Liver Disease Profiles

"The liver disease profiles provide an invaluable resource relating to one of the main causes of premature mortality nationally; a disease whose mortality rates are increasing in England, while decreasing in most EU countries. The local authority profiles will support the development of Joint Strategic Needs Assessments and work of Health and Wellbeing Boards presenting local key statistics and highlighting questions to ask locally about current action to prevent liver disease."

Liver Disease Profiles
Public Health England

Access the profiles here.

Positive deviance: a different approach to achieving patient safety

"The focus on error detection and its management has not produced the expected gains in patient safety, primarily because these methods are not well suited to a complex adaptive system such as healthcare. Behaviours that produce errors are variations on the same processes that produce success, so focusing on successful practices may be a more effective tactic."

Positive deviance: a different approach to achieving patient safety
R Lawton, N Taylor, R Clay-Williams, J Braithwaite
BMJ Quality and Safety, 4 July 2014 doi:10.1136/bmjqs-2014-003115

Read more here.

Relational coordination amongst health professionals involved in insulin initiation for people with type 2 diabetes in general practice

"Given the need for coordination between specialist and generalist care for the task of insulin initiation, this study's results suggest the need to build relationships and communication between specialist and generalist health professional groups and the potential for DNE?s to play a boundary spanner role in this process."

Relational coordination amongst health professionals involved in insulin initiation for people with type 2 diabetes in general practice: an exploratory survey
J Manski-Nankervis, I Blackberry, D Young, D O’Neal, E Patterson, J Furler
BMC Health Services Research 2014, 14:515  doi:10.1186/s12913-014-0515-3

Read more here.

Service user involvement: impact and participation: a survey of service user and staff perspectives

"The findings have shown that there is a high level of participation in service user involvement activity and a general endorsement that involvement has a positive impact. The percentage of service users and professionals who reported positive outcomes from activities they have been involved with was high, regardless of the type of activity they had experienced and their level of engagement in user involvement work."

Service user involvement: impact and participation: a survey of service user and staff perspectives
E Omeni, M Barnes, D MacDonald, M Crawford, D Rose
BMC Health Services Research 2014, 14:491  doi:10.1186/s12913-014-0491-7

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A systematic review of hospital experiences of people with intellectual disability

"Our review of eligible papers revealed that despite 20 years of research and government initiatives, people with intellectual disability continue to have poor hospital experiences. The need for research to identify and investigate care at specific points of encounter across a hospital journey (such as admission, diagnostic testing, placement on a ward, and discharge) as well as to include people with a diversity of disabilities is discussed in terms of potential to influence policy and practice across health and disability sectors."

A systematic review of hospital experiences of people with intellectual disability

T Iacono, C Bigby, C Unsworth, J Douglas, P Fitzpatrick
BMC Health Services Research 2014, 14:505  doi:10.1186/s12913-014-0505-5

Read more here.

“No decision about me without me” in the context of cancer multidisciplinary team meetings

"Methods for ensuring that patients are actively integrated into the MDT processes are required to ensure patients have an informed choice regarding engagement, and to ensure recommendations are based on the best available patient-based and clinical evidence."

“No decision about me without me” in the context of cancer multidisciplinary team meetings: a qualitative interview study

C Taylor, J Finnegan-John, JSA Green
BMC Health Services Research 2014, 14:488  doi:10.1186/s12913-014-0488-2

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Improving the follow-up of microbiology results

"Our intervention, the Pink Book of Results, provides a simple, cost effective system to follow-up microbiology results for discharged patients. It has been extremely well received by paediatric A&E staff and is now rolled out across the general paediatric ward and special care baby unit."

Improving the follow-up of microbiology results: the origins of the Pink Book
Henry Boyle, Charlie Hunt, Catherine McIlroy, Imran Qureshi
BMJ Quality Improvement Reports 2014;3: doi:10.1136/bmjquality.u721.w504

Read more here.