FEATURE ARTICLES

Improving care, delivering quality

An improvement campaign in Wales is transforming care for patients – making healthcare safer and increasing satisfaction. The Clinical Services Journal reports.

Transforming care through technology

Lower NHS budgets do not mean that investment in technology should stop, according to IAN JACKSON, managing director of Imerja.

Inspiring nursing leaders of the future

Friends of African Nursing, a UK based charity, is helping nurses in developing countries to enhance their leadership skills, build their confidence and develop effective teams. KATE WOODHEAD RGN DMS reports.

Device development procedures highlighted

The drive for the development and spread of innovation in the health service has put the issue of regulation for new techniques and technologies under the spotlight.

Improved care needed for high-risk patients

A recent report from the National Confidential Enquiry into Patient Outcome and Death has found that only half of high-risk surgical patients received good care in UK hospitals. The Clinical Services Journal looks at the report and highlights the steps needed to address the problems identified.

Sharps safety: the legal implications

As the Health and Safety Executive prepares for the implementation of the EU Sharps Directive, The Clinical Services Journal, speaks to GRAHAM JOHNSON RSCPHN (OH), about the legal implications for Trusts and healthcare employees.

Leaving the patient zone: infection issues

The latest research from UCLH highlights the environment as a potential source of microorganisms and emphasises the importance of hand hygiene when leaving the patient zone and after touching the near-patient environment. LOUISE FRAMPTON reports.

Learning lessons from the battlefield

The NHS could learn many valuable lessons from the latest advances in the transfusion support of massive haemorrhage within the military arena. Biomedical scientist, BARRY HILL reports.

NICE approval for life-extending therapy

NICE has now issued full guidance on selective internal radiation therapy for non-resectable colorectal metastases in the liver, which should lead to greater NHS patient access to this life-extending therapy. SUZANNE CALLANDER reports.

HCAI improvement: the journey

At a healthcare-associated infection (HCAI) symposium, sponsored by ASP and dedicated to looking at novel approaches to reducing HCAIs, Diane Wake, executive director of nursing and operations/director of infection prevention and control at The Royal Liverpool and Broadgreen University Hospitals NHS Trust, spoke about the Trust’s HCAI improvement journey.SUZANNE CALLANDER reports.

Children’s surgery: room for improvement

A recent NCEPOD study reviewed the organisational and clinical aspects of children’s surgery in the UK today. It concluded that clinical network improvements are required to further improve the quality of care for children undergoing surgery.

Success for home haemodialysis project

An award winning programme, which offers an innovative approach to redesign existing dialysis provision, has given dialysis patients in the Manchester region the option to perform haemodialysis independently, at home. SUZANNE CALLANDER reports.

Improving hip fracture care

The Clinical Services Journal reports on the results of The National Hip Fracture Database National Report 2011 which shows an improvement in the management in the care of hip fracture in acute healthcare, and the introduction of the first NICE clinical guidance on hip fracture.

Innovation and risk assessment discussed

The Clinical Services Journal reports from a ‘Completing the Picture’ educational event for clinical and biomedical engineers, where assessment methods for the development of health technology and risk assessment of equipment were among the subjects under discussion.

Minimising risk of iatrogenic CJD

The potential risk of patient-to-patient infection, from contaminated surgical instruments, was recently discussed at the annual conference of the Institute of Decontamination Sciences (IDSc). LOUISE FRAMPTON reports.

Managing rule breaking in clinical practice

Telling staff to ‘follow the rules’ is not enough, but how should we deal with migration from policy, while ensuring a safe and just culture? At the AfPP annual congress, Mark Emerton argued that we must learn from rule breaking and understand why violations occur. LOUISE FRAMPTON reports.

Clinical effects of healing environments

Can better healing environments result not only in happier patients but also improved clinical outcomes? ANDREW BRISTER highlights the latest research taking place at a new hospital research centre in Eindhoven that could have profound implications for healthcare providers.

Wearing the correct clothing at work

KATE WOODHEAD RGN DMS discusses the importance of adhering to appropriate dress code standards and outlines current best practice.

Improving quality and reducing costs

The Clinical Services Journal reports on the achievements and challenges that faced healthcare teams taking part in the Shine programme, which set the task of finding new ways to deliver services that reduce costs while improving quality.

Putting QIPP into critical care

SUZANNE CALLANDER attended a Critical Care Study Day, ‘Putting QIPP into Critical Care,’ organised by the Norfolk, Suffolk & Cambridgeshire Critical Care Network , whose purpose is to ensure equity of access and care for critically ill patients across the three counties.

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