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
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COVID-19 / Infection Control / Patient Experience and Engagement / Patient Safety / Primary Care / Quality Assessment and Improvement / Service Design, Evaluation and Improvement / Staff Roles, Skills, Effectiveness and Practice / Reports
COVID-19
ALBOKSMATY, A., et al, 2021. Management and patient safety of complex elderly patients in primary care during the COVID-19 pandemic in the UK-Qualitative assessment. PLoS ONE [Electronic Resource], 16(3), pp. e0248387.
ATIOMO, W., et al, 2021. Impact of New Clinical Policies during the COVID-19 Pandemic on Clinical Incidents and Complaints at a UK Teaching Hospital. International Journal of Environmental Research & Public Health [Electronic Resource], 18(8), pp. 04 09.
BAKER, K.F., et al, 2021. National Early Warning Score 2 (NEWS2) to identify inpatient COVID-19 deterioration: a retrospective analysis. Clinical Medicine, 21(2), pp. 84-89.
CHOUDHRY B., et al, 2021. Safety evaluation of providing trauma service during COVID-19 phase one lockdown. Journal of Clinical Orthopaedics and Trauma, 18, pp. 44-50.
DALBY, M., et al, 2021. Cancer patient experience of telephone clinics implemented in light of COVID-19. Journal of Oncology Pharmacy Practice, 27(3), pp. 644-649.
EVANS, T.J., et al, 2021. Antibiotic usage and stewardship in patients with COVID-19: too much antibiotic in uncharted waters? Journal of Infection Prevention, 22(3), pp. 119-125.
HUGHES, E.C., et al, 2021. Severe Acute Respiratory Syndrome Coronavirus 2 Serosurveillance in a Patient Population Reveals Differences in Virus Exposure and Antibody-Mediated Immunity According to Host Demography and Healthcare Setting. Journal of Infectious Diseases, 223(6), pp. 971-980.
IRVING, G., et al, 2021. Evaluation of a 'drop box' doorstep assessment service to aid remote assessments for COVID-19 in general practice. BMJ Open Quality, 10(1), pp. 03.
JARDINE, J., et al, 2021. Maternity services in the UK during the coronavirus disease 2019 pandemic: a national survey of modifications to standard care. BJOG: An International Journal of Obstetrics & Gynaecology, 128(5), pp. 880-889.
JONES, N.K., et al, 2021. Admission COVID-19 clinical risk assessment for guiding patient placement and diagnostic testing strategy. Clinical Medicine, 21(2), pp. e140-e143.
LEE, G., et al, 2021. The perception of patient safety in an alternate site of care for elective surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 patients. Patient Safety in Surgery, 15(1), pp. 1-6.
LI J.P.O., et al, 2021. Safety of video-based telemedicine compared to in-person triage in emergency ophthalmology during COVID-19. EClinicalMedicine, 34(pagination), pp. no pagination.
MURPHY M., et al, 2021. Implementation of remote consulting in UK primary care following the COVID-19 pandemic: A mixed-methods longitudinal study. British Journal of General Practice, 71(704), pp. E166-E177.
NORTON, E.J., et al, 2021. Personal protective equipment and infection prevention and control: a national survey of UK medical students and interim foundation doctors during the COVID-19 pandemic. Journal of Public Health, 43(1), pp. 67-75.
PANDA, N., et al, 2021. We Asked the Experts: The WHO Surgical Safety Checklist and the COVID-19 Pandemic: Recommendations for Content and Implementation Adaptations. World journal of surgery, 45(5), pp. 1293-1296.
PARKIN, A., et al, 2021. A Multidisciplinary NHS COVID-19 Service to Manage Post-COVID-19 Syndrome in the Community. Journal of Primary Care & Community Health, , pp. 1-9.
PEPRAH, D., et al, 2021. Re-initiation of CT colonography services during the COVID-19 pandemic: Preliminary evaluation of safety. British Journal of Radiology, 94(1121), pp. 20201316.
REZELPOTTS E., et al, 2021. Antimicrobial stewardship in the UK during the COVID-19 pandemic: a population-based cohort study and interrupted time-series analysis. British Journal of General Practice, 71(706), pp. E331-E338.
Infection Control
ACKAH, J.K., et al, 2021. Antimicrobial prophylaxis in adult cardiac surgery in the United Kingdom and Republic of Ireland. Journal of Infection Prevention, 22(2), pp. 83-90.
CURRAN, E.T., et al, 2021. A comparison of the nationally important infection prevention and control documents in NHS England and NHS Scotland. Journal of Infection Prevention, 22(2), pp. 75-82.
EKANEM E.E., et al, 2021. Surgical site infection in obstetrics and gynaecology: prevention and management. Obstetrician and Gynaecologist, 23(2), pp. 124-137.
TOTTY, J.P., et al, 2021. The impact of surgical site infection on hospitalisation, treatment costs, and health‐related quality of life after vascular surgery. International Wound Journal, 18(3), pp. 261-268.
WAN, Y.I., et al, 2021. Postoperative infection and mortality following elective surgery in the International Surgical Outcomes Study (ISOS). British Journal of Surgery, 108(2), pp. 220-227.
Patient Experience and Engagement
BENDALL, C., et al, 2021. Exploring patients' experience of activities on a mental health inpatient ward: a service evaluation. Journal of Psychiatric Intensive Care, 17(1), pp. 11-19.
HENSHALL, C., et al, 2021. Informing National Health Service patients about participation in clinical research: A comparison of opt-in and opt-out approaches across the United Kingdom. Australian & New Zealand Journal of Psychiatry, 55(4), pp. 400-408.
KARAMPATAKIS, G.D., et al, 2021. Patients' experiences of pharmacists in general practice: an exploratory qualitative study. BMC Family Practice, 22(1), pp. 1-11.
SHARDA, L., et al, 2021. A mixed methods study of the healthcare received by patients diagnosed with a personality disorder on acute general hospital wards. Journal of Advanced Nursing (John Wiley & Sons, Inc.), 77(4), pp. 2002-2011.
STEWART M., et al, 2021. Patient-centred innovation for multimorbidity care: A mixed-methods, randomised trial and qualitative study of the patients' experience. British Journal of General Practice, 71(705), pp. E320-E330.
Patient Safety
CURTIS, N.J., et al, 2021. Clinical Evaluation of Intraoperative Near Misses in Laparoscopic Rectal Cancer Surgery. Annals of Surgery, 273(4), pp. 778-784.
DENTON G., et al, 2021. Evaluation of the safety of inter-hospital transfers of critically ill patients led by advanced critical care practitioners. British journal of nursing (Mark Allen Publishing), 30(8), pp. 470-476.
HOOKES, S., 2021. Prompt Wales: a Maternity Safety Programme for Wales. Practising Midwife, 24(5), pp. 42-45.
HUNT D.F., et al, 2021. Enhancing psychological safety in mental health services. International Journal of Mental Health Systems, 15(1).
KELLY F.E., et al, 2021. Fire safety and emergency evacuation guidelines for intensive care units and operating theatres: for use in the event of fire, flood, power cut, oxygen supply failure, noxious gas, structural collapse or other critical incidents: Guidelines from the Association of Anaesthetists and the Intensive Care Society. Anaesthesia.
KENNEDY, F., et al, 2021. Online monitoring of patient self-reported adverse events in early phase clinical trials: Views from patients, clinicians, and trial staff. Clinical Trials, 18(2), pp. 168-179.
KNIGHT, M., 2021. MBRRACE‐UK update: Key messages from the UK and Ireland Confidential Enquiries into Maternal Death and Morbidity 2020. Obstetrician & Gynaecologist, 23(2), pp. 161-163.
LEVY, N., et al, 2021. An international multidisciplinary consensus statement on the prevention of opioid-related harm in adult surgical patients. Anaesthesia, 76(4), pp. 520-536.
OMAR, I., et al, 2021. Analysis of National Bariatric Surgery Related Clinical Incidents: Lessons Learned and a Proposed Safety Checklist for Bariatric Surgery. Obesity Surgery, 31(6), pp. 2729-2742.
OMAR I., et al, 2021. Common general surgical never events: analysis of NHS England never event data. International journal for quality in health care : journal of the International Society for Quality in Health Care, 33(1).
THOMAS, A.N. and BALMFORTH, J.E., 2021. Patient Safety Incidents Describing Patient Falls in Critical Care in North West England Between 2009 and 2017. Journal of patient safety, 17(2), pp. e71-e75.
TURNER E., et al, 2021. An investigation into prescribing errors made by independent pharmacist prescribers and medical prescribers at a large acute NHS hospital trust: A cross-sectional study. European Journal of Hospital Pharmacy, 28(3), pp. 149-153.
Primary Care
HERNAN, A.L., et al, 2021. Nature and type of patient-reported safety incidents in primary care: cross-sectional survey of patients from Australia and England. BMJ Open, 11(4), pp. e042551.
HUANG H., et al, 2021. Collaborative improvement in Scottish GP clusters after the Quality and Outcomes Framework: a qualitative study. The British journal of general practice : the journal of the Royal College of General Practitioners.
IGWESI-CHIDOBE, C., et al, 2021. Implementing patient direct access to musculoskeletal physiotherapy in primary care: views of patients, general practitioners, physiotherapists and clinical commissioners in England. Physiotherapy, 111, pp. 31-39.
KHAN, N.F., et al, 2021. Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment. BMC Health Services Research, 21(1), pp. 394.
LITCHFIELD, I., et al, 2021. A comparative assessment of two tools designed to support patient safety culture in UK general practice. BMC Family Practice, 22(1), pp. 1-13.
MAIR F.S., et al, 2021. The readability of general practice websites: a cross-sectional analysis of all general practice websites in Scotland. British Journal of General Practice, 71(706), pp. E391-E398.
MCKENZIE, K.J., et al, 2021. Do GPs use motivational interviewing skills in routine consultations with patients living with mental-physical multimorbidity? An observational study of primary care in Scotland. Chronic Illness, 17(1), pp. 29-40.
PORTER I., et al, 2021. Integrating Patient Reported Outcome Measures (PROMs) into routine nurse-led primary care for patients with multimorbidity: a feasibility and acceptability study. Health and Quality of Life Outcomes, 19(1).
REICHEL H., et al, 2021. Guidance impact on primary care prescribing rates of simple analgesia: An interrupted time series analysis in England. British Journal of General Practice, 71(704), pp. E201-E208.
SMITH C.F., et al, 2021. GPs' use of gut feelings when assessing cancer risk: A qualitative study in UK primary care. British Journal of General Practice, 71(706), pp. E356-E363.
WEATHERBURN, C.J., 2021. Data quality in primary care, Scotland. Scottish medical journal, 66(2), pp. 66-72.
Quality Assessment and Improvement
CHANGULANI T., et al, 2021. Minimising prescription errors-a quality improvement project in the ophthalmology department in a tertiary referral hospital. International ophthalmology.
FISHER, A., et al, 2021. Reducing inappropriate blood testing in haematology inpatients: A multicentre quality improvement project. Clinical Medicine, 21(2), pp. 142-146.
GARDNER, L. and TRUEMAN, H., 2021. Improving mealtimes for patients and staff within an eating disorder unit: understanding of the problem and first intervention during the pandemic-an initial report. BMJ Open Quality, 10(2), pp. 04.
MAHMUD, A., et al, 2021. Benchmarking services in outpatient hysteroscopy (OPH): A quality improvement project. European Journal of Obstetrics, Gynecology, & Reproductive Biology, 259, pp. 211-221.
MORRISON C., et al, 2021. Testing and implementing video consulting for outpatient appointments: using quality improvement system thinking and codesign principles. BMJ open quality, 10(1).
PALLARI E., et al, 2021. Assessing the current state of quality improvement training in urology in the UK: Findings from the General Medical Council 2018 trainee survey. Journal of Clinical Urology, 14(2), pp. 100-107.
PAUL J.M. and STEWART, S.L., 2021. Peer review in MRI: A quality improvement programme and pilot study. Radiography, 27(2), pp. 398-403.
WEETMAN, K., et al, 2021. What makes a "successful" or "unsuccessful" discharge letter? Hospital clinician and General Practitioner assessments of the quality of discharge letters. BMC Health Services Research, 21(1), pp. 349.
WALKER, K., et al, 2021. Review article: Have emergency department time‐based targets influenced patient care? A systematic review of qualitative literature. Emergency Medicine Australasia, 33(2), pp. 202-213.
Resource Effectiveness
ALANIE O.M.H.F., et al, 2021. A virtual multi-disciplinary meeting is a cost-effective method of triaging referrals to a regional musculoskeletal oncology service. Scottish medical journal, (pagination), pp. no pagination.
BAUDOUIN, A., et al, 2021. Economic impact of clinical pharmaceutical activities in hospital wards: A systematic review. Research in Social & Administrative Pharmacy, 17(3), pp. 497-505.
YANG, M., et al, 2021. Economic evaluation of patient direct access to NHS physiotherapy services. Physiotherapy, 111, pp. 40-47.
Service Design, Evaluation and Improvement
BOIKO, O., et al, 2021. Interprofessional barriers in patient flow management: an interview study of the views of emergency department staff involved in patient admissions. Journal of Interprofessional Care, 35(3), pp. 334-342.
DUGMORE, L. and BAUWERAERTS, S., 2021. When policy fails try something different integrated practice improve outcomes for dual diagnosis co-occurring service users accessing mental health services. Drugs & Alcohol Today, 21(2), pp. 157-170.
EMERSON P., et al, 2021. Equity of access to critical care services in Scotland: A Bayesian spatial analysis. Journal of the Intensive Care Society, 22(2), pp. 127-135.
HARVEY, L.A., et al, 2021. Does identifying frailty from ICD-10 coded data on hospital admission improve prediction of adverse outcomes in older surgical patients? A population-based study. Age & Ageing, 50(3), pp. 802-808.
JOHNSTON S.S., et al, 2021. Association of in-hospital surgical bleeding events with prolonged hospital length of stay, days spent in critical care, complications, and mortality: A retrospective cohort study among patients undergoing neoplasm-directed surgeries in english hospitals. ClinicoEconomics and Outcomes Research, 13, pp. 19-29.
LI, A., et al, 2021. Factors related to length of stay, referral on discharge and hospital readmission for children and adolescents with anorexia nervosa. International Journal of Eating Disorders, 54(3), pp. 409-421.
PALERI, V., et al, 2021. Evaluating the huddle as a method of improving staff communication and process efficiency on a psychiatric inpatient ward. British Journal of Healthcare Management, 27(4), pp. 1-10.
Staff Roles, Skills, Effectiveness and Practice
COURTENAY, M. and CHATER, A., 2021. Antimicrobial stewardship: a competency framework to support the role of nurses. Primary Health Care, , pp. 36-42.
DUNNING, A., et al, 2021. Exploring nurses' experiences of value congruence and the perceived relationship with wellbeing and patient care and safety: a qualitative study. Journal of Research in Nursing, 26(1), pp. 135-146.
GRIFFITHS, F., et al, 2021. Decision-making around admission to intensive care in the UK pre-COVID-19: a multicentre ethnographic study. Anaesthesia, 76(4), pp. 489-499.
HENSHALL, C., et al, 2021. Interventions and strategies aimed at clinical academic pathway development for nurses in the United Kingdom: A systematised review of the literature. Journal of Clinical Nursing (John Wiley & Sons, Inc.), 30(11), pp. 1502-1518.
JUST, D., et al, 2021. Positive risk management: Staff perspectives in acute mental health inpatient settings. Journal of Advanced Nursing (John Wiley & Sons, Inc.), 77(4), pp. 1899-1910.
LIPMAN, S., et al, 2021. Staff wellbeing: a matter for quality indicators or a concern in its own right? Journal of Paramedic Practice, 13(4), pp. 152-164.
MILROY, B.K.P., et al, 2021. The outcome of applications for restoration to the Medical Register following disciplinary erasure. Medico-Legal Journal, 89(1), pp. 13-18.
SCOTT, S., 2021. Using policy to improve patient outcomes: the role of a National Clinical Reference Group clinical member. Orthopaedics & Trauma, 35(2), pp. 90-95.
SCOTT, S., et al, 2021. A practitioner behaviour change intervention for deprescribing in the hospital setting. Age & Ageing, 50(2), pp. 581-586.
SEXTON J.B., et al, 2021. Perceptions of Institutional Support for "Second Victims" Are Associated with Safety Culture and Workforce Well-Being. Joint Commission Journal on Quality and Patient Safety, 47(5), pp. 306-312.
SISK, B.W., et al, 2021. Developing Effective Senior Nurse Leaders: The Impact of an Advanced Leadership Initiative. JONA: The Journal of Nursing Administration, 51(5), pp. 271-278.
Reports
THE HEALTH FOUNDATION, 2021. Quality improvement made simple: what everyone should know about healthcare quality improvement. April 2021.
HEALTHCARE IMPROVMENT SCOTLAND, 2021. Transforming health and wellbeing outcomes. May 21.
HEALTHCARE SAFETY INVESTIGATION BRANCH (HSIB), 2021. Outpatient appointments intended but not booked after inpatient stays. April 2021.
HEALTHCARE SAFETY INVESTIGATION BRANCH (HSIB), 2021. Wrong site surgery - wrong patient: invasive procedures in outpatient settings. June 2021.
ROYAL COLLEGE OF NURSING (RCN), 2021. Nursing workforce standards: supporting a safe and effective nursing workforce. May 2021.
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