The governance of overseas surgical collaborations – BFIRST/BSSH
Clinical governance is the structured approach to maintaining and improving the quality of patient care and is a vital part of global surgery. BFIRST and BSSH closely collaborate with local doctors on a number of overseas projects, seeking to strengthen and develop local knowledge and skills, aiming for an independent local practice in reconstructive and upper limb surgery.Thoughts on essential requirements, improvements and pitfalls in the ethical approach to global collaboratives are presented. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 19, 2020 Category: Cosmetic Surgery Authors: B. Jemec, W. Lam, S.P. Hodgson, J.W.M. Jones, R. Eckersley, N. Nyamulani, M. Riaz, M. Fell, R. Nicholas, R. Bhopal, Kapila Mendis, M.R. Karim Khan, B. Sommerlad Tags: Editorial Source Type: research

The Governance of Overseas Surgical Collaborations - BFIRST/BSSH
Clinical governance is the structured approach to maintaining and improving the quality of patient care and is a vital part of global surgery. BFIRST and BSSH closely collaborate with local doctors on a number of overseas projects, seeking to strengthen and develop local knowledge and skills, aiming for an independent local practice in reconstructive and upper limb surgery.Thoughts on essential requirements, improvements and pitfalls in the ethical approach to global collaboratives are presented. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 18, 2020 Category: Cosmetic Surgery Authors: B. Jemec, W. Leon, S.P. Hodgson, J.W.M. Jones, R. Eckersley, N. Nyamulani, M. Riaz, M. Fell, R. Nicholas, R. Bhopal, M.R. Karim Khan, B. Sommerlad Source Type: research

Recent innovations and new applications of outpatient parenteral antimicrobial therapy.
Authors: Farmer ECW, Seaton RA Abstract INTRODUCTION: Outpatient parenteral antimicrobial therapy (OPAT) is safe and effective for selected patients managed within an organised clinical service. Service configurations however are evolving, patient populations are changing and new evidence is emerging which challenges traditional OPAT practice. AREAS COVERED: This review will discuss evolving OPAT service delivery from the traditional model of infusion centre towards non-specialist, community and remotely delivered OPAT and the challenges this represents. We consider new patient populations includin...
Source: Expert Review of Anti-Infective Therapy - August 18, 2020 Category: Infectious Diseases Tags: Expert Rev Anti Infect Ther Source Type: research

Clinical reporting of radiographs by radiographers: Policy and practice guidance for regional imaging networks
Radiographer reporting is an essential component of imaging across the United Kingdom. Since the previous policy and practice guidance in 2004 the role and contribution of reporting radiographers has changed significantly. The move to imaging networks further reinforces the need for consistency in scope of practice and clinical governance for radiographer reporting. (Source: Radiography)
Source: Radiography - August 15, 2020 Category: Radiology Authors: N. Woznitza, R. Steele, H. Groombridge, E. Compton, S. Gower, A. Hussain, H. Norman, A. O'Brien, K. Robertson Tags: Narrative Review Source Type: research

Identifying leadership for clinical governance in rural and remote primary health care services.
PMID: 32715528 [PubMed - as supplied by publisher] (Source: The Australian Journal of Rural Health)
Source: The Australian Journal of Rural Health - July 25, 2020 Category: Rural Health Authors: Kwedza RK, Zwar N, Johnson JK, Larkins S Tags: Aust J Rural Health Source Type: research

Monitoring and performance indicators in family health units and the objectives of Sustainable Development Goals (SDG 3) in health: a comparative analysis in Portugal in the 2013-2018 period
Resumo É considerável a escala da transformação necessária para alcançar todos os Objetivos de Desenvolvimento Sustentável (ODS). O terceiro ODS (ODS3), explicitamente, está relacionado com a saúde, visando assegurar vidas saudáveis e bem-estar para todos, em todas as idades. Os Cuidados de Saúd e Primários (CSP), neste contexto, constituem a espinha dorsal de um sistema de saúde que pode melhorar a saúde das pessoas, reduzir a despesa e diminuir as desigualdades. Uma forte orientação do sistema para os CSP deve ser temporalmente estável, desde a sua reformulação. Esta análise util iza o estudo de caso ...
Source: Ciencia e Saude Coletiva - April 6, 2020 Category: Occupational Health Source Type: research

Professional development and research are being neglected: a commentary on the 2019 RCR radiologists' supporting professional activities (SPA) survey
When the National Health Service (NHS) acquired a statutory duty of care for quality in 1998, clinical governance became a mandatory and intrinsic part of modern medicine. Defined as “a framework through which NHS organisations are accountable for continuously improving the quality of their services and safe-guarding high standards of care by creating an environment in which excellence in clinical care will flourish”,1 the vehicle for NHS consultants to enact clinical govern ance was supporting professional activity (SPA). (Source: Clinical Radiology)
Source: Clinical Radiology - March 19, 2020 Category: Radiology Authors: O.J. Arthurs, V. Goh, RCR Academic Committee Tags: Commentary Source Type: research

Impact of transition to an individualised funding model on allied health support of participation opportunities.
Abstract Introduction: The National Disability Insurance Scheme is the new consumer-controlled funding system for people with disability in Australia, and is expected to enhance participation outcomes of people with disability. This research explored participation opportunities for people with disability during the formative period of transition to the scheme, through stakeholder accounts of changes in allied health service contexts.Materials and methods: Qualitative data were generated during interviews, workshops and meetings with industry, policy, practice and education stakeholders involved in scheme s...
Source: Disability and Rehabilitation - February 16, 2020 Category: Rehabilitation Authors: Foley K, Attrill S, McAllister S, Brebner C Tags: Disabil Rehabil Source Type: research

Maximising the value of clinical registry information through integration with a health service clinical governance framework: a case study.
Abstract This initiative sought to identify unit participation in clinical registries within a large metropolitan health service and to develop approaches to integration of registry reporting within the organisational clinical governance framework to maximise potential quality improvement benefits. The initiative, led by the Medical Services Department at Alfred Health, initially involved identifying health service participation in clinical registries via a range of mechanisms, including one-on-one meetings with clinical registry investigators. In conjunction with the Clinical Governance Unit, tools to sum...
Source: Australian Health Review - February 10, 2020 Category: Hospital Management Authors: Ahern S, Feiler R, Sdrinis S Tags: Aust Health Rev Source Type: research

IJERPH, Vol. 16, Pages 4299: Ten-Year Follow-Up of Clinical Governance Implementation in Primary Care: Improving Screening, Diagnosis and Control of Cardiovascular Risk Factors
enti Maria Rosa Dalmau Llorca Current improvement strategies for the control of cardiovascular risk factors (CRFs) in Europe are based on quality management policies. With the aim of understanding the effect of interventions delivered by primary healthcare systems, we evaluated the impact of clinical governance on cardiovascular health after ten years of implementation in Catalonia. A cohort study that included 1878 patients was conducted in 19 primary care centres (PCCs). Audits that comprised 13 cardiovascular health indicators were performed and general practitioners received periodic (annual, biannual or monthly)...
Source: International Journal of Environmental Research and Public Health - November 4, 2019 Category: Environmental Health Authors: Carina Aguilar Mart ín Alessandra Queiroga Gon çalves Carlos L ópez-Pablo Jos é Fernández-Sáez Emma Forcadell Drago Zojaina Hern ández Rojas Josep Maria Pepi ó Vilaubí Dolores Rodr íguez Cumplido Josep Lluis Pi ñol Jordi Blad é-Creixenti Maria Tags: Article Source Type: research

Clinical governance for ostomates at risk of peristomal skin complications.
Abstract This clinical study focuses on peristomal skin complications (PSCs). For many patients, the causative factor behind peristomal moisture-associated skin damage was contact dermatitis caused by effluent leakage, resulting in sore and excoriated skin. PSCs are costly to the patient in relation to pain, time and worry and also impact nursing activity levels and healthcare costs. The study identifies the number of patients presenting with PSC, the causative factors and their resolution using medical grade Manuka honey flanges. PMID: 31518526 [PubMed - in process] (Source: British Journal of Nursing)
Source: British Journal of Nursing - September 11, 2019 Category: Nursing Authors: White P, Evans M Tags: Br J Nurs Source Type: research

Clinical Governance Should Be a Priority When Care Delivery Systems Are Disrupted.
PMID: 31453729 [PubMed - in process] (Source: Archives of Pathology and Laboratory Medicine)
Source: Archives of Pathology and Laboratory Medicine - August 30, 2019 Category: Laboratory Medicine Authors: Birindelli S, Panteghini M Tags: Arch Pathol Lab Med Source Type: research

Parkinson's disease in the Western Pacific Region
Publication date: Available online 4 June 2019Source: The Lancet NeurologyAuthor(s): Shen-Yang Lim, Ai Huey Tan, Azlina Ahmad-Annuar, Christine Klein, Louis C S Tan, Raymond L Rosales, Roongroj Bhidayasiri, Yih-Ru Wu, Hui-Fang Shang, Andrew H Evans, Pramod K Pal, Nobutaka Hattori, Chong Tin Tan, Beomseok Jeon, Eng-King Tan, Anthony E LangSummary1·8 billion people of diverse ethnicities and cultures live in the Western Pacific Region. The increasing longevity of populations in this region is a major contributor to the exponential increase in Parkinson's disease prevalence worldwide. Differences exist between Parkinson's di...
Source: The Lancet Neurology - June 5, 2019 Category: Neurology Source Type: research

Resuscitative Thoracotomy for Traumatic Cardiac Arrest: Clinical Evidence and Clinical Governance
Since publication in 2011 of work carried out by the London HEMS team,1 resuscitative thoracotomy for traumatic cardiac arrest has established itself as an accepted part of pre-hospital care, to the extent that it is now included in national and international resuscitation guidelines.2 Training courses on how to carry out the procedure are run by the Royal College of Surgeons. (Source: Resuscitation)
Source: Resuscitation - April 19, 2019 Category: Emergency Medicine Authors: Nicholas Tabiner Tags: Letter to the Editor Source Type: research

Outpatient Parenteral Antimicrobial Therapy in Children
AbstractPurpose of ReviewOver recent years, there has been a marked increase in the number of centres delivering paediatric outpatient parenteral antimicrobial therapy (pOPAT). Various factors have fuelled this drive, including the significant economic pressures faced by high-income countries to contain the cost of healthcare, resulting in a significant reduction of in-patient beds over the past 20  years. It is essential that pOPAT services have formal clinical governance structures in place to ensure the safe and effective management of children being ambulated on intravenous antibiotics. They also require oversight of ...
Source: Current Infectious Disease Reports - April 15, 2019 Category: Infectious Diseases Source Type: research