BMJ News: 4 July 2012

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Statins in women – how well do they work?

Statins in women
Do statins work as well as women as in men? A meta-analysis in Archives of Internal Medicine raises the possibility that they may not. Across 11 RCTs in 43,000 patients, statins as secondary prevention were associated with reduced risk of cardiovascular events in both sexes, but reductions in stroke and all-cause mortality were significant only in men. An accompanying Commentary is sceptical, arguing that other analyses have shown benefit to women, and that a better question would be whether the effect sizes are comparable. However, as an Editorial says, this question can only be answered by recruiting more women into trials.

Extract from OnMedica

AquA Bulletin: July 2012

Please note the postponement of the following event: July 10, 2012
The shape of the acute care sector in the face of NHS reform and the implications for the wider system.

Due to unforeseen circumstances, the above event will now be re-scheduled. The new date will be communicated once available. Apologies for any inconvenience this may have caused.

AQuA NewsLatest AQuA News. Issue 20: July 2012 
Inside this edition you will find some of the following:
– AQuA Holds Its Second Member Annual General Meeting
– AQuA At The NHS Confederation Event 2012
– AQuA & Manchester Mental Health & Social Care Trust Host Targeted Improvement Workshop In Manchester
– Mental Health AQuA Improvement Methodologies Course Is Launched
– Avoiding Unnecessary Hospital Admissions And Inappropriate A&E Attendances Of Children & Young People With Long Term Conditions
Link to full details…

Does your organisation want to improve reliability and safety of care??
Yes?????? Then help test a Proactive Risk Monitoring Tool for Organisational Learning (PRIMO)

One off opportunity for AQuA members

June 2012 North West locality and regional benchmarked scorecards
Please see the June 2012 NW locality and regional benchmarked scorecards for older people combining health and social care data covering the period January – March 2012. These should be used in strategic conversations with health and social care teams regarding improvement and resource allocation.

Securing the future financial sustainability of the NHS – National Audit Office

Health and social care

Securing the future financial sustainability of the NHS

This report found that, although in 2011-12 there was a surplus of £2.1 billion across the NHS as a whole, there is also some financial distress, particularly in some hospital trusts. It concludes that it is hard to see how continuing to give financial support to organisations in difficulty will be a sustainable way of reconciling growing demand for healthcare with the size of efficiency gains required within the NHS and that without major change for some providers, the financial pressure on them will only get more severe.

via Securing the future financial sustainability of the NHS – National Audit Office.

Health Information Week

Health Information Week
On Tuesday 3 July, as part of Health Information Week, Jan and Steve staked out a spot in the Staff Restaurant, Treetops just as the lunchtime rush began. With the aid of the latest technology, an iPAD, their aim was to raise awareness of the many quality eresources available to Trust and Community staff and students.

The iPAD was used to demonstrate the number of useful clinical and healthcare apps freely available for download to smartphone and iPAD users.  One such example was the BNF app. This provides users who have an Athens username and password (a must for every healthcare professional), that there is nothing to stop them from having the latest pharmacology advice and updates at their fingertips. No more scrabbling around the department looking for that one dog-eared copy!  If you have a clinical or healthcare  ‘app’ you would like to recommend, please let us know.

There were even some free books to give away. As part of the Staff Library’s stock downsizing prior to their move later this summer, a number of free hardback medical journals were passed on to new owners. Don’t worry if you didn’t manage to acquire one, it’s not too late to call in the Staff Library and see what else is available.

There was plenty of opportunity to discuss various topics such as how to register for Athens and what it enables registered users to access; how to book for training; who it was best to talk to regarding literature searching and there was also plenty of interest in Horizon Scanning – the library’s latest service.

Horizon Scanning (HS) aims to bring the latest news and information direct to an individual’s inbox. It is very easy to sign up to and if you are not completely satisfied you can unsubscribe at any time. Best of all the service is free and if your particular interest isn’t included on the list of subjects offered, then one of the Staff Library team, will be happy to customise something which is more suited to your exact needs.

 

Palliative Care roundup

A tormented death: End of life care for people with dementia

Posted: 28 Jun 2012 04:34 AM PDT

Source: British Journal of Nursing 2012, 21(12), p723 – 727

Follow this link for the abstract

Date of publication: June 2012

In a nutshell: District nurses are often faced with difficulties when patients with dementia lack the capacity to express how they feel and the family has to make end-of-life decisions for the sufferer. Although 25% of palliative care is concerned with controlling physical symptoms, health professionals are sometimes faced with challenges when one co-morbidity masks another. The GP-patient relationship is central to improving overall care for these vulnerable patients and there is a continual need for a workforce to be trained and empowered to provide care with precision. This article discusses the importance of correct diagnosis during end-of-life care and makes recommendations on how this can be achieved.

Length of publication:5 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library

Acknowledgement: Internurse.com