019 ) . Effectiveness of a quality improvement collaborative in reducing time to surgery for patients requiring emergency cholecystectomy . BJS Open vol. 3 , ( 6 ) 802 - 811 .
Stephens TJ, Peden CJ, Haines R, Grocott MPW, Murray D, Cromwell D, Johnston C, Hare S et al. ( 2019 ) . Hospital-level evaluation of the effect of a national quality improvement programme: time-series analysis of registry data . BMJ Quality and Safety
Peden CJ, Stephens T, Martin G, Kahan BC, Thomson A, Everingham K, Kocman D, Lourtie J et al. ( 2019 ) . A national quality improvement programme to improve survival after emergency abdominal surgery: the EPOCH stepped-wedge cluster RCT . Health and Social Care Delivery Research vol. 7 , ( 32 ) 1 - 96 .
Stephens T, Bamber J, Beckingham I, Duncan E, Quiney N, Abercrombie J, Martin G, Chole-QuIC collaborator group ( 2019 ) . Understanding the influences on successful quality improvement in emergency general surgery: learning from the RCS Chole-QuIC project . Implementation Science
Bamber J, Stephens T, Beckingham I ( 2019 ) . Lessons from the RCS quality improvement collaborative Chole-QuIC . Bulletin of The Royal College of Surgeons of England vol. 101 , ( 5 ) 190 - 193 .
Stephens T, Pearse RM ( 2019 ) . Learning from the EPOCH trial (Editorial). What we have learnt from a trial of an intervention to improve survival following emergency laparotomy . Anaesthesia Critical Care & Pain Medicine vol. 38 , ( 4 ) 321 - 322 .
Aggarwal G, Peden CJ, Mohammed MA, Pullyblank A, Williams B, Stephens T, Kellett S, Kirkby-Bott J et al. ( 2019 ) . Evaluation of the Collaborative Use of an Evidence-Based Care Bundle in Emergency Laparotomy . JAMA Surgery vol. 154 , ( 5 )
PEARSE RM, Peden C, STEPHENS T, Martin G, KAHAN B, Thomson A, Rivett K, Wells D et al. ( 2019 ) . Effectiveness of a national quality improvement programme to improve survival after emergency abdominal surgery: A stepped-wedge cluster randomised trial . Lancet
Edwards MR, Forbes G, MacDonald N, Berdunov V, Mihaylova B, Dias P, Thomson A, Grocott MP et al. ( 2019 ) . Optimisation of Perioperative Cardiovascular Management to Improve Surgical Outcome II (OPTIMISE II) trial: study protocol for a multicentre international trial of cardiac output-guided fluid therapy with low-dose inotrope infusion compared with usual care in patients undergoing major elective gastrointestinal surgery . BMJ Open vol. 9 , ( 1 ) e023455 - e023455 .
Stephens TJ, Peden CJ, Pearse RM, Shaw SE, Abbott TEF, Jones EL, Kocman D, Martin G ( 2018 ) . Correction to: Improving care at scale: process evaluation of a multi-component quality improvement intervention to reduce mortality after emergency abdominal surgery (EPOCH trial) . Implementation Science vol. 13 , ( 1 )
Stephens TJ, Peden CJ, Pearse RM, Shaw SE, Abbott TEF, Jones EL, Kocman D, Martin G ( 2018 ) . Improving care at scale: process evaluation of a multi-component quality improvement intervention to reduce mortality after emergency abdominal surgery (EPOCH trial) . Implementation Science vol. 13 , ( 1 )
Stephens T, ABBOTT TEF, Pearse RM ( 2018 ) . Process Evaluation for the PRISM and OPTIMISE II trials: study protocol . Notes: Study protocol process review document ,
Peden C, Aggarwal G, Quiney N, Pullyblank A, Stephens T ( 2017 ) . 1040 The emergency laparotomy collaborative: scaling up an improvement bundle for high risk surgical patients . BMJ Open Quality . Conference: Abstracts vol. 6 ,
Martin GP, Kocman D, Stephens T, Peden CJ, Pearse RM, This study was carried out as part of a wider randomised controlled trial, EPOCH ( 2017 ) . Pathways to professionalism? Quality improvement, care pathways, and the interplay of standardisation and clinical autonomy . Sociol Health Illn
De Silva AP, Sujeewa JA, De Silva N, Rathnayake RMD, Vithanage L, Sigera PC, Munasinghe S, Beane A et al. ( 2017 ) . A Retrospective Study of Physiological Observation-reporting Practices and the Recognition, Response, and Outcomes Following Cardiopulmonary Arrest in a Low-to-middle-income Country . Indian J Crit Care Med vol. 21 , ( 6 ) 343 - 345 .
Beane A, Padeniya A, De Silva AP, Stephens T, De Alwis S, Mahipala PG, Sigera PC, Munasinghe S et al. ( 2017 ) . Closing the theory to practice gap for newly qualified doctors: evaluation of a peer-delivered practical skills training course for newly qualified doctors in preparation for clinical practice . Postgrad Med J vol. 93 , ( 1104 ) 592 - 596 .
Beane A, De Silva Ambepitiyawaduge P, Thilakasiri K, Stephens T, Padeniya A, Athapattu P, Mahipala PG, Sigera PC et al. ( 2017 ) . Practices and perspectives in cardiopulmonary resuscitation attempts and the use of do not attempt resuscitation orders: A cross-sectional survey in Sri Lanka . Indian Journal of Critical Care Medicine vol. 21 , ( 12 ) 865 - 868 .
Stephens T, De Silva AP, Beane A, Welch J, Sigera C, De Alwis S, Athapattu P, Dharmagunawardene D et al. ( 2016 ) . Capacity building for critical care training delivery: Development and evaluation of the Network for Improving Critical care Skills Training (NICST) programme in Sri Lanka . Intensive and Critical Care Nursing vol. 39 , 28 - 36 .
Velasquez T, Mackey G, Lusk J, Kyle UG, Fontenot T, Marshall P, Shekerdemian LS, Coss-Bu JA et al. ( 2016 ) . ESICM LIVES 2016: part three : Milan, Italy. 1-5 October 2016 . Intensive Care Med Exp . Conference: ESICM LIVES 2016 ( Germany ) vol. 4 , 28 - 28 .
Stephens T, Hunningher A, Mills H, Freeth D ( 2016 ) . An interprofessional training course in crises and human factors for perioperative teams . Journal of Interprofessional Care vol. 30 , ( 5 ) 685 - 688 .
Coates E, Fuller G, Hind D, Wrench IJ, Wilson MJ, Stephens T ( 2016 ) . Enhanced recovery pathway for elective caesarean section . International Journal of Obstetric Anesthesia vol. 27 , 94 - 95 .
Beane A, Stephens T, De Silva AP, Welch J, Sigera C, De Alwis S, Athapattu P, Dharmagunawardene D et al. ( 2016 ) . A sustainable approach to training nurses in acute care skills in a resource limited setting (Network for Intensive Care Skills Training, NICST) . Resuscitation vol. 101 , e1 - e2 .
Beane A, Stephens T, De Silva A, Adikaram M, De Alwis S, Athapattu P, Sigera C, Peiris L et al. ( 2015 ) . A collaborative approach to training ward nurses in acute care skills in resource limited settings: the nursing intensive care skills training (nicts) project . Intensive Care Medicine Experimental vol. 3 , ( Suppl 1 )
Stephens T, Beane A, De Silva A, Welch J, Sigera C, De Alwis S, Athapattu P, Peiris L et al. ( 2015 ) . Capacity building for critical care skills training provision in resource limited settings: the nursing intensive care skills training (nicst) project . Intensive Care Medicine Experimental vol. 3 , ( Suppl 1 )
De Silva AP, Stephens T, Welch J, Sigera C, De Alwis S, Athapattu P, Dharmagunawardene D, Olupeliyawa A et al. ( 2014 ) . Nursing intensive care skills training: A nurse led, short, structured, and practical training program, developed and tested in a resource-limited setting . Journal of Critical Care vol. 30 , ( 2 ) 438.e7 - 438.e11 .
Stephens T, de Silva AP, Welch J, Sigera C, Peiris L, Dondorp A, Karunathilake I, Jayasinghe KSA et al. ( 2014 ) . NURSING INTENSIVE CARE SKILLS TRAINING (NICST); A STRUCTURED, PRACTICAL NURSE LED TRAINING PROGRAMME, DEVELOPED AND TESTED IN A RESOURCE LIMITED SETTING . INTENSIVE CARE MEDICINE . vol. 40 , S276 - S276 .
Stephens T, Mills H, Nourse S, Lillis A, Mandersloot G, Hadley J ( 2012 ) . INTRODUCTION OF A SEPSIS SCREENING TOOL AND CARE BUNDLE USING A MOULAGE-BASED TRAINING PROGRAM TO IMPROVE RECOGNITION AND MANAGEMENT OF SEVERE SEPSIS . INTENSIVE CARE MEDICINE . vol. 38 , S60 - S61 .
Elliott S, Murrell K, Harper P, Stephens T, Pellowe C ( 2011 ) . A comprehensive systematic review of the use of simulation in the continuing education and training of qualified medical, nursing and midwifery staff . JBI Evidence Synthesis vol. 9 , ( 17 ) 538 - 587 .
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