Clinical Governance March 2015 This 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. Many of the following articles are available online via the NHS Scotland Knowledge Network. Please use the links where provided and your ATHENS password. A complete list of available online journals and registration for ATHENS can be found at www.knowledge.scot.nhs.uk/ If the article you require is not available via the NHS Scotland Knowledge Network and you would like to request a print copy, please submit your request online at www.quest.scot.nhs.uk This bulletin contains a selection of material gathered from a search of the evidence base, and is not intended to be comprehensive. Professional judgment should be exercised when appraising the material. The Library takes no responsibility for the wording, content and accuracy of the information supplied, which has been extracted in good faith from reputable sources. NHSGGC is not responsible for the content of external internet sites. Compiled by: Kirsty MacKenzie Assistant Librarian Glasgow Royal Infirmary Library, New Lister Building, 10 Alexandra Parade, Glasgow G31 2ER Phone number: 0141 211 1239 Email: kirsty.mackenzie@ggc.scot.nhs.uk 1 Contents: Evidence-Based Practice p.2 Infection Control p.3 Information Systems and Technology p.3 Multidisciplinary Working p.4 Patient Experience and Engagement p.5 Patient Safety and Clinical Risk Management p.6 Quality Assessment and Improvement p.7 Resource Effectiveness p.8 Service Design, Evaluation and Improvement p.9 Staff Roles, Skills and Effectiveness p.10 Recent Publications p.10 Journal Articles Evidence-Based Practice BATHGATE, F., et al, 2014. Good practice guidelines for clinical psychologists working in paediatric cochlear implant teams. Cochlear Implants International: An Interdisciplinary Journal, 14, pp. 32-34. Check for full text availability. BARKHAM, M., 2014. Practice-based research networks: Origins, overview, obstacles, and opportunities. Counselling & Psychotherapy Research, 14(3), pp. 167-173. Check for full text availability. BICK, D., E., et al, 2014. A national cross sectional survey of heads of midwifery services of uptake, benefits and barriers to use of obstetric early warning systems (EWS) by midwives. Midwifery,30(11), pp. 1140-1146. Check for full text availability. BURKI, J., R., et al, 2014. Long-term urological management in spinal injury units in the UK and Eire: a follow-up study. Spinal Cord, 52(8), pp. 640-645. Check for full text availability. KHUSHU, A., et al, 2015. Outcome of children referred with heart murmurs referred from general practice to a paediatrician with expertise in cardiology. Cardiology in the young, 25(1), pp. 123-127. Check for full text availability. 2 PRATT, R., J., 2014. epic3: An evidence-based approach for protecting patients and saving lives. British Journal of Healthcare Management, 20(9), pp. 418-422. Check for full text availability. TSIM, S., et al, 2015. Rescue therapy using an endobronchial valve and digital air leak monitoring in Invasive Pulmonary Aspergillosis. Respiratory Medicine Case Reports, 14, pp. 27-29. Check for full availability. WARBURTON, J., et al, 2014. Antibiotic intravenous-to-oral switch guidelines: barriers to adherence and possible solutions. International Journal of Pharmacy Practice, 22(5), pp. 345-353. Check for full text availability. Infection Control CANTER, R.R., et al, 2014. Observational study of current use of selective decontamination of the digestive tract in UK Critical Care units. BJA: The British Journal of Anaesthesia, 113(4), pp. 610-617. Check for full text availability. CONWAY,L.J., et al, 2014. Implementation and Impact of an Automated Group Monitoring and Feedback System to Promote Hand Hygiene Among Health Care Personnel. Joint Commission Journal on Quality and Patient Safety, 40 (9), pp. 408-417. Check for full text availability. DAWSON, C., H. and MACKRILL, J., B., 2014. Review of technologies available to improve hand hygiene compliance – are they fit for purpose? Journal of Infection Prevention, 15(6), pp. 222-228. Check for full text availability. DEAN, E., 2014. Keeping infection control in hand. Nursing Standard, 28(46), pp. 20-22. Check for full text availability. DENT, M. and TUTT, D., 2014. Electronic patient information systems and care pathways: The organisational challenges of implementation and integration. Health Informatics Journal, 20(3), pp. 176-188. Check for full text availability. JAVED, F., et al, 2014. Decontamination methods for flexible nasal endoscopes. British Journal of Nursing, 23(15), pp. 850-852. Check for full text availability. MADEO, M. and SPRIDGEON-DAVISON, S., 2014. Effectiveness of an MRSA 'seek-anddestroy' approach in care homes. Journal of Community Nursing, 28(4), pp. 66-71. Check for full text availability. POWELL, T., et al, 2014. Developing a model to assess optimum infection control workforce in acute care settings. American Journal of Infection Control, 42(11), pp. 11421145. Check for full text availability. 3 Information Systems and Technology ARORA, A., et al, 2014. Virtual reality case-specific rehearsal in temporal bone surgery: a preliminary evaluation. International Journal Of Surgery, 12(2), pp. 141-145. Check for full text availability. DAWES, T., R., et al, 2014. Introduction of an electronic physiological early warning system: effects on mortality and length of stay. BJA: The British Journal of Anaesthesia, 113(4), pp. 603-609. Check for full text availability. DENT, M. and TUTT, D., 2014. Electronic patient information systems and care pathways: The organisational challenges of implementation and integration. Health Informatics Journal, 20(3), pp. 176-188. Check for full text availability. DEVI, R., et al, 2014. Exploring the experience of using a web-based cardiac rehabilitation programme in a primary care angina population: a qualitative study. International Journal of Therapy & Rehabilitation, 21(9), pp. 434-440. Check for full text availability. EASON, K. and WATERSON, P., 2014. Fitness for purpose when there are many different purposes: Who are electronic patient records for? Health Informatics Journal, 20(3), pp. 189-198. Check for full text availability. GONZALO, J.D., et al, 2014. Patient care transitions from the emergency department to the medicine ward: evaluation of a standardized electronic signout tool. International Journal for Quality in Health Care, 26(04), pp. 337-347. Check for full text availability. MCKECHNIE, V., et al, 2014. The effectiveness of an Internet support forum for carers of people with dementia: a pre-post cohort study. Journal of medical Internet research, 16(2), pp. e68. Check for full text availability. SWINGLEHURST, D., 2014. Displays of authority in the clinical consultation: A linguistic ethnographic study of the electronic patient record. Social science & medicine, 118, pp. 17-26. Check for full text availability. Multidisciplinary Working DEWAR, B. and COOK, F., 2014. Developing compassion through a relationship centred appreciative leadership programme. Nurse education today, 34(9), pp. 12581264. Check for full text availability. HARRIS, J., et al, 2014. Using peer observers to assess the quality of cancer multidisciplinary team meetings: A qualitative proof of concept study. Journal of Multidisciplinary Healthcare, 7, pp. 355-363. Check for full text availability. 4 NDORO, S., 2014. Effective multidisciplinary working: the key to high-quality care. British Journal of Nursing, 23(13), pp. 724-727. Check for full text availability. OWITI, J., A., et al, 2014. Cultural consultation as a model for training multidisciplinary mental healthcare professionals in cultural competence skills: preliminary results. Journal of Psychiatric & Mental Health Nursing, 21(9), pp. 814-826. Check for full text availability. RAINE, R., et al, 2014. Determinants of treatment plan implementation in multidisciplinary team meetings for patients with chronic diseases: a mixed-methods study. BMJ Quality & Safety, 23(10), pp. 867-876. Check for full text availability. TONNA, A., P., et al, 2014. A cross-sectional survey of antimicrobial stewardship strategies in UK hospitals. Journal of Clinical Pharmacy & Therapeutics, 39(5), pp. 516520. Check for full text availability. Patient Experience and Engagement AHMED, S., et al, 2014. Is advice incompatible with autonomous informed choice? Women's perceptions of advice in the context of antenatal screening: a qualitative study. Health Expectations, 17(4), pp. 555-564. Check for full text availability. BRAMLEY, L. and MATITI, M., 2014. How does it really feel to be in my shoes? Patients' experiences of compassion within nursing care and their perceptions of developing compassionate nurses.Journal of Clinical Nursing, 23(19), pp. 2790-2799. Check for full text availability. CAMPBELL, J., et al, 2014. Enabling patients with respiratory symptoms to access chest X-rays on demand: the experience of the walk-in service in Corby, UK. Journal of Public Health, 36(3), pp. 511-516. Check for full text availability. CASTLES, A., et al, 2014. Experiences of the implementation of a learning disability nursing liaison service within an acute hospital setting: a service evaluation. British Journal of Learning Disabilities,42(4), pp. 272-281. Check for full text availability. CHAMBERS, J., et al, 2014. 'My doctor has changed my pills without telling me': impact of generic medication switches in stroke survivors. Journal of Behavioral Medicine, 37(5), pp. 890-901. Check for full text availability. GOLDBERG, S., E., et al, 2014. Caring for cognitively impaired older patients in the general hospital: A qualitative analysis of similarities and differences between a specialist Medical and Mental Health Unit and standard care wards. International journal of nursing studies, 51(10), pp. 1332-1343. Check for full text availability. 5 GRAHAM, T., et al, 2014. User-generated quality standards for youth mental health in primary care: a participatory research design using mixed methods. BMJ Quality & Safety, 23(10), pp. 857-866. Check for full text availability. HALL, S., et al, 2014. Patterns of dignity-related distress at the end of life: A crosssectional study of patients with advanced cancer and care home residents. Palliative medicine, 28(9), pp. 1118-1127. Check for full text availability. MORRIS, C., et al, 2014. Is contact with adult mental health services helpful for individuals with a diagnosable BPD? A study of service users views in the UK. Journal of Mental Health, 23(5), pp. 251-255. Check for full text availability. PALMER, D. and EL MIEDANY, Y., 2014. PREMs in inflammatory arthritis: from guidelines to standard practice... Patient-Reported Experience Measures. British Journal of Nursing, 23(18), pp. 982-985. Check for full text availability. PLATTEN, M., 2014. Identifying and meeting people's post-stroke emotional needs: a service evaluation. British Journal of Neuroscience Nursing, 10(4), pp. 191-197. Check for full text availability. RUSS, S., JANE, et al, 2014. The WHO surgical safety checklist: survey of patients' views. BMJ Quality & Safety, 23(11), pp. 939-946. Check for full text availability. SMITH, A., et al, 2014. UPBEAT study patients' perceptions of the effect of coronary heart disease on their lives: A cross-sectional sub-study. International journal of nursing studies, 51(11), pp. 1500-1506. Check for full text availability. Patient Safety and Clinical Risk Management ALLEN O’NEILL, 2014. An action framework for compliance and governance. Clinical Governance: An Intl J, 19(4), pp. 342-359. Check for full text availability. BHALUDIN, B.N., et al, 2014. Delays and errors in abnormal chest radiograph followup: a systems approach to promoting patient safety in radiology. Journal of evaluation in clinical practice, 20(4), pp. 453-459. Check for full text availability. DOWNIE, F., et al, 2014. Avoidable pressure ulcer rates in six acute UK Trusts. Wounds UK, 10(3), pp. 48-53. Check for full text availability. HAW, C., et al, 2014. Barriers to the reporting of medication administration errors and near misses: an interview study of nurses at a psychiatric hospital. Journal of Psychiatric & Mental Health Nursing, 21(9), pp. 797-805. Check for full text availability. 6 HARRISON, R., et al, 2014. Mentorship for newly appointed physicians: a strategy for enhancing patient safety?. Journal of patient safety, 10(3), pp. 159-167. Check for full text availability. HEIDEVELD- CHEVALKING, A.J., et al 2014. The impact of a standardized incident reporting system in the perioperative setting: a single center experience on 2, 563 'near-misses' and adverse events. Patient Safety in Surgery, 8(46). Check for full text availability. KEERS, R.N., et al, 6084. Prevalence, nature and predictors of prescribing errors in mental health hospitals: A prospective multicentre study. BMJ Open, 4 (9) , 2014, pp. date of Publication: 2014. Check for full availability. LANG, S., et al, 2014. Immunisation errors reported to a vaccine advice service: intelligence to improve practice. Quality in Primary Care, 22(3), pp. 139-146. Check for full text availability. MACKINTOSH, N., et al, 2014. The habitus of ‘rescue’ and its significance for implementation of rapid response systems in acute health care. Social science & medicine, 120, pp. 233-242. Check for full text availability. OZIERANSKI, P., et al, 2014. Running a hospital patient safety campaign: a qualitative study. J of Health Org and Mgt, 28(4), pp. 562-575. Check for full text availability. RENAUD, K., 2014. Clinical and information governance proposes; human fallibility disposes. Clinical Governance: An Intl J, 19(2), pp. 94-109. Check for full text availability. SILVESTER, K., et al, 2014. Does process flow make a difference to mortality and cost? An observational study. International J Health Care QA, 27(7), pp. 616-632. Check for full text availability. TARRANT, S., M., et al, 2014. Preventable mortality in geriatric hip fracture inpatients. Bone & Joint Journal, 96-B(9), pp. 1178-1184. Check for full text availability. WOLF, A., et al, 2014. Prospective multicentre randomised, double-blind, equivalence study comparing clonidine and midazolam as intravenous sedative agents in critically ill children: the SLEEPS (Safety profile, Efficacy and Equivalence in Paediatric intensive care Sedation) study. Health technology assessment, 18(71), pp. 1-242. Check for full text availability. Quality Assessment and Improvement BANKS, P., et al, 2014. Enriching the care of patients with dementia in acute settings? The Dementia Champions Programme in Scotland. Dementia (14713012), 13(6), pp. 717-736. Check for full text availability. 7 DUERDEN, M., 2014. Avoid common prescribing mistakes. Pulse, Nov 2014, pp. 120123. Check for full text availability. ELLIOTT, R. and MCKINLEY, S., 2014. The development of a clinical practice guideline to improve sleep in intensive care patients: A solution focused approach. Intensive & Critical Care Nursing, 30(5), pp. 246-256. Check for full text availability. GILLAM, S. and SIRIWARDENA, A., N., 2014. Evidence-based healthcare and quality improvement. Quality in Primary Care, 22(3), pp. 125-132. Check for full text availability. GOODMAN, B., 2014. Risk, rationality and learning for compassionate care; the link between management practices and the 'lifeworld' of nursing. Nurse education today, 34(9), pp. 1265-1268. Check for full text availability. HATHORN, C., et al, 2014. Impact of Adherence to Best Practice Guidelines on the Diagnostic and Assessment Services for Autism Spectrum Disorder. Journal of Autism & Developmental Disorders, 44(8), pp. 1859-1866. Check for full text availability. MATCHAM, F., et al, 2014. A pilot randomized controlled trial to increase smoking cessation by maintaining National Health Service Stop Smoking Service attendance. British Journal of Health Psychology, 19(4), pp. 795-809. Check for full text availability. SIRIWARDENA, A., N. and GILLAM, S., 2014. Individual practice and how to improve it. Quality in Primary Care, 22(3), pp. 133-138. Check for full text availability. Resource Effectiveness ABOHELAIKA, S., et al, 2014. Anticoagulation control and cost of monitoring of older patients on chronic warfarin therapy in three settings in North East England. Age & Ageing, 43(5), pp. 708-711. Check for full text availability. ARMSTRONG, N., et al, 2015. The use of fenestrated and branched endovascular aneurysm repair for juxtarenal and thoracoabdominal aneurysms: A systematic review and cost-effectiveness analysis. Health technology assessment, 18(70), pp. 1-65. Check for full text availability. BROWNING, P., 2014. The cost-effectiveness of wound dressings. British Journal of Healthcare Management, 20(10), pp. 462-466. Check for full text availability. BURN, D. and BEESON, E., 2014. Orthopaedic triage: cost effectiveness, diagnostic/surgical and management rates. Clinical Governance: An Intl J, 19(2), pp. 126-136. Check for full text availability. 8 CLAXTON, L., et al, 2014. Ranibizumab, Verteporfin Photodynamic Therapy or Observation for the Treatment of Myopic Choroidal Neovascularization: Cost Effectiveness in the UK. Drugs & aging,31(11), pp. 837-848. Check for full text availability. HENDERSON, C., et al, 2014. Cost-effectiveness of telecare for people with social care needs: the Whole Systems Demonstrator cluster randomised trial. Age & Ageing, 43(6), pp. 794-800. Check for full text availability. KILONZO, M., et al, 2014. Cost effectiveness of antimicrobial catheters for adults requiring short-term catheterisation in hospital. European urology, 66(4), pp. 615-618. Check for full text availability. MEJÍA, A., et al, 2014. Cost-effectiveness of a nurse facilitated, cognitive behavioural self-management programme compared with usual care using a CBT manual alone for patients with heart failure: secondary analysis of data from the SEMAPHFOR trial. International journal of nursing studies, 51(9), pp. 1214-1220. Check for full text availability. UTTLEY, L. and TAPPENDEN, P., 2014. Dry powder inhalers in cystic fibrosis: same old drugs but different benefits? Current opinion in pulmonary medicine, 20(6), pp. 607612. Check for full text availability. Service Design, Evaluation and Improvement BODY, R., et al, 2014. The Manchester Acute Coronary Syndromes (MACS) decision rule for suspected cardiac chest pain: derivation and external validation. Heart, 100(18), pp. 1462-1468. Check for full text availability. BROWN, D. and HILSON, N., 2014. What to do to prepare for a CQC inspection. Practice Nursing, 25(8), pp. 401-403. Check for full text availability. HURST, K. and DEIRDRE, K.P., 2014. Health and social care workforce planning and development – an overview. International J Health Care QA, 27(7), pp. 562-572. Check for full text availability. MCGLYNN, B., et al, 2014. A service evaluation describing a nurse-led prostate cancer service in NHS, Ayrshire and Arran. International Journal of Urological Nursing, 8(3), pp. 166-180. Check for full text availability. MURCOTT, W., J., 2014. Transitions between child and adult mental health services: service design, philosophy and meaning at uncertain times. Journal of Psychiatric & Mental Health Nursing, 21(7), pp. 628-634. Check for full text availability. PEARCE, L., 2014. Avoidable asthma deaths: national audit results. Nursing times, 110(32-33), pp. 22-24. Check for full text availability. 9 Staff Roles, Skills and Effectiveness ALSULAMI, Z., et al, 2014. Nurses’ knowledge about the double-checking process for medicines administration. Nursing Children & Young People, 26(9), pp. 21-26. Check for full text availability. ATSALOS, C., et al, 2014. How clinical nurse and midwifery consultants optimise patient care in a tertiary referral hospital. Journal of Clinical Nursing, 23(19), pp. 28742885. Check for full text availability. BOWEN, A., et al, 2014. Nurse led discharge: improving efficiency, safely. Clinical Governance: An Intl J, 19(2), pp. 110-116. Check for full text availability. DEWAR, B. and COOK, F., 2014. Developing compassion through a relationship centred appreciative leadership programme. Nurse education today, 34(9), pp. 12581264. Check for full text availability. IKENWILO, D. and SKATUN, D., 2014. Perceived need and barriers to continuing professional development among doctors. Health Policy, 117(2), pp. 195-202. Check for full text availability. MCGUIRE, C. and RAY, D., 2014. Developing leadership roles in nursing and midwifery. Nursing Standard, 29(9), pp. 43-49. Check for full text availability. TUME, L., N., et al, 2014. Paediatric intensive care nurses' and doctors' perceptions on nurse-led protocol-directed ventilation weaning and extubation. Nursing in critical care, 19(6), pp. 292-303. Check for full text availability. Recent Publications Caring for people in the last days and hours of life Scottish Government 19.12.2014 http://www.scotland.gov.uk/Publications/2014/12/6639/0 Exploring the cost of care at end of life Nuffield Trust September 2014 http://www.nuffieldtrust.org.uk/sites/files/nuffield/publication/end_of_life_care.pdf?utm_mediu m=email&utm_source=The+King%27s+Fund+newsletters&utm_campaign=4747959_HMP+ 2014-09-30&dm_i=21A8,2TRJR,HSGCIC,AARIG,1 Improving Healthcare Together: Clinical Engagement Strategy 2014-2017 Health Improvement Scotland 16.01.2015 http://www.healthcareimprovementscotland.org/our_work/clinical_engagement/clinical_enga gement_resources/clinical_engagement_strategy.aspx 10 Learning from adverse events: Learning and improvement summary Health Improvement Scotland 06.11.14 http://www.healthcareimprovementscotland.org/our_work/governance_and_assurance/adver se_events_reviews/learning_report_2014.aspx Scottish Inpatient Patient Experience Survey 2014 Volume 1: National Results Scottish Government 26.08.2014 http://www.scotland.gov.uk/Resource/0045/00458531.pdf Scottish Radiotherapy Patient Experience Survey 2014: National Results: Volume 1 Scottish Government 25.11.14 http://www.scotland.gov.uk/Resource/0046/00464161.pdf The Quality Principles: Standard Expectations of Care and Support in Drug and Alcohol Services Scottish Government 21.08.2014 http://www.scotland.gov.uk/Publications/2014/08/1726 Please note that the journal articles you are accessing are subject to the terms and conditions imposed by the publisher, so there will be a limit on the number of articles an individual may download or print from a single issue of a journal. You can consult your local NHSGGC library with any queries. If you have any questions regarding this or any other library services please contact Library staff – contact details are at the beginning of the bulletin. Sources checked for this bulletin: Databases: Medline, Medline In-Process, Embase, CINAHL, Health Business Full Text Elite, Emerald, The Cochrane Library, Health Management Information Consortium, Health Management Library Journals: Clinical Governance: an International Journal, Journal of Health Services Research and Policy, Joint Commission Journal on Quality and Patient Safety, Journal of 11 Patient Safety, Journal of Health Organization and Management, Patient Safety in Surgery, International Journal of Health Care Quality Assurance, International Journal for Quality in Health Care, Quality in Primary Care, Clinical Risk Newsletters: Health Management and Policy Alert (produced by The King’s Fund) Websites: Scotland’s Health on the Web (SHOW), Healthcare Improvement Scotland 12