|Issue 51 – July 2013|
This month in Eyes on Evidence
General health checks in adults
A Cochrane review suggests that general health checks are not associated with reductions in mortality or morbidity.
A randomised controlled trial indicates that accurate diagnosis of hand eczema and a preventive education intervention in healthcare workers may improve symptoms and quality of life.
A systematic review suggests a lack of clear evidence for a relationship between negative mood and the premenstrual phase in the general population.
Adherence to a warfarin dosing algorithm by clinicians treating people with atrial fibrillation may be associated with improved coagulation control and clinical outcomes.
A retrospective observational study indicates that although short-term trends indicate a decline, longer-term data for 1971 to 2011 show a small increase in new medicine launches.
We highlight 2 new examples from the QIPP collection demonstrating how NHS organisations have implemented new local practices that have both cut costs and improved quality.
NICE has recently published Evidence Updates on:
Duration of resuscitation efforts and subsequent survival after in-hospital cardiac arrest
Zachary D. Goldberger, MD, MS, Paul S. Chan, MD, MSc, Robert A. Berg, MD, Steven L. Kronick, MD, MS, Colin R. Cooke, MD, MSc, Mingrui Lu, MPH, Mousumi Banerjee, PhD, Rodney A. Hayward, MD, Harlan M. Krumholz, MD SM, and Brahmajee K. Nallamothu, MD, MPH for the American Heart Association’s Get With the Guidelines®-Resuscitation (formerly, the National Registry of Cardiopulmonary Resuscitation) Investigators
Published in final edited form as:
Lancet. 2012 October 27; 380(9852): 1473–1481. doi:10.1016/S0140-6736(12)60862-9.
Journal club this Friday deal with when to call time on resuscitation – does this tell us that we should be flogging the proverbial for better outcomes overall, or is it that, if we anticipate a better outcome, we’re more likely to resuscitate for longer? The paper is attached.
For staff and students of East Cheshire Trust
IF you haven’t already completed our quick and easy survey, please can you do so. We only need a few more respondents to achieve the necessary quota and it really doesn’t take up much of your time.
- CCG Outcomes Tool released by NHS England
- What does the NHS look like? Confused? This infographic will help….
- Local Health, an online tool that presents data on populations in England, has been updated with new indicators and an improved interface.
- Post discharge tool for patients added to our Improving Outcomes Packs
- 6Cs Live! Weeks of action launch on Monday 19th August 2013…
- Local Tobacco Control Profiles for England can be found here…
- Longer lives…find out how you compare on premature mortality…especially if you’re based in Manchester, Blackpool, Liverpool or Salford…
- Who’s Who in the Regions…use this handy resource to find out….
- Provisional figures for the 2012-13 Adult Social Care Outcomes Framework (ASCOF) measures for England added to our Benchmarking Section
These workspaces were published in the last month:
Type 2 diabetes is responsible for 85-95% of all diabetes in high-income countries and may account for an even higher percentage in low- and middle-income countries Up to 60% or more of type 2 diabetes is preventable by changing diet, increasing p…
AQuA’s ongoing drive to support and promote patient safety in the North West.
Benchmarking data for Social Care
Extract from BMJ Best Practice, looking this month, at Sickle Cell Anaemia
Sickle cell anaemia is a disease of red blood cells caused by an autosomal-recessive single gene defect in the beta chain of haemoglobin. The characteristic crescent-shaped haemoglobin can disrupt blood flow and break. There is a predisposition for obstruction of small blood capillaries, causing painful crises, organ damage, and increased vulnerability to severe infections. Infants are screened, with findings confirmed by haemoglobin electrophoresis, FBC, reticulocyte count, and peripheral blood smear. Treatment goals include fluid replacement therapy, pain management, and symptom control.
- Sickle cell anaemia
- Best Practice app updates
- Updated Best Practice topics
- Assessment of lymphadenopathy
- Assessment of elevated creatinine
- Thyroid function testing
and related conditions
- Hereditary spherocytosis
- Glucose-6-phosphate dehydrogenase deficiency
Athens account required
What would you do?
You see a 36 year old man who had been slightly unwell for about a week, and then had a sudden episode of vertigo. The episode started for no apparent reason and went on for several days. What is the most likely diagnosis? And what should you do? If you are not sure, then this module will help. Click on the link to complete it today.
Also available are these modules on neurology. They give an important update on a range of common dilemmas.
Amongst this huge pile of books, the counselling, learning disability and evidence based medicine sections are waiting to be relocated.
It’s all part of the plan to consolidate the resources in the library, making it more convenient for readers to find what they need. As soon as the bookshelves have been moved, normal service will be resumed!