AQuA News: 4 December

In 2008/09 there were 49,054 emergency adult admissions for asthma at a cost of £61 million to the NHS, however it is currently estimated that three quarters of these are preventable

Boards on Board November 2012
Presentations and resources from the two day residential event delivered by AQuA, NWLA and IHI.

This week’s news:

Your opinion counts – take part now in the AQuA 2012 Member survey!
29 November 2012

Congratulations to the Winners of the HSJ Awards 
29 November 2012

Sir Stephen Moss and Gill Harris confirmed faculty for AQuA Patient Safety Ambassadors programme Jan ’13 
03 December 2012

05 Dec 2012
Leadership for Integration 3 AQuA led Pre-Programme preparation day (part of Integration)
Introducing a Framework for Integration, Preparing your Integration projects for Success

06 Dec 2012

AQ Programme Leads (part of Reducing avoidable mortality)
The next Advancing Quality (AQ) Programme Leads meeting will be taking place on 06 December 2012. To ensure you are fully up-to-date with the latest AQ developments, we highly recommend programme leads from every trust attend as these meetings are yo…

06 Dec 2012

The shape of the acute care sector post – NHS reform: implications for commissioners and providers (part of Partnerships)
Long-term and immediate pressures on acute sector, why the reforms will lead to a ‘new world’ for the hospital’s role in healthcare, opportunities for new models of provision and the whole-system responses needed to make these happen.

13 Dec 2012

Action Learning Set 1 (part of Integration)
First Action learning Set for the Integrated Care Community 2

14 Dec 2012

Dementia improvement Community – Holding the gains, maintaining Improvement (part of Quality of life for people with long term conditions)
The focus of this Dementia Improvement Community event will be to demonstrate improvement in a range of aspects of dementia care, with participating organisations sharing and learning from national best practice.

20 Dec 2012

AQuA Integrated Care – Project Manager Learning set (part of Integration)

09 Jan 2013 — 25 Mar 2013

Cohort 3 of the Patient Safety Ambassadors programme
Third cohort of the Patient Safety Ambassadors (PSA) programme. See modules for more information.

14 Jan 2013 — 14 Jan 2013

Fundamentals for Improvement of the AQuA Improvement Methodology Plus programme

14 Jan 2013

Action Learning Set 2 (part of Integration)
Second Action learning set for the Integrated Care Community 2

25 Jan 2013 — 12 Mar 2013

Cohort 3 of the Quality Improvement for Finance programme

08 Feb 2013

Children & Young Peoples
(part of Quality of life for people with long term conditions)
Further details to follow

BMJ: Does routine oxygen supplementation in patients with acute stroke improve outcome?


BMJ 2012; (Published 30 November 2012)   Cite this as: BMJ 2012; 345:e6976

Stroke is the third most common cause of death and the leading cause of long term disability in developed countries.  Specialist care in stroke units is well established as being effective in preventing death and disability after stroke.1 However, which aspects of stroke care are crucial for improving outcome remains unclear. Patients in a stroke unit are more likely than those on a non-specialised general ward to receive oxygen.2  Bravata and colleagues found that treating all episodes of hypoxia with supplemental oxygen was one of three key processes associated with better outcome in acute stroke care.3 Mild hypoxia is common in patients with stroke and may have substantial adverse effects on an ischaemic brain after stroke. Whereas healthy adults with normal cerebral circulation can compensate for mild hypoxia by an increase in cerebral blood flow, this is not possible in patients whose brain is already ischaemic after stroke.4 Hypoxaemia in the first few hours after hospital admission is associated with an increased risk of death.5

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Syam PK Morapudi, William J Marlow, Daniel Withers, Peter Ralte, Ayman Gabr, Mohammad Waseem; Journal of Orthopaedic Surgery; Nov 23 2012

Total wrist arthroplasty using the Universal 2 prosthesis

Syam PK Morapudi, William J Marlow, Daniel Withers, Peter Ralte, Ayman Gabr, Mohammad Waseem, Macclesfield District General Hospital, Macclesfield, Cheshire

Abstract: Purpose. To report outcomes of 21 total wrist arthroplasties  (TWA) using the Universal 2 prosthesis.

Methods:  Five men and 14 women aged 44 to 82 (mean, 62) years underwent 21 total wrist arthroplasties for rheumatoid arthritis (n=19) and post-traumatic
arthritis (n=2) by a single surgeon using the Universal 2 prosthesis. Pre- and post-operative pain and function were assessed by a single surgeon using the
Disabilities of the Arm, Shoulder and Hand (DASH) score and the patient-rated wrist evaluation (PRWE) score. Range of motion, stability, dislocation rate, and
neurovascular status were also assessed. Radiographs were evaluated for implant alignment and fit, screw positioning, and implant loosening.

Mathioudakis A.G.; Chatzimavridou-Grigoriadou V.; Evangelopoulou E.; Mathioudakis; European Respiratory Journal, November 2012

Chronic bronchitis: An objective diagnosis of exclusion

Citation: European Respiratory Journal, November 2012, vol./is. 40/5(1305), 0903-1936;1399-3003 (01 Nov 2012)

Author(s): Mathioudakis A.G.; Chatzimavridou-Grigoriadou V.; Evangelopoulou E.; Mathioudakis G.A.

Institution: (Mathioudakis) Medical Department, Macclesfield District General Hospital, National Health Service, Victoria Road, Macclesfield, SK10 3BL, United Kingdom; (Chatzimavridou-Grigoriadou, Evangelopoulou, Mathioudakis) Respiratory Dept, General Hospital of Nikaia St. Panteleimon, Piraeus, Greece

Country of Publication: Switzerland

Publisher: European Respiratory Society (4 Ave Sainte-Luce, Lausanne CH-1003, Switzerland)

Publication Type: Journal: Letter

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Meacock R.; Harrison M.; Shelmerdine J.; Value in Health; November 2012

Exploratory mapping of the lupusqol to the SF-6D

Citation: Value in Health, November 2012, vol./is. 15/7(A477), 1098-3015 (November 2012)

Author(s): Meacock R.; Harrison M.; Mcelhone K.; Isenberg D.; Ferenkeh-Koroma A.; Ahmad Y.; Bruce I.N.; Shelmerdine J.; Gordon C.; Griffiths B.; Maddison P.; Akil M.; Abbott J.; Teh L.S.

OBJECTIVES: To derive a mapping algorithm to estimate scores (utility values) for the preference-based SF-6D measures from the non-preference-based diseasespecific

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