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.

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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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Fast Track Discharge (2023)

Type of publication:
Service improvement case study

Author(s):
*Rebecca Martin (Therapy Operational Manager for Inpatient Therapies PRH, ESD and Head of Occupational Therapy), *Dr Emma Corbett (Consultant in Palliative Medicine)/ *Ruth Walker (Macmillan Palliative Care Cancer Nurse Specialist)/ *Rachael Roebuck and *Jennifer Russell (Discharge Liaison Nurse)/ *Kate Robinson and *Jane Carter (Occupational Therapist)/ *Alison Jones (Nurse Specialist Palliative Care)

Citation:
SaTH Improvement Hub, January 2023

Abstract:
Opportunities for improvement were identified in the Fast Track patient pathway (patients with a life expectancy of 3 months or less). A pilot was carried out to understand if the availability of a dedicated EoLC Occupational Therapist improved patient discharge.

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Improve completion of Fluid and Solid balance charts in Paediatrics PRH (2023)

Type of publication:
Service improvement case study

Author(s):
*Aisha Noor (FY1) *Farhah Anuar (FY1)

Citation:
SaTH Improvement Hub, March 2023

Abstract:
To improve completion of Fluid balance charts for Paediatric patients at PRH by 30% by 06th May 2023.

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The rise in trauma & orthopaedic trainee-led research and audit collaborative projects in the United Kingdom since the start of the COVID-19 pandemic (2023)

Type of publication:
Journal article

Author(s):
*Khaleeq T.; *Kabariti R.; *Ahmed U.

Citation:
Pakistan Journal of Medical Sciences. 39(3) (pp 769-774), 2023. Date of Publication: May – June 2023.

Abstract:
Background and Objective: A significant increase has been observed globally in multi-centre trainee-led trauma & orthopaedic (T&O) research collaborative projects with more emphasis have been on tackling important research questions since the start of the COCID-19 pandemic. The objective of our analysis was to determine the number of trainee-led research collaborative projects in T&O in the United Kingdom that were started during the COVID-19 pandemic. Method(s): A retrospective analysis was conducted to determine how many trainee-led national collaborative projects in T&O were conducted since the start of the COVID-19 pandemic lockdown (March 2020 to June 2021) and the number of projects identified were compared to the previous year (2019). Any regional collaborative projects, projects that were started before the onset of COVID and projects of other surgical specialities were not included in the study. Result(s): There were no projects identified in 2019 while in the Covid pandemic lockdown we identified 10 trainee-led collaborative trauma & orthopaedic projects with six of them being published with level of evidence from three to four. Conclusion(s): Covid was unprecedented and has placed considerable trials across healthcare. Our study highlights an increase in multi-centre trainee-led collaborative projects within the UK and it underlines the feasibility of such projects especially with the advent of social media and Redcap which facilitate recruitment of new studies and data.

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Primary acinic cell carcinoma in an adolescent female (2023)

Type of publication:
Journal article

Author(s):
Venkatasami M.; Harrison K.

Citation:
Advances in Oral and Maxillofacial Surgery. 10 (no pagination), 2023. Article Number: 100419. Date of Publication: June 2023. [epub ahead of print]

Abstract:
Acinic cell carcinoma (ACC) is a rare, low-grade tumour, accounting for about 17% of all primary salivary gland malignancies in adults. ACC most commonly affects the parotid gland, predominating fifth and sixth decades of life and a female predilection. In the paediatric population, mucoepidermoid carcinoma is the most common parotid malignancy, followed by ACC. We report a case of a 16-year-old female, presenting with a slow-growing right parotid lump. Clinical examination revealed a small right parotid nodule, grade I House-Brackmann score and cervical lymphadenopathy. Radiological investigations revealed a well-circumscribed lobulated lesion in the anterior right parotid gland and reactive lymph nodes. Surgical management included a right partial parotidectomy. Immunohistochemistry was negative for S100, positive with DOG-1 and widespread PAS-D-resistant granules throughout the tumour cells, confirming a diagnosis of ACC. ACC is an important differential diagnosis to consider in salivary gland pathology in the female adolescent patient.

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