FEATURE ARTICLES

Improving management of bowel cancer

The Pelican Cancer Foundation has championed the multidisciplinary team (MDT) management of pelvic cancers. In this article, the charity considers how Magnetic Resonance Imaging (MRI) is playing a critical role in managing low bowel (rectal) cancers.

Dual syringe pumps

The Crono Twin is a new addition to the range of miniature syringe pumps available from APPLIED MEDICAL TECHNOLOGY. It is claimed to be the first portable system to offer two pumps within the same device.

Cosmetic surgery: regulation required

A National Confidential Enquiry into Patient Outcome and Death (NCEPOD) report, On the face of it considered the provision of cosmetic surgery. The Clinical Services Journal looks at its findings.

Partial knee replacement explored

Between 8% and 15% of knee arthroplasties in the UK are partial knee replacements. The Clinical Services Journal finds out more about this alternative to total knee arthroplasty.

Manage and mitigate human errors

GUY HIRST, an expert in human factors training, says that medical errors are an inevitable outcome of the human cognitive system working within the complex and sometimes chaotic healthcare system.

Pioneering liver surgery for CRLM

The Pelican Cancer Foundation outlines the progress achieved in treating metastatic liver cancer, and highlights its new plans to ensure every patient is offered the opportunity for prompt treatment in the future.

Tissue Viability Society conference preview

The latest research, policy developments and practice issues in tissue viability will be discussed at the 30th anniversary conference and exhibition of the Tissue Viability Society in April.

Meeting requesting efficiency goals

West Suffolk Hospital has recently implemented an order communications system for users of its diagnostic services. The system is intended to make requesting easier for GPs, to improve pathology laboratory efficiency, reduce the number of duplicate tests, and comply with national policies requiring tracking to ensure that results are actually read and acted upon.

Cancer tackled by NTAC

HADLEIGH STOLLAR, programme manager at the NHS Technology Adoption Centre, explains more about two of the latest How to Why to Guides, which focus on innovative new technology developments that offer greater efficiencies and an improved patient experience in the areas of breast and bladder cancer.

QIPP in practice: VTE prevention

Speaking at the 2010 Quality, Innovation, Productivity and Prevention Conference, Dr Tamara Everington, clinical leader for VTE prevention at Salisbury NHS Foundation Trust, explained how Salisbury District Hospital put commissioning and CQUIN goals into practice to drive QIPP improvements, using a simple, evidence-based policy.

Patient-led clinical decisions

Dr KEITH A MEADOWS BA (Hons) PhD, discusses the importance of reporting outcomes from the perspective of the patient, and explains how PROMS can provide a source of information to facilitate more effective decision-making to improve the quality of healthcare.

Continuity is vital in patient handover

In the wake of the introduction of the European Working Time Directive, the clinical handover has become even more crucial to the continuity of care of patients. The Clinical Services Journal reports on how one Trust’s solution to the problem has already made a major impact in this area.

Care and compassion: not for the elderly

A damning new report from the Healthcare Ombudsman does not make comfortable reading for those working in the health service, but is essential reading to ensure that lessons are learnt. KATE WOODHEAD RGN, DMS reports.

Transforming healthcare delivery

Given the expected shortage in skilled healthcare workers, new models will have to be found that can help deliver services in ways that are less human resource intensive and that make better use of geographically dispersed expertise.

Improved paediatric care needed

SALLY HOLT, paediatric sister at Benenden Hospital, discusses the importance of paediatric care provision in the UK and why there is a need to improve children’s health services nationally.

POC ultrasound for pain management

Ultrasound needle guidance improves both the safety and efficacy of nerve blocks and local anaesthesia delivery. The Clinical Services Journal looks at the varied roles of hand-carried ultrasound in pain management, from post-operative recovery to chronic pain and palliative care.

Decontamination goes up in the world

When Yeovil District Hospital needed to upgrade its Sterile Services Department (SSD), to increase accessibility from the operating theatres and day surgeries, an innovative solution to the hospital’s problems of space constraints was provided.

Heart failure: the prognosis is poor

The Clinical Services Journal reports on the findings of the National Heart Failure Audit 2010, which provides comparative data to help improve the quality of service and outcomes for heart failure patients.

BSG Annual Meeting: 2011 event preview

The British Society of Gastroenterology (BSG) will be hosting its Annual Meeting at the International Convention Centre, Birmingham from 14-17 March 2011. The event is expected to attract over 2,500 delegates from around the world, including research scientists, clinicians, nurses, patients and students.

Cardiac testing in A&E examined

Point-of-care testing is finding increased application across the breadth of modern medicine. Recently, research has demonstrated its value in the assessment of chest pain in the accident and emergency department.

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