The Allergy Alert Process (2023)

Type of publication:
Service improvement case study

Author(s):
*Sam Richardson, *Catherine Williams, *Lauren Hallas, *Ashely May, *Linda Bradbury and *Sally Orrell.

Citation:
SaTH Improvement Hub, 2023

Abstract:
To improve the timeliness and quality of new alerts being uploaded to Semahelix by the end of March 2023 as evidenced by data collected by the team inputting the data.

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

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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Improving Training Compliance Cleanliness Teams (2023)

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)

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

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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Emergency Care 5S Stores (2023)

Type of publication:
Service improvement case study

Author(s):
*Joyce Christopher/ *Lisa Matthews (Ward Manager), *Ryan Davies (EDC)

Citation:
SaTH Improvement Hub, April 2023

Abstract:
The Emergency Department have a number of storage areas within the department and have expressed concerns around missing/ over stock of items. A move to daily EDC top up has reduced complaints and issues within the department.

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The Allergy Alert Process (2022)

Type of publication:
Service improvement case study

Author(s):
*Sam Richardson, *Catherine Williams, *Lauren Hallas, *Ashely May, *Linda Bradbury and *Sally Orrell.

Citation:
SaTH Improvement Hub, 2023

Abstract:
To improve the timeliness and quality of new alerts being uploaded to Semahelix by the end of March 2023 as evidenced by data collected by the team inputting the data.

Link to PDF poster [no password required]

Supported self-management for all with musculoskeletal pain: an inclusive approach to intervention development: the EASIER study (2023)

Type of publication:
Journal article

Author(s):
Healey, Emma L.; Lewis, Martyn; Corp, Nadia; Shivji, Noureen A.; van der Windt, Danielle A.; Babatunde, Opeyemi O.; *Simkins, Joanna; Bartlam, Bernadette; Rowlands, Gill; Protheroe, Joanne

Citation:
BMC Musculoskeletal Disorders, June 2023, 24(1): 1-21

Abstract:
Background: Supported self-management interventions for patients with musculoskeletal (MSK) conditions may not adequately support those with limited health literacy, leading to inequalities in care and variable outcomes. The aim of this study was to develop a model for inclusive supported self-management intervention(s) for MSK pain that take account of health literacy. Methods: A mixed methods study with four work-packages was conducted: work package 1: secondary analysis of existing data to identify potential targets for intervention; work package 2: evidence synthesis to assess effective components of self-management interventions taking into account health literacy; work package 3: views of community members and healthcare professionals (HCPs) on essential components; work package 4: triangulation of findings and an online modified Delphi approach to reach consensus on key components of a logic model. Findings: Findings identified targets for intervention as self-efficacy, illness perceptions, and pain catastrophizing. A range of intervention components were identified (e.g. information in diverse formats offered at specific times, action planning and visual demonstrations of exercise). Support should be multi-professional using a combination of delivery modes (e.g. remote, face-to-face). Conclusions: This research has developed a patient-centred model for a multi-disciplinary, multi-modal approach to supported self-management for patients with MSK pain and varying levels of health literacy. The model is evidence-based and acceptable to both patients and HCPs, with potential for significant impact on the management of MSK pain and for improving patient health outcomes. Further work is needed to establish its efficacy.

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Improve legibility of clinical notes on surgical wards (2023)

Type of publication:
Service improvement case study

Author(s):
*Fraser Morgan

Citation:
SaTH Improvement Hub, May 2023

Abstract:
To reduce the incidence of Nurses on Wards 33 and 37 having to clarify plans with Doctors when following written notes by 10% by 25 April 2023.

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