Type of publication:
Service improvement case study
Author(s):
*Sarah Nazir, *Kevin Sean Eardley
Citation:
SaTH Improvement Hub, September 2026
SMART Aim:
Improve adherence with Royal College of Physicians and Royal College of Nursing (RCP/RCN) documentation guidelines on wards 26 and 35, where the checklist was piloted - from an average baseline of 44% to 60%, supporting safer, more consistent patient care during ward rounds, as evidenced by re audit on 30/06/2026.
Type of publication:
Service improvement case study
Author(s):
*Gemma Styles
Citation:
SaTH Improvement Hub, September 2026
SMART Aim:
To deliver a successful 12-week quality management system training programme across selected cooperate, and clinical teams by 31st July 2026 as evidenced by lessons learnt feedback and delivery roll out.
Type of publication:
Service improvement case study
Author(s):
*Tom Colvin
Citation:
SaTH Improvement Hub, September 2026
SMART Aim:
Reduce inappropriate long-term PPI prescribing by 10%, as evidenced by EMIS audit data showing a reduction in patients prescribed PPIs for 6 months without a clear indication or review.
Type of publication:
Service improvement case study
Author(s):
*Pawan Aryal, *Oluwaseun Adewoye, *Yasin Mohamed, *Mirand Roberts, *Akif Bin alim
Citation:
SaTH Improvement Hub, September 2026
SMART Aim:
To increase the percentage of prescriptions with a clearly documented discontinuation date by 10% by the 31/06/2025
Type of publication:
Service improvement case study
Author(s):
*Breast Imaging Department
Citation:
SaTH Improvement Hub, September 2026
SMART Aim:
Reduce inequalities in breast screening attendance for people with learning disabilities in Shropshire, Telford and Wrekin by lowering the rate of mom-attenders (DNAs) from 16.87% (2024-25) to 12% (2025–26) by June 2026.
Type of publication:
Systematic review
Author(s):
Chall, Kramer; Komperla, Siddharth; *Abdelaal, Ali; Seeruthun, Ravish.
Citation:
Journal of Perioperative Practice. 17504589261490336, 2026 Oct 26.
Abstract:
INTRODUCTION: Patients undergoing total knee arthroplasty under neuraxial anaesthesia remain awake within a stressful operative environment. Music listening is a low-cost, non-pharmacological intervention that may reduce anxiety and pain.
METHODS: We searched PubMed, MEDLINE, Embase and Cochrane Central Register of Controlled Trials from inception to April 2026. Standardised mean differences were pooled using random-effects models; risk of bias was assessed with Cochrane Risk of Bias 2.
RESULTS: Eight randomised controlled trials (440 participants) were included. Music listening significantly reduced postoperative anxiety (standardised mean difference = -0.95; 95% confidence intervals: -1.34 to -0.55) and postoperative pain at 24 h (standardised mean difference = -0.81; 95% confidence interval: -1.23 to -0.39) and was associated with reduced opioid consumption, lower intraoperative sedation requirements, fewer conversions from neuraxial to general anaesthesia and higher patient satisfaction. Subgroup analysis suggests that a proportion of the benefit may be attributable to noise isolation from headphones alone rather than to music.
CONCLUSION: Low-certainty evidence suggests music may be an optional, low-cost adjunct within enhanced recovery after surgery pathways for total knee arthroplasty. Further research is needed to refine optimal intervention protocols and validate benefits in larger multicentre trials.
DOI: 10.1177/17504589261490336
Type of publication:
Journal article
Author(s):
Ozturk, Semi; Gurbuz, Ahmet Seyfeddin; *Goktekin, Sule; Gorgulu, Sevket.
Citation:
Journal of Invasive Cardiology. 2026 Oct 29.
Abstract:
OBJECTIVES: Retrograde chronic total occlusion percutaneous coronary intervention (CTO PCI) may fail at several stages. The authors evaluated factors associated with collateral channel crossing failure during retrograde CTO PCI and its associations with technical success and procedural complications.
METHODS: The authors analyzed procedures from a multicenter CTO PCI registry with attempted retrograde or retrograde-assisted strategies and recorded the retrograde result. The primary endpoint was collateral channel crossing failure. Secondary endpoints included retrograde success, overall technical success, collateral/coronary perforation, donor-vessel injury, vascular complications, and an extended complication composite.
RESULTS: Among 577 retrograde CTO PCI procedures with recorded retrograde result, retrograde success was achieved in 375 (65.0%), and collateral channel crossing failure occurred in 135 (23.4%). Overall technical success was lower with collateral crossing failure than without it (51.9% vs 88.7%), with higher rates of collateral and coronary perforation, vascular complications, and the extended complication composite. In the primary adjusted model restricted to procedures with known collateral connection (CC) grade, corkscrew collateral morphology (adjusted odds ratio [OR], 6.85; 95% CI, 3.63-12.91) and CC0 grade (adjusted OR, 4.70; 95% CI, 1.97-11.26) were associated with higher odds of crossing failure, whereas CC2/CC3 grade was associated with lower odds (adjusted OR, 0.45; 95% CI, 0.22-0.92).
CONCLUSIONS: Collateral channel crossing failure was common in retrograde CTO PCI and was associated with lower technical success and greater complication burden. Unfavorable collateral morphology was associated with a higher risk of crossing failure; repeated collateral attempts may indicate escalating procedural difficulty and may warrant strategy reassessment.
DOI: 10.25270/jic/26.00179
Type of publication:
Conference abstract
Author(s):
*Carter, Jack; *Goh, Yan Li; *Lacy-Colson, Jon
Citation:
British Journal of Surgery (BJS), Volume 113, Issue supplement 8.
Abstract:
Hospitals struggle to cope with the large number of patients referred on the urgent suspected cancer (USC) pathways. Diagnostic/treatment targets outlined in the NHS Long-Term Plan are often not met, resulting in long patient waiting times, increased staff workload, and high costs.
We analysed a reinvented colorectal USC pathway, utilising nurse-led, consultant-supervised clinics delivered in a community diagnostic centre (CDC). All patients received a standardised face-to-face assessment by a nurse specialist to determine the diagnostic investigation and further management. We compared the delivery of the CDC clinics with the traditional pathway in terms of time from USC referral to first outpatient appointment (OPA), time until investigation, proportion of patients meeting the Faster Diagnosis Standard (FDS), cost of pathway delivery, and time to first OPA for routine referrals.
The time to first OPA for USC referrals reduced from 14 to 3 days. The time to colonoscopy reduced from 16 to 11 days whilst the time to CT reduced from 17 to 6 days. FDS performance increased from 51% to 75%. The CDC pathway was cheaper, £373,222 per annum compared to £414,420. Additionally, time to first OPA for routine referrals reduced from 65 to 6 weeks following greater consultant availability.
We demonstrated that nurse-led clinics in a CDC can safely deliver the colorectal USC pathway with several benefits for both patients and hospital trusts. Standardising and streamlining the USC pathway in a CDC setting delivered benefits to both the USC and routine referral pathways.
DOI: 10.1093/bjs/znag087.037
Link to full-text [no password required]
Type of publication:
Service improvement case study
Author(s):
*Rameesha Hussain, *Prajakta Jahagirdar
Citation:
SaTH Improvement Hub, May 2026
SMART Aim:
To increase structured bedside teaching for resident doctors from a baseline of 0 sessions per month to at least one structured session per month, and to improve learner satisfaction, by July 2026 through stepwise PDSA cycles.
Type of publication:
Service improvement case study
Author(s):
*Saurav Chakravartty, *Adam Farquharson, *Rebekah Tudor
Citation:
SaTH Improvement Hub, June 2026
SMART Aim:
To improve elective performance by increasing cases per list and achieving >85% theatre utilisation on 23 June 2026.
Shrewsbury and Telford Hospital NHS Trust has an active Research and Innovation Department.
Find out more by visiting either the R&I Intranet pages (only available on a Trust PC) or the R&I pages on the SaTH website.
Shrewsbury and Telford Hospital NHS Trust has an active Improvement Hub.
Find out more by visiting either the Improvement Hub Intranet pages (only available on a Trust PC) or the Improvement Hub page on the SaTH website.