A book in the life of Margaret Perry

It is a pleasure to introduce this month’s guest writer, Margaret Perry, Clinical Effectiveness, Research and Development Manager.  Known to many as an avid reader, whatever the publication medium – online, traditional or modern (Kindle), Margaret has waited patiently for 9 years for her chosen book to be updated.  Our grateful thanks to her for finalising her choice and taking the time to contribute to this series. New Principals Book cover

“An investment in knowledge pays the best interest”.
Benjamin Franklin

 The above quotation reflects perfectly what my chosen information resources provide, not just for me, but for those who also wish to gain a fuller understanding or expertise, in a very important process we use to improve quality of care and health outcomes – clinical audit.

The Book: We have had to wait 9 years for the 2nd edition of the classic text on clinical audit “NEW Principles of Best Practice in Clinical Audit”, far too long, in my opinion considering the importance of audit in improving the effectiveness and efficiency of healthcare. This book makes extensive use of work led by the Healthcare Quality Improvement Partnership (HQIP) who have been given responsibility for reinvigorating clinical audit inEngland. It provides an excellent manual of best practice on how to undertake audit, and is not meant to be read from cover to cover, but should be “dipped” into as a source of guidance when audits are planned/undertaken, and is of value to those both new, or experienced, in undertaking this process.

Some useful links:
Online websites can complement books and add to the wealth of knowledge now available to us, at www.hqip.org.uk there are a number of recently published guides to help clinicians carry out high quality clinical audits, including:

How Foundation Year Doctors can get the most from their clinical audit project (March 2011)
Guide for clinical audit leads (March 2011)
Guide to ensuring data quality in clinical audits

Take a look yourself at the above, you will be impressed!!

For more information on the above, or “face to face” audit advice, please contact:  Margaret  Perry
Clinical Effectiveness, Research & Development Manager 
margaretperry@nhs.net     Tel: 01625661974

McGonagle L, Ralte P, Kershaw S: Journal of Foot and Ankle Surgery 2010

Apologies for the late posting of this article which is available on request via inter-library loan.

Non-union of Weber B distal fibula fractures: a case series

Abstract: Non-union of distal fractures of the fibula type Weber B is rare. Undisplaced and minimally displaced isolated lateral malleolar fractures (Weber B) usually unite without operative intervention. We present three cases of lateral malleolus non-union in healthy individuals. Two were treated with internal fixation plus bone grafting. The third patient remained asymptomatic and therefore did not undergo surgery for the fracture.

Journal of Foot & Ankle Surgery,
September 2010, vol./is. 16/3(e63-7), 1268-7731;1460-9584

NHS Networks: weekly news

Two items from NHS Networks (5/8/2011)
Developed with the help of various experts and supported by NAPC, NHS Alliance, NICE and the DH, this pathway supports health and social care teams participating on the QIPP LTC workstream to implement a generic LTC care model and tackle the increasing demand in care needs.
NICE has published the quality standard for chronic obstructive pulmonary disease (COPD).

NEW version of TRIP database

A timely update comes in the form of the latest version of the TRIP database.  Faster and sporting a new results page design, the updates incorporated into this latest upgrade offer something for just about everyone!
  • Translate which allows users to translate the search results and subsequent links into one of six languages (Spanish, German, French, Italian, Portuguese and Welsh).
  • DOI (Digital object identifier) is displayed, this is to facilitate the identification of full-text articles.
  • Clinical trials are now highlighted via a link to clinicaltrials.gov
  • Clinical calculators related to the search terms are now displayed.
  • The ability to restrict the results to new research only.
  • Incorporating new content including medical education, and patient decision aids as well as enhanced content from social media and videos (now over 6,100)