Monday, 25 April 2016

Secular trends and evaluation of complex interventions

"Understanding the rising tide phenomenon is important for a more nuanced interpretation of null results arising in the context of system-wide improvement. Recognition that a rising tide may have predisposed to a null result in one health system cautions against generalising the result to another health system where strong secular trends are absent."

Secular trends and evaluation of complex interventions: the rising tide phenomenon
YF Chen, K Hemming, AJ Stevens, RJ Lilford
BMJ Quality and Safety 2016;25:303-310 doi:10.1136/bmjqs-2015-004372

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User road testing of a draft version of SQUIRE 2.0

"Our findings show that writing scholarly healthcare improvement work requires a specific knowledge base, and this knowledge is not universally held. We now know some of the specific gaps that should be addressed to help SQUIRE 2.0 reach its goal of improving the reporting of improvement work. The findings should be helpful not just for the development of SQUIRE 2.0 but also in the education of the next generation, for whom exposure to improvement work is now becoming standard."

Findings from a novel approach to publication guideline revision: user road testing of a draft version of SQUIRE 2.0
L Davies, KZ Donnelly, DJ Goodman, G Ogrinc
BMJ Quality and Safety 2016;25:265-272 doi:10.1136/bmjqs-2015-004117

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Sleep deprivation and starvation in hospitalised patients

"In our personal experience as surgeons at a busy tertiary hospital, the goal of avoiding unnecessary malnutrition and sleep deprivation in our patients has all too often been forgotten or prioritised far behind other more technical goals of surgical care. But keeping a patient strong and rested is a critical goal towards the same end."

Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients
T Xu, C Wick, MA Makary
BMJ Qual Saf 2016;25:311-314 doi:10.1136/bmjqs-2015-004395

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Half-life of a printed handoff document

"In this report, we identify a very high potential for inaccurate information in printed handoff documents. If a handoff document is printed at the start of a night shift, it is reasonable to assume that within 6 h the document will contain inaccuracies on half of the patients. The field most likely to contain inaccuracies is the medication lists, followed by code status."

Half-life of a printed handoff document
G Rosenbluth, R Jacolbia, D Milev, AD Auerbach
BMJ Quality and Safety, 2016;25:324-328 doi:10.1136/bmjqs-2015-004585

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Catalyst or distraction? The evolution of devolution in the English NHS

"Focusing primarily on devolution in the NHS, the report considers the potential implications for health and care outcomes in England and how policy could best evolve. It draws on analysis of the Devolution Deals agreed to date, relevant literature, and international experience with a focus on four European decentralised health systems."

Catalyst or distraction?: The evolution of devolution in the English NHS
F Dormon, H Butcher, R Taunt
The Health Foundation
April 2016

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Developing a Complex Care Case Management Service within Primary Care

"Analysis of the Slough CCG patient population demonstrated that 5% (7,500) of people consume 43% of healthcare resources.  In an attempt to realise cost savings and improve quality of service, efforts were made to target those at higher risk of an emergency admission or A&E attendance."

Slough CCG: Developing a Complex Care Case Management Service within Primary Care
S Saran, A Thompson, R Chana
RightCare
February 2016

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Monday, 4 April 2016

Management of urinary incontinence in women

"Regular teaching sessions in primary care using NICE guidance on the management of urinary incontinence in women and regular multidisciplinary team reviews improve clinical outcomes. Compliance with NICE guidance results in reduced referral to secondary care." 

Management of urinary incontinence in women (Quality and Productivity case study)
Royal Cornwall Hospitals NHS Trust
NICE
February 2016

Read more here.