FEATURE ARTICLES

Improving procurement within the NHS

Procurement has a key role to play in protecting front-line care and ensuring the NHS can live within the 2015-16 spending round commitments. As part of its policy to make the NHS more efficient and less bureaucratic, the Department of Health (DH) has recently published a document that sets out the details of the NHS Procurement Development Programme which aims to help the NHS save £1.5 billion by 2015-16.

Avoiding contamination of water systems

Dr TIM SANDLE looks at best practices to avoid microbial contamination of hospital water systems, which can have serious consequences for patients as well as economic consequences for hospitals.

Showcase for global innovation

The world’s largest medical exhibition, MEDICA takes place 20-23 November 2013 in Düsseldorf, Germany. The Clinical Services Journal provides an insight into the educational opportunities that are available at the event, as well as the latest innovations that will be showcased at the international trade fair.

Improving mobile device management

Early adopters of RFID technology for mobile medical device management can now provide evidence of its benefits for tracking and managing vital hospital equipment. The Clinical Services Journal reports.

Strategic review of the A&E crisis

In the wake of a number of reports highlighting a crisis in emergency care, there has been heated debate over the reasons for missed waiting targets and increasing attendance in A&E.

Consultant performance under scrutiny

The performance of consultants is under the spotlight, in the wake of a report by the Public Accounts Committee and the publication of surgical outcomes data.

A promise to learn, a commitment to act

A report by safety expert, Professor Don Berwick has outlined recommendations for building a robust nationwide system for patient safety – rooted in a culture of transparency, openness and continual learning. LOUISE FRAMPTON reports.

Setting out ‘ambitions’ for improved care

The publication of a review into the quality of care and treatment provided by 14 hospital Trusts in England has resulted in the creation of a list of achievable ‘ambitions’ for improvement across the wider NHS. SUZANNE CALLANDER reports.

Tackling transfusion ‘Never Events’

The list of medical errors considered to be ‘Never Events’, that should never occur, has continued to expand and now includes errors in the blood transfusion process. Transfusion scientist BARRY HILL reports.

Point-of-care testing in the spotlight

Point-of-care testing is driving changes in patient management and a special focus at the IBMS Biomedical Science Congress is being established to provide an insight into the latest developments in this field.

Missed opportunities for liver disease

SUZANNE CALLANDER reports on the findings of a recent NCEPOD report which focused on the remediable factors in the quality of care provided to patients who died with a diagnosis of alcohol-related liver disease.

Decontamination of the healthcare environment

Studies have shown that, with traditional manual cleaning, critical points are only cleaned 50%-60% of the time. The latest research suggests that automated technologies could improve the cleanliness of hospitals and reduce the risk of pathogen transmission from the environment. LOUISE FRAMPTON reports.

Journey to hand hygiene excellence

The World Health Organization has ranked Dublin’s Mater Private Hospital as the best hospital in Europe for hand hygiene. ANN HIGGINS, infection prevention and control nurse, Mater Private Hospital, recently accepted an award, on behalf of the hospital, for hand hygiene excellence.

Role of gloves in tackling SSI

Professor David Leaper recently provided an insight into the protective role of antimicrobial surgical gloves in reducing surgical site infection (SSI), at a conference on healthcare-associated infection. LOUISE FRAMPTON reports.

Paving the way for integrated care

People living with complex health needs, co-morbidities and social care requirements often experience fragmented and sub-optimal care. One possible solution identified is integration of health and social care services.

Spotlight on infection prevention

Following a successful conference in Liverpool, the Infection Prevention Society Annual Conference is coming to London for the first time. Infection Prevention 2013 will be held at the ExCeL from 30 September to 2 October.

Improving the safety of drug delivery

Between 1 January 2005 and 30 June 2010, the NPSA received reports of eight deaths and 167 non-fatal incidents involving ambulatory syringe drivers. Efforts are now underway to ensure that healthcare providers carefully manage a move to using a new generation of safer devices.

Bacteraemia: delivering zero tolerance

The Heart of England NHS Foundation Trust has designed a memorable campaign to support the implementation of a blanket decolonisation policy, which includes antimicrobial body washing for all patients. LOUISE FRAMPTON reports.

Decontamination: a cleaning challenge

Decontamination is an issue of public health importance because of concerns about preventing hospital-acquired infections (HAI) and minimising the risk of iatrogenic transmittable diseases. ZAKARIYA PATEL and DENYS DHIVER discuss this cleaning challenge.

Tackling blood sampling risk

A novel device, invented by two consultants from The Queen Elizabeth Hospital King’s Lynn NHS Trust, was designed to help prevent known risks associated with conventional arterial lines.

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