Trusts can improve care by engaging their staff better, says think tank | BMJ

A UK health think tank says it has produced “compelling evidence” that NHS organisations are safer, more effective, and financially stronger when they “engage” properly with doctors and other staff.

Studies show that performance improves across a range of measures, the King’s Fund says, with fewer errors, lower infection and mortality rates, higher staff motivation, and better experiences for patients.

Chris Ham, the fund’s chief executive, said it was clear that the NHS should give greater priority to involving doctors and other clinicians in decision making and encouraging medical leadership.

via Trusts can improve care by engaging their staff better, says think tank | BMJ.

MHRA News: for Anaesthetists

Latest news and hot topics

23 May 2012 | Medical Device Alert: Neonatal endotracheal tube SCP clamp/holder manufactured by Capatex Medical (MDA/2012/029)

This Medical Device Alert has been issued as there may be a risk of airway loss due to slippage or airway obstruction, as a result of over-tightening of the clamp/holder when using neonatal endotracheal tube SCP clamp/holder manufactured by Capatex Medical.

23 May 2012 | Medical Device Alert: Power cords and transformer boot cables of patient monitors manufactured by Welch Allyn (MDA/2012/028)

This Medical Device Alert has been issued as the MHRA has received reports of clinical staff receiving electric shocks from power cords with damaged outer insulation. The damage is caused mainly by accidentally pulling the plug out of the wall when moving the monitor on its stand.

22 May 2012 | Drug Safety Update: May 2012 (Volume 5, Issue 10)

Drug Safety Update is essential reading for all healthcare professionals, bringing you the very latest information and advice to support the safer use of medicines.

09 May 2012 | Medical Device Alert: Point of care diagnostic test for monitoring anticoagulation therapy – i-STAT PT/INR cartridges manufactured by Abbott Point of Care (MDA/2012/025)

This Medical Device Alert has been issued as there is a potential for INR results from the affected device to be falsely elevated by approximately 20%. This may lead to inadequate anticoagulation and potential thromboembolic complications when using i-STAT PT/INR cartridges.

09 May 2012 | Medical Device Alert: Endoscope accessory holder, all manufacturers (MDA/2012/024)

This Medical Device Alert has been issued as the MHRA has been informed that the use of inappropriate accessory holders within automated endoscope reprocessors (AER) may lead to contamination of devices, equipment and processing media by retained soil and corroded material from the endoscope accessory holder.

Countdown to NHS Evidence and new HDAS

The newly redesigned NHS Evidence Healthcare Databases search (HDAS) will be launched later this week.  Look out for more news about the improvements and differences from 31 May when it goes live.

Your existing NHS Athens usernames and passwords will enable you to access not just the regular databases (BNI, CINAHL, EMBASE, MEDLINE etc) and The Cochrane Library but ejournals and ebooks too.

*** If you do not yet have an Athens account then please follow this link and sign up today for free.  Make sure you quote your NHSnet email address for instant access. If you experience any difficulty please email Jan Read or contact the Staff Library on 01625 661362

News | PJ Online

The Staff Library now has access to PJ Online.

PJ Online content is produced by PJ Publications, part of Pharmaceutical Press, the publishing division of the Royal Pharmaceutical Society of Great Britain. All PJ publications are editorially independent of the Royal Pharmaceutical Society.

Among other matter, PJ Online includes content published since January 2005 in

  • The Pharmaceutical Journal
  • Prescribing & Medicines Management
  • Hospital Pharmacist
  • Clinical Pharmacist
  • Retail Round-up
  • PJ Business Insight
  • Tomorrows Pharmacist

Articles published between August 1999 and January 2005 are available on PJ Online’s legacy website. Details of any articles published before August 1999 are available from the information centre of the Royal Pharmaceutical Society.

News | PJ Online.

Contact the Staff Library for a username and password.

Long-term Reduction in Adverse Drug Events:

Abstract:
A multifaceted, evidence–based model for safe prescribing guideline implementation, engaging multidisciplinary clinicians, was effective in reducing medication error and harm in hospitalized children, resulting in sustained long–term improvement.
Author: Gazarian, M

Subject: Children, Medication errors, Drug toxicity , Inter disciplinary communication
Source: Pediatrics. May 2012:129(5)p.e1334 – e1342.
Published: 2012

Date added: 24/05/2012

Created by: Uma Devalapalli
Published by: East Midlands Strategic Health Authority

Skills for Health: online consultation

Have your say on the development of the minimum training standards and code of conduct for healthcare support workers and adult social care workers in England.

An online consultation was launched today to get the views of healthcare staff and education and training providers across health and social care on the minimum training standards and code of conduct for healthcare support workers and adult social care workers. If you would like to participate in the consultation visit our website. The closing date for the consultation is Friday 29th June.

Skills for Health and Skills for Care have been commissioned by the Department of Health to jointly convene the project to develop a code of conduct and standards which set out high-level proficiencies for the role and expectations around:

  • healthcare support workers (reporting to registered nurses and midwives)
  • adult social care workers (working in support of health and social care professionals, independently, for Care Quality Commission (CQC) registered residential care providers, or as domiciliary care workers in England)

The expectation is that the output from this work will be used by a body (or bodies) establishing a voluntary register(s) for healthcare support workers and adult social care workers in England as part of its standards for inclusion on a register. For more information please see the briefing document.

Race equality in mental health

This briefing summarises the findings and recommendations from a recent report into race equality in mental health commissioned by the Department of Health . The report is based on a series of interviews with NHS and local authority leaders. The briefing outlined findings such as black and minority ethnic groups, particularly people from black African and black Caribbean backgrounds, historically experiencing poorer outcomes than the rest of the population. It was also found that some groups continue to have higher rates of admission to inpatient units and greater rates of detention than the rest of the population.

End of life care modelling tools

The National End of Life Care Programme has published a suite of tools in conjunction with partner organisations designed to support end of life care commissioning and planning. These tools were developed to support organisations to achieve the vision of the National End of Life Care Strategy and the NHS QIPP agenda of improving quality and productivity through innovation. Together the tools are designed to enable commissioners and providers of end of life care services to identify the end of life care needs of their population over a 10-year period, to assess what workforce skills are required to ensure quality care provision and to establish how many people dying in hospital could reasonably end life in an alternative care setting and to calculate costings for this.

National Learning Network products now available

Welcome everyone! With the closing down of the Communities of Practice and the migration of over 1000 CoPs to the new Knowledge Hub, this temporary group offers a chance for new users to experience the new platform. Come in and introduce yourself…

The learning set products are an invaluable resource for health and wellbeing board members across the country.

via Welcome – Knowledge Hub.

Reminder: International Clinical Trials’ Day

International Clinical Trials’ Day

Each year, the International Clinical Trials’ Day is celebrated around the world on or near the 20th of May in order to celebrate the day that James Lind started his famous trial on the 20th of May 1747 (*www.jameslindlibrary.org).

The challenges of clinical research are not restricted to a single country, thus transnational communication on clinical trials requires initiation and co-ordination by a transnational organisation, with the objective to facilitate better clinical research, relevant to the needs of patients everywhere.

via ECRIN – European Clinical Research Infrastructure Network -Home – News – International Clinical Trials’ Day.

FREE come and collect Journals

Journal Stock Review

The Staff Library is relocating to New Alderley in August, and due to space restrictions we are offering the following journals and hardback ‘Clinics series’ books FREE to anyone who can use them.

  • Anaesthesia / New Scientist
  • Arch Diseases of Childhood
  • Education and Practice
  • Fetal and Neonatal
  • EMJ
  • NEJM
  • Journal of International Med Research
  • QJM
  • Nursing Times:          2006 and earlier
  • Nursing Standard:     2010 and earlier
  • MDDIRS:                    2010 and earlier

All but the last 12 months of the group below are available:

  • BJS
  • JRSM
  • HSJ
  • Lancet
  • Medicine
  • Surgery

Clinics series (Hardbacks)

** all stock available except ‘Clinics in Developmental Medicine’

  • Emergency Med
  • Endocrinology
  • Gastro
  • Geriatrics
  • Medicine
  • Clinical Orthopaedics & Orthopaedics
  • Paediatrics
  • Rheumatology
  • Surgery

Many archived journals are available, with the exception of Analytical Toxicology.

Journal of Health Organization and Management | A systems perspective on nursing productivity

A systems perspective on nursing productivity.

Authors: Nicola North, School of Population Health, The University of Auckland, Auckland, New Zealand, Frances Hughes, Nursing Midwifery Office, Brisbane, Australia

Citation: Nicola North, Frances Hughes, 2012 “A systems perspective on nursing productivity”, Journal of Health Organization and Management, Vol. 26 Iss: 2, pp.192 – 214

Keywords: Human resource management, Management strategy, New Zealand, Nursing, Outcomes, Productivity, Workforce

Article type: Conceptual paper DOI: 10.1108/14777261211230772 Permanent URL Publisher: Emerald Group Publishing Limited

Abstract: Purpose – Recent New Zealand reports have identified the nursing workforce for its potential to make a significant contribution to increased productivity in health services. The purpose of this paper is to review critically the recent and current labour approaches to improve nursing productivity in New Zealand, in a context of international research and experience.Design/methodology/approach – An examination of government documents regarding productivity, and a review of New Zealand and international literature and research on nursing productivity and its measurement form the basis of the paper.

via Emerald | Journal of Health Organization and Management | A systems perspective on nursing productivity.

Making it real: marking progress towards personalised, community based support

Social Care Institute for Excellence (SCIE)

Making it real: marking progress towards personalised, community based support
This programme sets out what people who use services and carers expect to see and experience if support services are truly personalised. They are set of “progress markers” that can help an organisation to check how they are going towards transforming adult social care. The aim of the programme is for people to have more choice and control so they can live full and independent lives.

Transformational leadership can improve workforce competencies

Article by  Juliana Thompson

Citation:
Nursing Management – UK, 01 March 2012, vol./is. 18/10(21-24), 13545760
Publication Date: 01 March 2012
Abstract: Staffing problems can arise because of poor delegation skills or a failure by leaders to respond appropriately to economic factors and patient demographics. Training dilemmas, meanwhile, can arise because of managers’ confusion about what constitutes ‘training’ and what constitutes ‘education’, and where responsibility of provision lies, with the consequence that they neglect these activities. This article uses Kouzes and Posner’s (2009) transformational leadership model to show how managers can respond. Leaders who challenge budgets, consider new ways of working and engage effectively with the workforce can improve productivity and care, while those who invest in appropriate learning will have a highly trained workforce. The author explains how integration of leadership roles and management functions can lead to innovative problem solving.
Source: CINAHL
Available in fulltext at EBSCOhost
Available in fulltext at ProQuest
Athens account required

ECRIN – International Clinical Trials’ Day

International Clinical Trials’ Day

Each year, the International Clinical Trials’ Day is celebrated around the world on or near the 20th of May in order to celebrate the day that James Lind started his famous trial on the 20th of May 1747 (*www.jameslindlibrary.org).

The challenges of clinical research are not restricted to a single country, thus transnational communication on clinical trials requires initiation and co-ordination by a transnational organisation, with the objective to facilitate better clinical research, relevant to the needs of patients everywhere.

via ECRIN – European Clinical Research Infrastructure Network -Home – News – International Clinical Trials’ Day.

Toolkit for improving care for frail older people

This is the third in a series of acute care toolkits which aims to improve the care of the frail older patient.

The toolkit, produced in collaboration with the British Geriatrics Society, recommends procedures for both initial assessment on admission and later comprehensive geriatric assessment.

via NHS Networks at http://www.networks.nhs.uk/news/toolkit-for-improving-care-for-frail-older-people

Knight, S: Collaboration on autonomic symptoms are common and are associated with overall symptom burden and disease activity in primary Sjögren’s syndrome

Susan Knight, Deborah Symmons, Beverley Jones (Macclesfield District General Hospital & Arthritis Research UK Epidemiology Unit, Manchester) collaborated on this recently published study.

Ann Rheum Dis doi:10.1136/annrheumdis-2011-201009

  • Clinical and epidemiological research

Autonomic symptoms are common and are associated with overall symptom burden and disease activity in primary Sjögren’s syndrome

Julia L Newton James Frith Danielle Powell et al published online first 5 May 2012

Objectives To determine the prevalence of autonomic dysfunction (dysautonomia) among patients with primary Sjögren’s syndrome (PSS) and the relationships between dysautonomia and other clinical features of PSS.

Mahto, M; Response to “Comparative performance of culture ..”

Sex Transm Infect 2012;88:27-31 doi:10.1136/sextrans-2011-050075

  • Original article

Comparative performance of culture using swabs transported in Amies medium and the Aptima Combo 2 nucleic acid amplification test in detection of Neisseria gonorrhoeae from genital and extra-genital sites: a retrospective study

  1. Lindsey Harryman1,  Sara Scofield1,  John Macleod2,  David Carrington3,  O Martin Williams3Arnold Fernandes4,  Paddy Horner1,2
  • Accepted 6 October 2011
  • Published Online First 27 October 2011
Response by Mrinalini Mahto [Full text]

Sex Transm Infect published online December 1, 2011

Eyes on Evidence update: Cancer

Vitamin E supplementation and prostate cancer risk
SELECT trial finds no reduction and suggests an increase in risk of prostate cancer with either selenium or vitamin E supplements.

Health professionals express a need for more training to deal with third party interpreting for cancer patients.
There is insufficient evidence to support the use of combination therapy to treat chronic kidney disease.

The evidence base continues to build, suggesting that daily aspirin can be used to prevent cancer.

Details of a new resource available via NHS Evidence search.
Links to four recently published Evidence Updates.