Thursday, 4 February 2016

Delays and interruptions in the acute medical unit clerking process

"Interruptions and delays regularly occurred during the admission process in the study hospital which impacts adversely on patient experience and compliance with the recommended 4-h timeframe, further work is required to assess the impact on patient safety. Data obtained from this observational study were used to guide operational changes to improve the process."


Delays and interruptions in the acute medical unit clerking process: an observational study
AJ Basey, TD Kennedy, AJ Mackridge, J Krska
JRSM Open February 2016 vol. 7 no. 2 2054270415619323

Read more here.

Characteristics of morbidity and mortality conferences associated with the implementation of patient safety improvement initiatives

"This study suggests that the implementation of improvement initiatives relates to MCC [Morbidity and mortality conferences] characteristics. Recommendations for developing more effective patient safety-oriented MMCs can be proposed."

Characteristics of morbidity and mortality conferences associated with the implementation of patient safety improvement initiatives, an observational study
P Fran├žois, F Prate, G Vidal-Trecan, JF Quaranta, J Labarere, E Sellier
BMC Health Services Research, 2016, 16:35 DOI: 10.1186/s12913-016-1279-8

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Patient representatives’ views on patient information in clinical cancer trials

"The emotional and cognitive responses to written patient information reported by patient representatives provides a basis for revised formats in future trials and add to the body of information that support use of plain language, structured text and illustrations to improve the informed consent process and thereby patient enrolment into clinical trials."

Patient representatives’ views on patient information in clinical cancer trials
P Dellson, M Nilbert, C Carlsson
BMC Health Services Research, 2016, 16:36 DOI: 10.1186/s12913-016-1272-2

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Improving the user experience of patient versions of clinical guidelines

"It is important for guideline producers to maximise the user experience of the public when they access patient versions of guidelines, particularly given the current low level of access and awareness. One size does not fit all and guideline producers need to strike a balance between keeping the patient version simple and providing sufficient information to facilitate shared decision making and empower the public. Guideline producers may find the results of this study useful in designing their own patient versions."


Improving the user experience of patient versions of clinical guidelines: user testing of a Scottish Intercollegiate Guideline Network (SIGN) patient version
N Fearns, K Graham, G Johnston, D Service
BMC Health Services Research, 2016, 16:37 DOI: 10.1186/s12913-016-1287-8


Read more here.

Thursday, 28 January 2016

New Commissioning for Value packs

"The information in the packs will be of particular interest to CCG clinical and management leads with responsibility for finance, performance, improvement and health outcomes; to NHS England regional team leads; and to commissioning support teams who are helping CCGs with this work."

Commissioning for Value – comprehensive data packs to support CCGs and NHS England in the regions
NHS England
January 2016

Access the packs here.

Wednesday, 27 January 2016

Improving the quality of operative notes by implementing a new electronic template for upper limb surgery

"After implementation of the templates we found no delays in full operative notes being typed and a 100% adherence with the RCS guidelines. This project significantly improved the quality and timely production of electronic surgical notes within a sustainable electronic software solution."

Improving the quality of operative notes by implementing a new electronic template for upper limb surgery at the Royal Derby Hospital

K Theivendran, S Hassan, DI Clark
BMJ Quality Improvement Reports 2016;5: doi:10.1136/bmjquality.u208727.w3498

Read more here.

Analgesia in hip fractures. Do fascia-iliac blocks make any difference?

"Our experience shows a great improvement in compliance with fascia-iliac blocks in the pre-operative period. This work has also underpinned the introduction of a new hip fracture care pathway ultimately to better patient care and outcomes."

Analgesia in hip fractures. Do fascia-iliac blocks make any difference?
J Callear, K Shah
BMJ Quality Improvement Reports 2016;5: doi:10.1136/bmjquality.u210130.w4147

Read more here.