Staff Publication

Formative Objective Structured Clinical Examinations (OSCEs) as an Assessment Tool in UK Undergraduate Medical Education: A Review of Its Utility (2023)

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Type of publication:
Journal article

Author(s):
*Al-Hashimi, Khalid; Said, Umar N; Khan, Taherah N.

Citation:
Cureus. 15(5):e38519, 2023 May.

Abstract:
The Objective Structured Clinical Examination (OSCE) is a globally established clinical examination; it is often considered the gold standard in evaluating clinical competence within medicine and other healthcare professionals' educations alike. The OSCE consists of a circuit of multiple stations testing a multitude of clinical competencies expected of undergraduate students at certain levels throughout training. Despite its widespread use, the evidence regarding formative renditions of the examination in medical training is highly variable; thus, its suitability as an assessment has been challenged for various reasons. Classically, Van Der Vleuten's formula of utility has been adopted in the appraisal of assessment methods as means of testing, including the OSCE. This review aims to provide a comprehensive overview of the literature surrounding the formative use of OSCEs in undergraduate medical training, whilst specifically focusing on the constituents of the equation and means of mitigating factors that compromise its objectivity.

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Improved efficiency and safety Drugs Trolley (2022)

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Type of publication:
Service improvement case study

Author(s):
SAU – *Lizzie Harper (Sister) and *Denise Bennett (Ward Manager)

Citation:
SaTH Improvement Hub, September 2022

Abstract:
To improve the drugs round process to facilitate improved patient care. Standardisation of ward drugs trolleys to focus on improving patient and staff experience by the end of November 2022.

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Multi Agency Discharge Event - 22nd August 2022 (2022)

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Type of publication:
Service improvement case study

Author(s):
SaTH, Local Authorities, ShropCom

Citation:
SaTH Improvement Hub, August 2022

Abstract:
Multi Agency Discharge Events are an operational tool to decompress the acute hospital prior to a public holiday in readiness for an increase of admissions post weekend.

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Improvement to inpatient flow from ward to Radiology (2022)

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Type of publication:
Service improvement case study

Author(s):
*Sarah Brown (Radiology), *Ali Beshir & *Russell Williams (Portering)

Citation:
SaTH Improvement Hub, 2022

Abstract:
It had been identified that scanners were not being utilised fully with downtime noted due to delays in our inpatients arriving for their scheduled appointments. To overcome this problem, the Radiology and Portering teams agreed to partner with the aim of trialling a Coordinator role. Using volunteers from portering, the pilot took place initially on AMU & SAU and increased to other wards as the trial progressed. The coordinators were provided with training from Radiology and a robust communication plan was delivered to stakeholders to share the process being trialled. The results did not conclusively demonstrate any significant change to the outcome measures, but feedback from the wards and Radiology team showed that patient safety and experience had been positively impacted upon.

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Improving Training Compliance Cleanliness Teams (2023)

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Type of publication:
Service improvement case study

Author(s):
*Hayley Farmer, *Stacey Jones, *Julie O’Donoghue, *Natalie Matthews, *Sharon Smallwood, *Tracey Fanning

Citation:
SaTH Improvement Hub, 2023

Abstract:
Back in March 2022 the Domestic Teams statutory and mandatory training had been 83% for PRH & 75% for RSH. The domestic teams have found it a challenge in the last few months to complete their mandatory training. In June their compliance dropped to 76% for PRH and 67% for RSH and it has been difficult to raise this compliance %. This coincided with the introduction of the Learning Made Simple platform. We have taken the opportunity to investigate this variation in compliance %, looking at whether the introduction of the Learning Made Simple platform has been the main reason for a decrease in compliance or whether other factors are involved and test various solutions to increase compliance. On the 8th January 2023 report the team at PRH are now at 94.76% and 93.96% for RSH.

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PRH Plaster Room Improvements (2023)

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Type of publication:
Service improvement case study

Author(s):
*Colin Lamb (Senior Orthopaedic Practitioner), *Amanda Price (Clinical Procurement Nurse Specialist)

Citation:
SaTH Improvement Hub, March 2023

Abstract:
Issues with stock supply have resulted in a need to review the current stock items with the aim to ensure patient quality is met. A review has resulted in a number of savings.

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Rationalisation of a Cataract Emergency Theatre trolley, RSH (2022)

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Type of publication:
Service improvement case study

Author(s):
*Sally Flukes (Ophthalmology Assistant)

Citation:
SaTH Improvement Hub, December 2022

Abstract:
Ensure Theatre Assistants have all the required items for the daily theatre list and stock levels are agreed by December 2022.

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Staff Planning- Medicine (2022)

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Type of publication:
Service improvement case study

Author(s):
*Rachel Webster (Deputy Divisional Director of Nursing Medicine), *Richard Worthington (Workforce Planning)

Citation:
SaTH Improvement Hub, June 2022

Abstract:
In order to improve the assurance and support for ward areas, an automated staffing plan was created.

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Ward 24 5S of Ward Stores and Relatives Room (2023)

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Type of publication:
Service improvement case study

Author(s):
*Bethany Toop (Ward Manager), *Peter Schofield (EDC),* Ward and Pharmacy Colleagues

Citation:
SaTH Improvement Hub, May 2023

Abstract:
Ward 32 and 22RE combined and moved into the space on Ward 24. As a result, a number of changes have been made to the layout and storage available on the ward in order to maximise the safety and efficiency.

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Improve flow of discharge information between staff on Ward 18 (2022)

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Type of publication:
Service improvement case study

Author(s):
*Karen Foster (Ward Manager)

Citation:
SaTH Improvement Hub, November 2022

Abstract:
To ensure all tasks required for discharge are communicated at ward level by the 21/02/2023 to ensure a safe and efficient discharge.

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