2023

Correlative effect between sac regression and clinical outcomes following endovascular repair in abdominal aortic aneurysm: fact or myth? (2023)

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Type of publication:
Journal article

Author(s):
Al-Tawil, Mohammed; Muscogliati, Eduardo; Jubouri, Matti; Saha, Priyanshu; *Patel, Ravi; Mohammed, Idhrees; Bailey, Damian M; Williams, Ian M; Bashir, Mohamad

Citation:
Expert Review of Medical Devices. 1-8, 2023 Jun 16

Abstract:
INTRODUCTION: Endovascular aneurysm repair (EVAR) has rapidly become the preferred management of abdominal aortic aneurysm (AAA). Sac regression status post-EVAR has been linked to clinical outcomes as well as the choice of EVAR device. The aim of this narrative review is to investigate the relationship between sac regression and clinical outcomes post-EVAR in AAA. Another aim is to compare sac regression achieved with the main EVAR devices. AREAS COVERED: We carried out a comprehensive literature search on multiple electronic databases. Sac regression was usually defined as a decrease in the sac diameter (>10 mm) over follow-up. This revealed that individuals who had sac regression post-EVAR had significantly lower mortality, and higher event-free survival rates. Further, lower rates of endoleak and reintervention were observed in patients with regressing aneurysm sacs. Sac regression patients also had significantly lower odds of rupture compared to counterparts with stable or expanded sacs. The choice of EVAR device was also shown to impact regression, with the Fenestrated Anaconda showing favorable results. EXPERT OPINION: Sac regression post-EVAR in AAA is an important prognostic factor as it translates to improved mortality and morbidity. Therefore, this relationship must be seriously taken into consideration during follow-up.

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Home for Christmas MADE 3 of 3 RSH (2023)

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Type of publication:
Service improvement case study

Citation:
SaTH Improvement Hub, 2023

Abstract:
Multi Agency Discharge Events (MADEs) are held to work with internal and external partners across the Integrated Care System to maximise discharges to provide capacity in the acute setting. This case study focuses on the outcomes at RSH.

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Home for Christmas MADE 2 of 3 PRH (2023)

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Type of publication:
Service improvement case study

Citation:
SaTH Improvement Hub, 2023

Abstract:
Multi Agency Discharge Events (MADEs) are held to work with internal and external partners across the Integrated Care System to maximise discharges to provide capacity in the acute setting. This case study focuses on the outcomes at PRH

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Home for Christmas MADE 1 of 3 SaTH (2023)

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Type of publication:
Service improvement case study

Citation:
SaTH Improvement Hub, 2023

Abstract:
Multi Agency Discharge Events (MADEs) are held to work with internal and external partners across the Integrated Care System to maximise discharges to provide capacity in the acute setting.

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Virtual Ward MaDE (2023)

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Type of publication:
Service improvement case study

Citation:
SaTH Improvement Hub, 2023

Abstract:
As part of the 8 MADEs for 2023 the first focus will be in time for the February half term starting 20th February 2023. The focus for this event will be on patients who are suitable for the virtual wards.

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Provision of IV Zoledronic Acid for Neck of Femur fracture patients on Ward 4, Princess Royal Hospital (PRH), SaTH NHS Trust (2023)

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Type of publication:
Service improvement case study

Author(s):
*Dr. Sairah Anjum (FY2)

Citation:
SaTH Improvement Hub, May 2023

Abstract:
Guidance was recently approved and uploaded to the SaTH intranet (early April 2023), stating that high risk NOF fracture patients or those unable to tolerate oral bisphosphonates are more likely to benefit from a single 4mg infusion of zoledronic acid followed by 2 weeks of calcium & Vitamin D supplementation, with an overall aim of increasing bone density and reducing risk of further fragility fractures by ~50% by 10th May 2023.

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Ward 27 Improvement Support (2022)

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Type of publication:
Service improvement case study

Author(s):
*Ward 27 team, *PJF, and *Medicine Ops

Citation:
SaTH Improvement Hub, 2022

Abstract:
Following the August 2022 MADE event it was recognised that ward 27 had significant challenges regarding super stranded and number of medically fit patients. They also have one of the largest bed bases in the trust. A support week was implemented to understand the root cause of these challenges.

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Improvement in use of Teletracking when ordering stock from the Medical Devices Library (2023)

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Type of publication:
Service improvement case study

Author(s):
*Kev Malton

Citation:
SaTH Improvement Hub, May 2023

Abstract:
To improve the use of Teletracking for wards and clinical areas when ordering stock from the Medical Devices Library by 10 May 2023.

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Improving Specialist Knowledge and Skills in Complex Airway Management In Critical Care (2023)

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Type of publication:
Service improvement case study

Author(s):
*Ashley Timms, with support from *Elaine France, *Matt Quarmby, and the *Critical Care Practice Education Facilitators.

Citation:
SaTH Improvement Hub, 2023

Abstract:
Following patient safety incidents it became clear that there was a need to focus on complex airway management and upskill the existing critical care teams across both sites.

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Logging Complaints (Subject Codes) on Datix (2023)

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Type of publication:
Service improvement case study

Author(s):
*Complaints Team (Head of PALS and Complaints, Case Managers and Administrative Team)

Citation:
SaTH Improvement Hub, 2023

Abstract:
Over the course of the pandemic, the complaints team had become very much reduced and there was a lot of cross over of tasks in logging new complaints between the Complaints Case Managers and Admin. As the team has recruited (to almost quadruple in size) it has become clear that some of the tasks being were being completed by the admin team members. One example was the logging of Datix subject codes. These are quite complex in nature – there are currently 19 main Datix subject codes (nationally reportable) and 394 subject sub codes. It was also proving time consuming and inefficient in that the administrators who are less familiar with the coding were having to review each case in detail in order to apply the codes. This was effectively a doubling up of efforts given that the case managers themselves must familiarise themselves with the cases in detail when sending them out for investigation.

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