Reduction of last minute cancellations in elective urology surgery
Aim: Last minute cancellations of elective surgery negatively impact both patient and hospital, leading to inefficient use of resources, reduced capacity and increased waiting lists. The aims were to determine the cancellation rate in urology, to analyse the reasons driving cancellations, and to implement targeted solutions. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: S. Sweetman, A. Sharkey Source Type: research
Reducing the incidence of acute kidney injury in elective total hip replacements
Aim: Acute kidney injury (AKI) is a leading cause of morbidity and mortality in surgical patients. This audit compares the incidence of AKI in patients undergoing elective total hip replacement (THR) at a district general hospital to nationwide averages and identifies strategies to reduce it. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: T. Moore Source Type: research
Management of traumatic rib fractures within a high volume district-general hospital
Aim: Optimal management of traumatic rib fractures is essential in reducing the incidence of secondary morbidity and mortality. Multiple rib fractures, if poorly managed can rapidly result in pneumonia and acute respiratory failure. Our aim was to audit surgical management of traumatic rib fractures according to recommendations given by the British Journal of Anaesthesia. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: S. Joshi, J. Rosales Lopez, N. Jeyavel, S. Hickin, A. Zeitlin, G. Girish Source Type: research
Quality improvement project: Improving fracture clinic efficiency
Aim: Utilising quality improvement PDSA cycles (Plan, Do, Study, Act) to identify areas of inefficiency within a fracture clinic service and implement sustainable, cost effect intervention to improve efficiency. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: C. Doherty, M. Wilson, A. Ketchin Source Type: research
The effect of handover location on trauma theatre start time- An estimated cost saving of £131,000 per year
Aim: The NHS was estimated to be in £2.45 billion deficit in 2015-16. Trauma theatre utilization and efficiency has never been so important as it is estimated to cost £15/minute. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: S. Nahas, A. Ali, C. Huber, V. Babu Source Type: research
Establishing a modern emergency general surgical service: Impact of dedicated daily emergency clinics and surgical assessment unit
Aim: This single-centre audit aimed to assess the impact of implementing dedicated emergency surgical services including a Surgical Assessment Unit (SAU) and Hospital Outpatient Treatment (HOT) clinics on emergency general surgery (EGS) admissions, operative procedures performed and follow-up post discharge. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: E. Tilling, E. Yeap, D. McCluskey, E. Yii, I. Setford, G. Cuthbertson, L. Arthur, S. Moug Source Type: research
Development of pan-speciality collaborative research networks: Idea generation
Aim: Trainee research collaborative networks have revolutionised the way clinical research is undertaken. The North East has three trainee collaboratives; CORNET (Trauma& Orthopaedics), INCARNNET (Intensive Care& Anaesthetics) and NoSTRA (General Surgery). These collaboratives have come together as a pan-specialty network to identify and develop important clinical research questions common to all three specialties. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: L. Brown, M. Jones, A. Madhavan, R. McLean, F. Shaban, M. Shaw, L. Swan, R. Morrison, A. Sims, D. Harji Source Type: research
Does our emergency department comply with the royal college of emergency medicine guidelines recommending a consultant review of patients over the age of seventy presenting with abdominal pain?
Aim: The elderly population is at a higher risk for a poor outcome when presenting to the emergency department with abdominal pain. This audit determined whether a consultant reviewed patients presenting with abdominal pain over the age of seventy as recommended by the emergency medicine guidelines. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: H. Burns, K. Thomson Source Type: research
Routine pus swabs during incision and drainage of abscesses: Are they worth it?
Aims: 41% of NHS providers are on track for 34% reduction in carbon footprint by 2020. Medical instruments contribute 13% towards NHS England ’s carbon footprint, with 75% from acute services. Cultures during incision and drainage are potential sources of unnecessary CO2 emissions. We aimed to evaluate whether cultures impact management and whether more selective approach could reduce cost/emissions without impacting care. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: B. Rybinski, E. Howie, J. John, M. Wijeyaratne, C. McNeill Source Type: research
Epidemiology of surgical site infections after gastrointestinal surgery in gaza strip & west bank, palestine: A multi-centre, prospective cohort study
Aim: To determine the epidemiology of SSI following gastrointestinal surgery in Palestine. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: O. Alser, H. Tahboub, I. Al-Slaibi, Y. Abuowda, M.R. Elshami, L. Albarqouni Source Type: research
The Gent-O ’Clock: Improving patient safety - gentamicin monitoring in an acute receiving surgical ward
Aim: Accurate prescribing and monitoring of gentamicin are important given its high profile side-effects including nephrotoxicity. Junior doctors are tasked with taking serum levels at multiple times during a shift, which may inadvertently get missed. Gent-O ’Clock encompasses four 1-hour windows to alert junior doctors for monitoring. Evaluate the accuracy of gentamicin monitoring within a single General Surgery ward during a receiving week before and after introduction of Gent-O’Clock. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: H. Curry, K. Robertson, S. McIntosh, M. Hasan, S. Othman Source Type: research
FALCON: Protocol for a pragmatic multicentre factorial randomised controlled trial testing measures to reduce surgical site infection in low and middle income countries
Aim: Overall surgical site infection (SSI) rates are almost double in low- and middle-income countries (LMICs) compared to high income countries. This trial will assess whether either 2% alcoholic chlorhexidine or triclosan-coated suture can reduce SSI in LMICs. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: GlobalSurg Collaborative Source Type: research
An audit cycle assessing the impact of adding a geriatrician to the surgical team - focusing on the impact on NELA performance and NCEPOD quality indicators
Aim: To assess the impact of a surgical liaison service, provided by a consultant geriatrician, on the quality of care provided to patients over the age of 70, who qualified for addition to the NELA website. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: S. Farook, N. Maguire, J. Hornsby, A. Deane Source Type: research
Quality improvement from theory to practice: A case of successful implementation of plan, do, study, act model in improving surgical acute clinic services
Aim: In an understaffed, under-resourced, overwhelmed NHS, quality improvement initiatives are essential. Quality models, such as the ‘Plan, Do, Study, Act’ (PDSA) model, have thus been widely implemented. This project aimed to improve our acute surgical clinic services by a clinician-led redesign of a service delivery system using the PDSA model. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: R. Majeed, R. Shirley Source Type: research
IMAGINE: Ileus management international
This study will profile gastrointestinal recovery after colorectal surgery. It will also assess the role of non-steroidal anti-inflammatory drugs (NSAIDs) in expediting the return of gastrointestinal function. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: EuroSurg Collaborative Source Type: research
