FEATURE ARTICLES

3D printing: making rapid advances

The use of 3D printing technologies is already enabling surgeons to better prepare for surgical interventions, through the use of accurate modelling. SUZANNE CALLANDER reports on the benefits that this technology can offer today, and what it may offer in the future.

European project to tackle antimicrobial resistance

A new project, Combacte-Magnet, has been launched by 33 European academic partners and five pharmaceutical companies, under the IMI antimicrobial resistance research programme ‘New Drugs 4 Bad Bugs (ND4BB)’.

EU-wide data on antibiotic resistance

On the 7th European Antibiotic Awareness Day, the European Centre for Disease Prevention and Control (ECDC) released its latest EU-wide data on antibiotic resistance (EARS-Net annual report and interactive database). Carbapenems are a major last line class of antibiotics used to treat healthcareassociated infections. Although carbapenem resistance remains at relatively low levels for most countries, ECDC data show an increase of carbapenem resistance in Klebsiella pneumoniae from a population-weighted EU average percentage of 4.6% in 2010 to 8.3% in 2013.

Focus on tackling the antibiotic crisis

A review on antimicrobial resistance, established by the UK Prime Minister, has outlined key steps needed to tackle the antibiotic crisis.

SSI surveillance

In December 2014, Public Health England reported its latest data, Surveillance of Surgical Site Infections in NHS Hospitals in England 2013/14. The data shows that, between 2008/9 and 2013/14, there was a significant decrease in the inpatient/readmission SSI incidence for repair of neck of femur and reduction of long bone fracture, reaching 1% in each category in 2013/14.

Prevention approaches to SSI

The latest in the series of Reducing HCAIs conferences was recently hosted by Govtoday, at London’s Mermaid Theatre, tackling key issues in infection prevention and control. LOUISE FRAMPTON reports.

Impact of GMC investigations and complaints procedures

Doctors who are the subject of complaints procedures or investigation by the General Medical Council experience high rates of serious depression and anxiety as well as suicidal thoughts, according to a new study. Four out of five doctors also reported changing the way they treat their patients as a result of either complaints against themselves, or observing a colleague go through a complaints process.

Calls to improve complaints handling

Patients report experiencing defensiveness and poor communication when raising concerns, while the complaints system is often said to be confusing and lacking in transparency. A blueprint has now been published which aims to help Trusts understand exactly what ‘good complaints handling’ looks like, from a patient’s perspective, and to drive improvement.

Step in the right direction

The College of Emergency Medicine recently launched its ‘STEP’ campaign aimed at tackling the pressures being faced in A&E, while NICE has also issued guidance to address concerns over safe staffing levels. As emergency departments struggle to meet Government targets, the King’s Fund has argued that this is part of a much wider problem experienced across the whole of the health service.

Code of practice on HCAI prevention

KATE WOODHEAD RGN DMS provides an update on the latest code of practice on the prevention and control of infections and related guidance.

Advancing innovation in medical technology

From Narrow Band Imaging, to 3D visualisation for endoscopic surgery, technology innovation is helping surgeons to pioneer new surgical and diagnosistic approaches.

Service integration is key for patient care

Several key healthcare topics were discussed at a recent Policy Forum for London, which focused on improving health, public health and social care outcomes in London. Integration of services was a key theme running through the event. SUZANNE CALLANDER reports.

Simple solution for improved cleaning

Environmental cleaning plays a vital role in helping to reduce the transmission of healthcare-associated (HCAIs) infections. The Clinical Services Journal looks at one solution that is helping infection prevention and control (IPC) teams to monitor whether cleaning is being performed effectively.

The future of thermometry

ROISIN MOLLOY offers an insight into the latest advances in thermometry technology, and discusses its role in enabling hospitals to accurately measure vital signs, while ensuring effective infection control, patient comfort and supporting future goals of ‘Connected Health’.

Bowel cancer: challenges ahead

The latest research and audit data show that progress is being achieved in terms of bowel cancer surgery and survival, but significant challenges remain in ensuring early diagnosis, prevention of emergency admissions, and variation across the UK.

Intra-operative pelvic ultrasound

JOTHI DORAISWAMY and ISAAC BABARINSA describe the use of intra-operative suprapubic ultrasound scanning in congenital or acquired abnormalities of the womb, persistent bleeding after previous uterine evacuation and unexpected deviation from normal.

Improving process efficiency and device cleanliness in a medical device library

Microbial contamination of the hospital environment is unavoidable and increasingly is becoming recognised as a key risk factor for healthcare-associated infection (HCAI).

Standardising on an alcohol-free hand rub

When the new Alder Hey Children’s Hospital opens this year the hand sanitiser of choice throughout the facility will be an alcohol-free hand rub. The Clinical Services Journal looks at why the infection prevention and control team made this decision.

Relieving pressure on acute care

GLEN JOHNSON provides an insight into how ambulatory care can relieve pressure on the acute sector, while improving patient experience and quality of life for patients undergoing chemotherapy.

Eye of the needle: staff at risk

Staff are still being put at risk of bloodborne viruses through sharps injury, according the latest ‘Eye of the Needle’ report.

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