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"We must become the change we want to see."
Mahatma Ghandi


Impact of interruptions in ED

Interruptions to nursing workload may contribute to procedural failures and clinical errors which impact the quality and safety of care. This study analyses the effect of interruptions on common nursing interventions in the emergency department (ED) of a large academic medical centre. The research suggested that the occurrence of family/patient interruption had the greatest effect on the time to complete an intervention.

Source: BMJ Quality and Safety 2016; 25: 457-465



Motion-sensing technology to minimize cross-infection

Maintaining good infection control measures can be challenging within hospital radiology departments characterised by high patient turnover. This experimental study created a touchless environment for performing image manipulation and X-ray acquisition. The authors tested gesture commands using thumb and index finger tip movements to govern different image manipulation commands. In the future it is hoped that motion-sensing technology may assist in minimizing the potential for pathogen contamination of radiology control panels.

Source: Radiological Physics and Technology 2016; online first: 26 May

Further reading

Healthcare-associated infections
This NICE quality standard covers organisational factors in preventing and controlling healthcare-associated infections in secondary care settings. The organisational factors include management arrangements, policies, procedures, monitoring, evaluation, audit and accountability.

Source: NICE quality standard [QS113] February 2016

Recommendations for the control of Multi-drug resistant Gram-negatives: carbapenem resistand Enterobacteriacea

NSQHS Standard 3: Preventing and Controlling Healthcare Associated Infections

Hub page: Standard of the Month


Platelet-rich plasma for chronic wound care

Autologous platelet-rich plasma (PRP) is a treatment that contains fibrin and high concentrations of growth factors with the potential to improve the healing of chronic wounds. In this update the authors reviewed the evidence on the effect of autologous PRP on wound healing in people aged 18 years or older with chronic wounds from any cause (such as pressure ulcers, arterial ulcers, venous ulcers). Autologous PRP may improve the healing of diabetic foot ulcers however stronger evidence is required to establish if it has an effect on other chronic wounds.

Source: Cochrane Database of Systematic Reviews 2016, Issue 5



Building a culture of safety

Enduring improvement in patient safety requires strong leadership and development of a 'culture of safety' as well as continued research in the areas of quality and safety.  The Lucian Leape Institute, part of the National Patient Safety Foundation in the US, have compiled a brief compendium of the executive summaries and recommendations of five key reports:

  • Shining a Light: Safer Health Care Through Transparency (2015)
  • Safety Is Personal: Partnering with Patients and Families for the Safest Care (2014)
  • Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care (2013)
  • Order from Chaos: Accelerating Care Integration (2012)
  • Unmet Needs: Teaching Physicians to Provide Safe Patient Care (2010)

Source: National Patient Safety Foundation 2016



Interprofessional team work in chronic care

This systematic review sought to examine the evidence around interprofessional teamwork (IPT) for chronic disease care. While from the 23 included studies there was evidence that there are interventions that have been successful in improving teamwork and safety culture, "there is no consensus about the main features of IPT and the most effective team interventions in chronic care. However, the findings may be used to standardize the implementation and evaluation of IPT and team interventions in practice and for further research."

Source: Journal of Interprofessional Care 2016; 30(1): 15-28


eBooks spotlight

Andrews' diseases of the skin : clinical dermatology / William D. James, Timothy G. Berger, Dirk M. Elston - 12th ed.  Elsevier, 2016.
Provides information on newly recognized diseases and unusual variants of well-known conditions. It also covers new uses for tried-and-true medications and unique drugs for diseases as disparate as melanoma and rosacea.

Textbook of pediatric rheumatology / edited by Rose E. Petty ... [et al] - 7th ed.  Elsevier, 2016.
This text provides an up-to-date global perspective on paediatric rheumatology, reflecting the changes in diagnosis, monitoring,  and management that recent advances have made possible.


Llewellyn-Jones fundamentals of obstetrics and gynaecology / Jeremy Oats, Suzanne Abraham - 10th ed.  Elsevier, 2017.
"Comprehensive coverage of the clinical essentials of both obstetrics and gynaecology in one volume.  The authors present the advances in the management of pregnancy and the treatment of gynaecological disorders in an easy-to-read style."

Essential geriatrics / Henry Woodford - 3rd ed.  CRC Press, 2016.
This edition specifically focuses on the key aspects of elderly care, spanning both general medicine and the problems encountered in geriatrics.  Practical guidance for managing the conditions covered is included at the end of each section, with reasoned approaches to areas where evidence is more scarce.


Journals spotlight

These links provide access to the current table of contents:

Annals of Otology, Rhinology & Laryngology

Cancer Treatment Reviews

Evidence-Based Mental Health

Infection Control & Hospital Epidemiology

International Journal of Stroke

Journal of Infection

Journal of Plastic, Reconstructive & Aesthetic Surgery

Journal of the American Society of Echocardiography

Nursing Research

Obesity Surgery


Professional Case Management

Topics in Spinal Cord Rehabilitation

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