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https://www.readbyqxmd.com/read/27444598/review-of-never-and-serious-events-related-to-dentistry-2005-2014
#1
T Renton, W Sabbah
Aims To review never and serious events related to dentistry between 2005-2014 in England.Methods Data from the National Reporting and Learning System (NRLS), with agreed data protection and intelligence governance, was used - snapshot view using the timeframe January 2005 to May 2014. The Strategic Executive Information System (STEIS) database was reported separately for 2012-2013 and 2013-2014. The free text elements from the database were analysed thematically and reclassified according to the nature of the patient safety incident (PSI)...
July 22, 2016: British Dental Journal
https://www.readbyqxmd.com/read/27343821/does-a-novel-method-of-delivering-the-safe-surgical-checklist-improve-compliance-a-closed-loop-audit
#2
Sophie Reed, Rutendo Ganyani, Richard King, Meghana Pandit
BACKGROUND: In February 2010, the UK National Patient Safety Agency set a mandate that the World Health Organisation's Surgical Safety Checklist (SSC) should be completed for every surgical patient within the NHS in a bid to improve surgical safety. However since its introduction, there have been issues with checklist compliance, staff engagement and surgical serious incidents continue. AIMS: This study seeks to explore if an unavoidable pre-recorded audio delivery of the SSC improves compliance and staff engagement with the checklist...
August 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27283566/surgical-safety-checklists-and-understanding-of-never-events-in-uk-and-irish-dental-hospitals
#3
M N Pemberton
Aim To identify the procedures in dental hospitals where a surgical safety checklist is used and in addition, in England, to identify the understanding of hospitals regarding patient safety incidents requiring reporting as Never Events to NHS England.Method A self-completed questionnaire survey asking about the use of checklists was distributed to 16 dental hospitals associated with undergraduate dental schools in the UK and Ireland in the summer of 2015. For hospitals in England (10), additional questions regarding their understanding of incidents to be reported as Never Events were asked...
June 10, 2016: British Dental Journal
https://www.readbyqxmd.com/read/27151164/needlestick-injuries-at-a-tertiary-teaching-hospital-in-singapore
#4
M Seng, G K J Sng, X Zhao, I Venkatachalam, S Salmon, D Fisher
This study investigated the incidence and risk to staff groups for sustaining needlestick injuries (NSIs) in the National University Hospital (NUH), Singapore. A retrospective cohort review of incident NSI cases was undertaken to determine the injury rate, causation, and epidemiological profile of such injuries. Analysis of the risk of sustaining recurrent NSI by occupation and location was done using the Cox proportional hazards model. There were 244 NSI cases in 5957 employees in NUH in 2014, giving an incidence rate of 4·1/100 healthcare workers (HCWs) per year...
September 2016: Epidemiology and Infection
https://www.readbyqxmd.com/read/26981239/clinical-audit-of-ankle-fracture-management-in-the-elderly
#5
Langhit Kurar
INTRODUCTION: Ankle fractures in the osteoporotic patient are challenging injuries to manage, due to a combination of poor soft tissue, peripheral vascular disease and increased bone fragility, often resulting in more complex fracture patterns. I aim to audit current practice and introduce change by producing recommendations to help improve longer-term functional outcomes. PATIENTS AND METHODS: A retrospective 3-week audit was conducted reviewing results of ankle fracture management in 50 patients aged between 50 and 80 years...
March 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/26451879/perforated-intestinal-tuberculosis-in-a-non-aids-immunocompromised-patient
#6
Dedrick Kok-Hong Chan, Kuok-Chung Lee
BACKGROUND: Intestinal tuberculosis can mimic many conditions. The incidence of intestinal tuberculosis in developed countries has risen in tandem with the increase in patients with immunocompromised states. This is a condition which needs to be considered in patients who present with symptoms and signs of bowel perforation on a background of immunosuppression in order to obtain the correct diagnosis and, consequently, the correct treatment. CASE REPORT: We report a patient with a background of sarcoidosis who had been on mycophenolate mofetil, tacrolimus, and high-dose prednisolone...
2015: American Journal of Case Reports
https://www.readbyqxmd.com/read/26333288/support-surfaces-for-pressure-ulcer-prevention
#7
REVIEW
Elizabeth McInnes, Asmara Jammali-Blasi, Sally E M Bell-Syer, Jo C Dumville, Victoria Middleton, Nicky Cullum
BACKGROUND: Pressure ulcers (i.e. bedsores, pressure sores, pressure injuries, decubitus ulcers) are areas of localised damage to the skin and underlying tissue. They are common in the elderly and immobile, and costly in financial and human terms. Pressure-relieving support surfaces (i.e. beds, mattresses, seat cushions etc) are used to help prevent ulcer development. OBJECTIVES: This systematic review seeks to establish:(1) the extent to which pressure-relieving support surfaces reduce the incidence of pressure ulcers compared with standard support surfaces, and,(2) their comparative effectiveness in ulcer prevention...
2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26165542/correction-and-response-to-grommets-in-hbot-patients-ga-vs-la-unanswered-questions
#8
LETTER
Laura Lamprell, Venkat Vangaveti, Derelle Young, John Orton
We thank Gibbs and Commons for their interest in our paper. There is a key difference between the datasets for Commons et al and our study. Our data set, has grouped five years of data according to the calendar year. This is different from Commons et al's study population recruited between 01 June 2009 and 31 May 2010. We feel this may explain the difference of one case between the two papers in 2010. Our data collection used the standard clinic and operating theatre databases, and we were advised that there was no searchable clinical code for grommet procedures undertaken with local anaesthetic (LA) in the outpatient clinic...
June 2015: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
https://www.readbyqxmd.com/read/26099766/the-non-technical-skills-used-by-anaesthetic-technicians-in-critical-incidents-reported-to-the-australian-incident-monitoring-system-between-2002-and-2008
#9
J S Rutherford, R Flin, A Irwin
The outcome of critical incidents in the operating theatre has been shown to be influenced by the behaviour of anaesthetic technicians (ATs) assisting anaesthetists, but the specific non-technical skills involved have not been described. We performed a review of critical incidents (n=1433) reported to the Australian Incident Monitoring System between 2002 and 2008 to identify which non-technical skills were used by ATs. The reports were assessed if they mentioned anaesthetic assistance or had the boxes ticked to identify "inadequate assistance" or "absent supervision or assistance"...
July 2015: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/26049661/spinal-stab-injury-with-retained-knife-blades-51-consecutive-patients-managed-at-a-regional-referral-unit
#10
Basil Enicker, Sonwabile Gonya, Timothy C Hardcastle
BACKGROUND: Spinal stab wounds presenting with retained knife blades (RKB) are uncommon, often resulting in spinal cord injury (SCI) with catastrophic neurological consequences. The purpose of this study is to report a single unit's experience in management of this pattern of injury at this regional referral centre. METHODS: Retrospective review of medical records identified 51 consecutive patients with spinal stabs presenting with a RKB at the Neurosurgery Department at Inkosi Albert Luthuli Central Hospital between January 2003 and February 2015...
September 2015: Injury
https://www.readbyqxmd.com/read/25979000/improving-the-care-of-patients-with-a-hip-fracture-a-quality-improvement-report
#11
David Hawkes, Jonathan Baxter, Claire Bailey, Gemma Holland, Jennifer Ruddlesdin, Alun Wall, Philip Wykes
INTRODUCTION: Hip fractures are associated with high rates of morbidity and mortality and their incidence is set to increase. The National Hip Fracture Database and the Best Practice Tariff were introduced with the aim of improving patient care. This complete audit cycle charts the substantial clinical improvements that were achieved in a busy district general hospital. METHODS: The first audit cycle comprised 379 patients who were admitted between May 2012 and April 2013...
August 2015: BMJ Quality & Safety
https://www.readbyqxmd.com/read/25821069/interventions-for-reducing-wrong-site-surgery-and-invasive-clinical-procedures
#12
REVIEW
Catherine M Algie, Robert K Mahar, Jason Wasiak, Lachlan Batty, Russell L Gruen, Patrick D Mahar
BACKGROUND: Specific clinical interventions are needed to reduce wrong-site surgery, which is a rare but potentially disastrous clinical error. Risk factors contributing to wrong-site surgery are variable and complex. The introduction of organisational and professional clinical strategies have a role in minimising wrong-site surgery. OBJECTIVES: To evaluate the effectiveness of organisational and professional interventions for reducing wrong-site surgery (including wrong-side, wrong-procedure and wrong-patient surgery), including non-surgical invasive clinical procedures such as regional blocks, dermatological, obstetric and dental procedures and emergency surgical procedures not undertaken within the operating theatre...
2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/25440590/-nursing-professionals-and-health-care-assistants-perception-of-patient-safety-culture-in-the-operating-room
#13
Vicente Bernalte-Martí, María Isabel Orts-Cortés, Loreto Maciá-Soler
OBJECTIVES: To assess nursing professionals and health care assistants' perceptions, opinions and behaviours on patient safety culture in the operating room of a public hospital of the Spanish National Health Service. To describe strengths and weaknesses or opportunities for improvement according to the Agency for Healthcare Research and Quality criteria, as well as to determine the number of events reported. METHOD: A descriptive, cross-sectional study was conducted using the Spanish version of the questionnaire Hospital Survey on Patient Safety Culture...
March 2015: Enfermería Clínica
https://www.readbyqxmd.com/read/25279086/the-prevalence-of-accidental-needle-stick-injury-and-their-reporting-among-healthcare-workers-in-orthopaedic-wards-in-general-hospital-melaka-malaysia
#14
A Bhardwaj, N Sivapathasundaram, Mf Yusof, Ah Minghat, Kmm Swe, Nk Sinha
ABSTRACT: Background :Accidental needle-stick injuries (NSIs) are a hazard for health-care workers and general public health. Orthopaedic surgeons may be more prone to NSIs due to the prevalence of bone spikes in the operative field and the use of sharp orthopaedic instruments such as drills, saws and wires. A hospital-based cross sectional study was conducted in the orthopedic wards of Melaka General Hospital. The prevalence of NSIs was 32 (20.9%) and majority of it occurred during assisting in operation theatre 13(37...
July 2014: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/25249035/evaluating-the-impact-of-the-reconfiguration-of-gynaecology-services-at-a-university-hospital-nhs-trust-in-the-united-kingdom
#15
Teck Choo, Shilpa Deb, Joanne Wilkins, William Atiomo
BACKGROUND: The project aim was to investigate the impact of reconfiguring gynaecology services on the key performance indicators of a University Hospital NHS Trust in the UK. The reconfiguration involved the centralisation of elective gynaecology on one hospital site and emergency gynaecology on the other. METHODS: Data measuring outcomes of the Trust's performance indicators (clinical outcomes, patient experience, staff satisfaction, teaching/training, research/development and value for money) were collected...
September 24, 2014: BMC Health Services Research
https://www.readbyqxmd.com/read/25206953/deployment-related-mental-health-support-comparative-analysis-of-nato-and-allied-isaf-partners
#16
Eric Vermetten, Neil Greenberg, Manon A Boeschoten, Roos Delahaije, Rakesh Jetly, Carl A Castro, Alexander C McFarlane
BACKGROUND: For years there has been a tremendous gap in our understanding of the mental health effects of deployment and the efforts by military forces at trying to minimize or mitigate these. Many military forces have recently systematized the mental support that is provided to support operational deployments. However, the rationale for doing so and the consequential allocation of resources are felt to vary considerably across North Atlantic Treaty Organisation (NATO) International Security Assistance (ISAF) partners...
2014: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/25204697/5th-national-audit-project-nap5-on-accidental-awareness-during-general-anaesthesia-summary-of-main-findings-and-risk-factors
#17
J J Pandit, J Andrade, D G Bogod, J M Hitchman, W R Jonker, N Lucas, J H Mackay, A F Nimmo, K O'Connor, E P O'Sullivan, R G Paul, J H M G Palmer, F Plaat, J J Radcliffe, M R J Sury, H E Torevell, M Wang, J Hainsworth, T M Cook
We present the main findings of the 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia (AAGA). Incidences were estimated using reports of accidental awareness as the numerator, and a parallel national anaesthetic activity survey to provide denominator data. The incidence of certain/probable and possible accidental awareness cases was ~1:19,600 anaesthetics (95% confidence interval 1:16,700-23,450). However, there was considerable variation across subtypes of techniques or subspecialities...
October 2014: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/25204236/the-5th-national-audit-project-nap5-on-accidental-awareness-during-general-anaesthesia-summary-of-main-findings-and-risk-factors
#18
J J Pandit, J Andrade, D G Bogod, J M Hitchman, W R Jonker, N Lucas, J H Mackay, A F Nimmo, K O'Connor, E P O'Sullivan, R G Paul, J H MacG Palmer, F Plaat, J J Radcliffe, M R J Sury, H E Torevell, M Wang, J Hainsworth, T M Cook
We present the main findings of the 5th National Audit Project on accidental awareness during general anaesthesia. Incidences were estimated using reports of accidental awareness as the numerator, and a parallel national anaesthetic activity survey to provide denominator data. The incidence of certain/probable and possible accidental awareness cases was ~1:19 600 anaesthetics (95% CI 1:16 700-23 450). However, there was considerable variation across subtypes of techniques or subspecialties. The incidence with neuromuscular blockade was ~1:8200 (1:7030-9700), and without it was ~1:135 900 (1:78 600-299 000)...
October 2014: Anaesthesia
https://www.readbyqxmd.com/read/24981009/saving-the-critically-injured-trauma-patient-a-retrospective-analysis-of-1000-uses-of-intraosseous-access
#19
Philippa Lewis, Chris Wright
OBJECTIVE: Intraosseous access (IO) is becoming increasingly accepted in adult populations as an alternative to peripheral vascular access; however, there is still insufficient evidence in large patient groups supporting its use. METHODS: Retrospective review. This paper reports on the use of IO devices over a 7-year period from August 2006 to August 2013 during combat operations in Afghanistan. A database search of the Joint Theatre Trauma Registry (JTTR) was carried out looking for all the incidences of IO access use during this time...
June 2015: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/24638894/pulse-oximetry-for-perioperative-monitoring
#20
REVIEW
Tom Pedersen, Amanda Nicholson, Karen Hovhannisyan, Ann Merete Møller, Andrew F Smith, Sharon R Lewis
BACKGROUND: This is an update of a review last published in Issue 9, 2009, of The Cochrane Library. Pulse oximetry is used extensively in the perioperative period and might improve patient outcomes by enabling early diagnosis and, consequently, correction of perioperative events that might cause postoperative complications or even death. Only a few randomized clinical trials of pulse oximetry during anaesthesia and in the recovery room have been performed that describe perioperative hypoxaemic events, postoperative cardiopulmonary complications and cognitive dysfunction...
March 17, 2014: Cochrane Database of Systematic Reviews
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