Health and Care Quality Systems in practice: A guide for local leaders

"This publication is intended as a practical guide for people who have leadership and oversight responsibility for the quality of services in their communities."

Health and Care Quality Systems in practice: A guide for local leaders
Local Government Association, Centre for Public Scrutiny, Think Local Act Personal 
September 2015

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Development of a cost-effectiveness model for optimisation of the screening interval in diabetic retinopathy screening

"The study found that annual screening of all patients for STDR [sight-threatening diabetic retinopathy] was not cost-effective. Screening this entire cohort every 3 years was most likely to be cost-effective."

Development of a cost-effectiveness model for optimisation of the screening interval in diabetic retinopathy screening
PH Scanlon, SJ Aldington, J Leal , R Luengo-Fernandez, J Oke , S Sivaprasad , et al.
Health Technology Assessment 2015;19(74)

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Access, quality, and costs of care at physician owned hospitals in the United States

"Using a comprehensive list of POHs [physician owned hospitals] across the United States and contemporary data, we found no evidence that POHs systematically avoid poorer patients or those from ethnic and racial minority groups. POHs also performed equally to non-POHs on a wide array of measures of quality of care, costs, and payments for care. These findings indicate a need to re-examine existing public policies that target all hospitals with physician owners."

Access, quality, and costs of care at physician owned hospitals in the United States: observational study
DM Blumenthal, EJ Orav, AB Jena, DM Dudzinski, ST Le,  AK Jha, KT Li
BMJ 2015; 351 doi: http://dx.doi.org/10.1136/bmj.h4466


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HSJ Commissioning supplement: The right services at the right time

"Commissioning within the NHS is being shaped by a variety of factors, ranging from technology to the third sector. This week’s supplement, produced in association with Skills for Health, IMS Health and the British Red Cross, looks at:

• workforce planning 
• gaining value from data 
• benefitting from third sector organisations" 

HSJ Commissioning supplement: The right services at the right time
How data, workforce planning and the voluntary sector are shaping NHS commissioning
September 2015

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Improving the completion of Quality Improvement projects amongst psychiatry core trainees

"Through the implementation and development of training sessions and simple, low cost and sustainable interventions over a 10 month period, two thirds of core trainees and over a half of the advanced psychiatry trainees in the School are now participating in 28 individual QI projects and QI project methodology is to become embedded in the core psychiatry training course. "

Improving the completion of Quality Improvement projects amongst psychiatry core trainees
L Ewins
BMJ Quality Improvement Report 2015;4: doi:10.1136/bmjquality.u205682.w2554

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Training in General Surgery Ward Call: A Resident-Student Buddy System

"There is a paucity of literature regarding medical student experiences of after hours hospital ward call. It was observed at our institution that medical students had minimal experience in ward call, yet were required to undertake such shifts as interns after graduation. We implemented a buddy system in which a medical student shadowed a general surgery resident for a ward call shift."

Training in General Surgery Ward Call: A Resident-Student Buddy System
A Maurice, A Hann
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u202587.w3786

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A multifaceted approach to prevention of delirium on intensive care

"Delirium is a frequent complication of critical illness with an increased risk of death which is difficult to treat effectively. We describe a seven year quality improvement programme that aimed to reduce rates of delirium on intensive care (ICU)."

A multifaceted approach to prevention of delirium on intensive care
J Hanison, D Conway
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u209656.w4000
 Programme

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