Monday, 16 May 2016

Development of a Safe Staffing App

"An ‘App’ was developed which is a simple, easy to use tool which allows managers and staff to see an accurate, live staffing position from ward to board.  The app is pre-programmed with agreed planned staffing for each shift for every ward. At handover the nurse in charge inputs actual staffing numbers and relevant information into the ward mobile device."

Development of a Safe Staffing App
Nottingham University Hospitals NHS Trust
NICE Shared learning example
April 2016

Read more here.

Implementing MDI with carbohydrate counting for children at diagnosis of type 1 diabetes

"It was agreed within the team to improve glycaemic control in this first week of diagnosis we needed to start using carbohydrate counting and insulin correction doses at diagnosis. Therefore, in January 2015, in all newly-diagnosed children and teenagers, we started MDI with carbohydrate counting education, and insulin correction doses from the first time insulin is given."

Implementing multiple daily injection insulin regimens (MDI) with carbohydrate counting for children and young people at diagnosis of type 1 diabetes: education provided by the Children’s Diabetes Service for patients, families and staff
Oxford Health NHS Foundation Trust
NICE Shared learning example
April 2016

Read more here.

Abdominal drainage versus no drainage post-gastrectomy for gastric cancer

"This Cochrane review concludes that there is no convincing evidence to support the routine use of abdominal drains in patients under-going gastrectomy for gastric cancer"

Abdominal drainage versus no drainage post-gastrectomy for gastric cancer
The UK Cochrane Centre and NICE
Quality and Productivity case study
April 2016

Read more here

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

Read more here.

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

Read more here.

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

Read more here.

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

Read more here