Clinical Governance Jan-May 2020

This quarterly bulletin covers literature relating to clinical governance, with a section devoted to patient safety, and should be of interest to a variety of NHS staff. It is intended as an information tool to help you keep up to date with developments in your area of clinical expertise and interest. It is not an expression of organisational policy. The inclusion of a guideline, system, tool or similar in this newsletter does not imply that it is used, or should be implemented, within NHS Greater Glasgow and Clyde

Many of the following articles are available online via the NHS Scotland Knowledge Network. Please use the links where provided and your ATHENS login. A complete list of available online journals and registration for ATHENS can be found at www.knowledge.scot.nhs.uk.

If you click on the link for full text and there is no full text available through the Knowledge Network, use the “Get it for me” link for the article and complete the online request form provided.  This is a new system which is still being developed – if you have any problems or questions, then Library staff will be happy to help.

Critical appraisal is an essential part of evidence-based practice and involves systematically evaluating evidence to establish whether it is valid, accurate and relevant.  For introductory resources, visit the Critical Appraisal Tools pathway.

This Current Awareness Bulletin (CAB) is part of a national programme of bulletins produced in partnership by NHS boards across Scotland. Every attempt has been made to include and acknowledge the author and publisher within all links. The information contained in these bulletins is for educational purposes only.  We have endeavoured to ensure the information is up to date and correct and that creator and publisher information is given where relevant.  We make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the links and information contained in these CABs. Any reliance you place on such information is therefore strictly at your own risk.

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COVID-19 / Evidence-Based Practice / Infection Control / Patient Experience and Engagement / Patient Safety / Primary care / Quality Improvement and Assessment / Resource Effectiveness / Service Design, Evaluation and Improvement / Staff Roles, Skills, Effectiveness and Practice / Reports 

 

COVID-19

ALBOLINO, S., et al, 2020. Human factors and ergonomics at time of crises: the Italian experience coping with COVID19. International Journal for Quality in Health Care.

FITZSIMONS, J., 2020. Quality & Safety in the time of Coronavirus-Design Better, Learn Faster. International Journal for Quality in Health Care.

HOUGHTON C, MESKELL P, DELANEY H, SMALLE M, GLENTON C, BOOTH A, CHAN XHS, DEVANE D, BIESTY LM., 2020. Barriers and facilitators to healthcare workers’ adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. Cochrane Database of Systematic Reviews, (4).

KYDONAKI, K., et al, 2020. Family INvolvement in inTensive care: A qualitative exploration of critically ill patients, their families and critical care nurses (INpuT study). Journal of Clinical Nursing, 29(7-8), pp. 1115-1128.

MARK, K., et al, 2020. Coronavirus disease (COVID-19) Community Testing Team in Scotland: A 14-day review, 6 to 20 February 2020. Euro Surveillance: Bulletin Europeen sur les Maladies Transmissibles = European Communicable Disease Bulletin, 25(12), pp. 03.

STAINES, A., et al, 2020. COVID-19: Patient Safety and Quality Improvement Skills to Deploy during the Surge. International Journal for Quality in Health Care.

VERBEEK, JH, RAJAMAKI, B., IJAZ, S., SAUNI, R., TOOMEY, E, et al, 2020. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. Cochrane Database of Systematic Reviews, (5).

 

Evidence-Based Practice

AHMAD, S.J., et al, 2020. Citation classics in general medical journals: assessing the quality of evidence; a systematic review. Gastroenterology & Hepatology From Bed to Bench, 13(2), pp. 101-114.

REEVES, K., et al, 2020. Implementation of research evidence in orthopaedics: a tale of three trials. BMJ Quality & Safety, 29(5), pp. 374-381.

Infection Control

DREY, N., et al, 2020. Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care. BMJ Quality & Safety.

 

Patient Experience and Engagement

BENSON, T., 2020. Measure what we want: a taxonomy of short generic person-reported outcome and experience measures (PROMs and PREMs). BMJ Open Quality, 9(1).

BERZINS, K., et al, 2020. A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services. Health Expectations.

GELKOPF, M., et al, 2020. A systematic review of patient-reported outcome measurement (PROM) and provider assessment in mental health: goals, implementation, setting, measurement characteristics and barriers. International Journal for Quality in Health Care.

JONES, J., et al, 2020. Reflection in practice: How can patient experience feedback trigger staff reflection in hospital acute care settings? Health Expectations, 23(2), pp. 396-404.

LIM, S., et al, 2020. Evaluating hospital tools and services that were co-produced with patients: A rapid review. International Journal for Quality in Health Care.

LOCOCK, L., et al, 2020. Understanding how frontline staff use patient experience data for service improvement: an exploratory case study evaluation. Health Services and Delivery Research, 8, (13)

LOCOCK, L., et al, 2020. Anonymity, veracity and power in online patient feedback: A quantitative and qualitative analysis of staff responses to patient comments on the 'Care Opinion' platform in Scotland. Digital Health, 6, pp. 2055207619899520.

TAYLOR, D.R., et al, 2020. A case-controlled study of relatives' complaints concerning patients who died in hospital: The role of treatment escalation/limitation planning. International Journal for Quality in Health Care.

VAN DAEL, J., et al, 2020. Learning from complaints in healthcare: a realist review of academic literature, policy evidence and front-line insights. BMJ Quality & Safety.

WHEAR R, THOMPSON‐COON J, ROGERS M, ABBOTT RA, ANDERSON L, UKOUMUNNE O, MATTHEWS J, GOODWIN VA, BRISCOE S, PERRY M, STEIN K., 2020. Patient‐initiated appointment systems for adults with chronic conditions in secondary care. Cochrane Database of Systematic Reviews, (4).

Patient Safety

ANDERSON, J.E. and WATT, A.J., 2020. Using Safety-II and resilient healthcare principles to learn from Never Events. International Journal for Quality in Health Care,

ARCHER, S., et al, 2020. Barriers and facilitators to incident reporting in mental healthcare settings: A qualitative study. Journal of Psychiatric & Mental Health Nursing, 27(3), pp. 211-223.

ARORA, S., et al, 2020. Patient Safety Education 20 Years After the Institute of Medicine Report: Results From a Cross-sectional National Survey. Journal of patient safety,

BORRADALE H., et al, 2020. Misreading Injectable Medications-Causes and Solutions: An Integrative Literature Review. Joint Commission Journal on Quality and Patient Safety, 46(5), pp. 291-298.

BRENNAN, P.A., et al, 2020. Leading article: What can we do to improve individual and team situational awareness to benefit patient safety? British Journal of Oral & Maxillofacial Surgery,

BRESSAN, V., et al, 2020. Nursing handovers and patient safety: Findings from an umbrella review. Journal of Advanced Nursing (John Wiley & Sons, Inc.), 76(4), pp. 927-938.

CORFIELD, A.R., et al, 2020. The discrimination of quick Paediatric Early Warning Scores in the pre-hospital setting. Anaesthesia, 75(3), pp. 353-358.

EDE, J., et al, 2020. A qualitative exploration of escalation of care in the acute ward setting. Nursing in critical care, 25(3), pp. 171-178.

FRANKLIN, B.J., et al, 2020. Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. BMJ Quality & Safety,

GARFIELD, S., et al, 2020. How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience. BMJ Quality & Safety,

GERAGHTY, A., et al, 2020. Incidence of Wrong-Site Surgery List Errors for a 2-Year Period in a Single National Health Service Board. Journal of Patient Safety, 16(1), pp. 79-83.

GIBSON, R., et al, 2020. A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales. Addiction,

GUNDERSON, C.G., et al, 2020. Prevalence of harmful diagnostic errors in hospitalised adults: a systematic review and meta-analysis. BMJ Quality & Safety,

O'DONOVAN, R. and MCAULIFFE, E., 2020. A systematic review of factors that enable psychological safety in healthcare teams. International Journal for Quality in Health Care,

STONE, T., et al, 2020. The introduction of a safety checklist in two UK hospital emergency departments: A qualitative study of implementation and staff use. Journal of Clinical Nursing, 29(7-8), pp. 1267-1275.

WIIG, S., et al, 2020. It's time to step it up. Why safety investigations in healthcare should look more to safety science. International Journal for Quality in Health Care.

Primary Care

CUNNINGHAM, D.E., et al, 2020. The future of CPD for general practitioners, registered pharmacy staff and general practice nurses in Scotland - qualitative responses from a national survey. Education for Primary Care, 31(1), pp. 7-14.

KOVACS, E., et al, 2020. Economic evaluation of guideline implementation in primary care: a systematic review. International Journal for Quality in Health Care, 32(1), pp. 1-11.

MURCHIE, P., et al, 2020. Impact of geography on Scottish cancer diagnoses in primary care: Results from a national cancer diagnosis audit. Cancer Epidemiology, 66, pp. 101720.

SHAH C., et al, 2020. Medicines reconciliation in primary care: A study evaluating the quality of medication-related information provided on discharge from secondary care. European Journal of Hospital Pharmacy, 27(3), pp. 129-134.

Quality Improvement and Assessment

ANDERSON, J.E., et al, 2020. Beyond 'find and fix': improving quality and safety through resilient healthcare systems. International Journal for Quality in Health Care.

BLAYNEY, M.C., et al, 2020. Intensive care unit occupancy and premature discharge rates: A cohort study assessing the reporting of quality indicators. Journal of critical care, 55, pp. 100-107.

CECIL, E., et al, 2020. What is the relationship between mortality alerts and other indicators of quality of care? A national cross-sectional study. Journal of health services research & policy, 25(1), pp. 13-21.

COLES, E., et al, 2020. The influence of contextual factors on healthcare quality improvement initiatives: a realist review. Systematic Reviews, 9(1), pp. 94.

FARROW, L., et al, 2020. Does quality of care in hip fracture vary by day of admission?. Archives of Osteoporosis, 15(1), pp. 52.

HILL, J.E., et al, 2020. The effectiveness of continuous quality improvement for developing professional practice and improving health care outcomes: a systematic review. Implementation Science, 15(1), pp. 1-14.

JONKER, L., et al, 2020. Patients admitted to more research‐active hospitals have more confidence in staff and are better informed about their condition and medication: Results from a retrospective cross‐sectional study. Journal of evaluation in clinical practice, 26(1), pp. 203-208.

LEARY A., et al, 2020. Using knowledge discovery through data mining to gain intelligence from routinely collected incident reporting in an acute English hospital. International journal of health care quality assurance, 33(2), pp. 221-234.

MALIK, R.F., et al, 2020. What do we really assess with organisational culture tools in healthcare? An interpretive systematic umbrella review of tools in healthcare. BMJ Open Quality, 9(1).

MCNAB, D., et al, 2020. Development and application of 'systems thinking' principles for quality improvement. BMJ Open Quality, 9(1),

SEMPLE, Y., et al, 2020. Development and evaluation of a national gentamicin and vancomycin quality improvement programme. Journal of Antimicrobial Chemotherapy.

Resource Effectiveness

MATE, K.S., et al, 2020. Novel quality improvement method to reduce cost while improving the quality of patient care: retrospective observational study. BMJ Quality & Safety.

MOURITSEN, J.M., et al, 2020. A systematic review and cost effectiveness analysis of reusable vs. single-use flexible bronchoscopes. Anaesthesia, 75(4), pp. 529-540.

Service Design, Evaluation and Improvement

ADAMS, A., et al, 2020. Improving the process of zoning in a community mental health team. BMJ Open Quality, 9(1).

BAILEY, S., et al, 2020. Implementation of clinical decision support to manage acute kidney injury in secondary care: an ethnographic study. BMJ Quality & Safety, 29(5), pp. 382-389.

LEASK, C.F., et al, 2020. Acceptability of delivering an adapted Buurtzorg model in the Scottish care context. Public Health (Elsevier), 179, pp. 111-117.

MAIR, A., et al, 2020. Addressing the Challenge of Polypharmacy. Annual Review of Pharmacology & Toxicology, 60, pp. 661-681.

NETTLETON, J., et al, 2020. Reducing readmissions and improving patient experience following urological surgery, through early telephone follow-up. BMJ Open Quality, 9(2).

O'HARA, J.K., et al, 2020. 'Handing over to the patient': A FRAM analysis of transitional care combining multiple stakeholder perspectives. Applied Ergonomics, 85, pp. 103060.

PAREKH, N., et al, 2020. Medication-related harm in older adults following hospital discharge: development and validation of a prediction tool. BMJ Quality & Safety, 29(2), pp. 142-153.

WILLIAMS, B., et al, 2020. Evaluation of the impact of an augmented model of The Productive Ward: Releasing Time to Care on staff and patient outcomes: a naturalistic stepped-wedge trial. BMJ Quality & Safety.

Staff Roles, Skills, Effectiveness and Practice

ATSMA, F., et al, 2020. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. International Journal for Quality in Health Care.

DALL'ORA, C., et al, 2020. Temporary Staffing and Patient Death in Acute Care Hospitals: A Retrospective Longitudinal Study. Journal of Nursing Scholarship, 52(2), pp. 210-216.

GRIFFITHS, P., et al, 2020. Nursing workload, nurse staffing methodologies and tools: A systematic scoping review and discussion. International journal of nursing studies, 103, pp. 103487.

MCHUGH, S.K., et al, 2020. Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis. BMJ Quality & Safety.

MCINNES, R.J., et al, 2020. Implementing continuity of midwife carer - just a friendly face? A realist evaluation. BMC Health Services Research, 20(1), pp. 1-15.

NG, F.K., et al, 2020. From smartphone to bed-side: exploring the use of social media to disseminate recommendations from the National Tracheostomy Safety Project to front-line clinical staff. Anaesthesia, 75(2), pp. 227-233.

PRICE, T., et al, 2020. Reviving clinical governance? A qualitative study of the impact of professional regulatory reform on clinical governance in healthcare organisations in England. Health Policy, 124(4), pp. 446-453.

RUEBEN, A., et al, 2020. Professional development beyond foundation training: a study of pharmacists working in Scotland. International Journal of Pharmacy Practice, 28(2), pp. 165-172.

SMITH, G.B., et al, 2020. The association between nurse staffing levels and a failure to respond to patients with deranged physiology: A retrospective observational study in the UK. Resuscitation, 149, pp. 202-208.

WU, M., et al, 2020. Interventions for improving teamwork in intrapartem care: a systematic review of randomised controlled trials. BMJ Quality & Safety, 29(1), pp. 77-85.

Reports

HEALTHCARE IMPROVEMENT SCOTLAND (2020). Knowledge-based clinical support systems: SHTG assessment 02. Healthcare Improvement Scotland, Apr 2020.