The UK Evidence-Based Guidelines for the Management of Thyroid Cancer: Key Recommendations

2006 ◽  
pp. 31-38
Author(s):  
Pat Kendall-Taylor
Keyword(s):  
Thyroid Cancer ◽  
Evidence Based ◽  
The Uk ◽  
Evidence Based Guidelines

scholarly journals Peripheral Intravenous Cannula Usage in the Emergency Department

2020 ◽  
Vol 16 (3) ◽  
Author(s):  
Adam K Stanley ◽  
Ashton Barnett-Vanes ◽  
Matthew J Reed
Keyword(s):  
Risk Factors ◽  
Emergency Department ◽  
Regional Variation ◽  
Evidence Based ◽  
Failure Rates ◽  
Intravenous Cannula ◽  
Hospitalised Patients ◽  
The Uk ◽  
Evidence Based Guidelines

Over a billion Peripheral Intra-Venous Cannulas (PIVC) are used globally every year with at least 25 million sold annually in the UK.1,2 The NHS spends an estimated £29m of its annual acute sector budget on PIVC procurement3 and around 70% of all hospitalised patients require at least one PIVC during their stay.4 Despite their extensive and routine use, PIVC failure rates are reported as high as 50-69%.5-7 In addition, many PIVCs remain unused following insertion, particularly in the Emergency Department (ED).8,9 The risk factors for PIVC failure are not well understood and the literature has found extensive regional variation in practice when it comes to PIVC insertion and management.1,7,10 While various technologies have been developed to address these issues, there remains a need for standardised, evidence-based guidelines.

scholarly journals Are Evidence-Based Guidelines Reflected in Clinical Practice? An Analysis of Prospectively Collected Data of the Italian Thyroid Cancer Observatory

Thyroid ◽  
2017 ◽  
Vol 27 (12) ◽  
pp. 1490-1497 ◽  
Author(s):  
Livia Lamartina ◽  
Cosimo Durante ◽  
Giuseppe Lucisano ◽  
Giorgio Grani ◽  
Rocco Bellantone ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Clinical Practice ◽  
Evidence Based ◽  
Evidence Based Guidelines

scholarly journals Indications for Tonsillectomy: Are We Documenting Them?

2009 ◽  
Vol 91 (8) ◽  
pp. 697-699 ◽  
Author(s):  
Alex Toh ◽  
Annemarie Mullin ◽  
Joe Grainger ◽  
Harpreet Uppal
Keyword(s):  
Low Cost ◽  
University Hospital ◽  
Evidence Based ◽  
Scottish Intercollegiate Guideline Network ◽  
Prospective Audit ◽  
Recurrent Tonsillitis ◽  
Number Of Children ◽  
Time Periods ◽  
The Uk ◽  
Evidence Based Guidelines

INTRODUCTION Tonsillectomy is one of the most frequently performed operations in the UK. Documentation of the indications for tonsillectomy is vital, and should fulfil evidence-based guidelines where possible. We present a completed audit, evaluating the documentation of our department's practice in meeting the recommendations made by the Scottish Intercollegiate Guideline Network (SIGN) on indications for tonsillectomy. PATIENTS AND METHODS A prospective audit of 100 children undergoing tonsillectomy for recurrent tonsillitis at a university hospital during two time periods: October 2007 to January 2008 and March to September 2008. Interventions including the production of posters and rubber stamps were agreed and implemented between the two audit periods. RESULTS Following the implementation of simple changes, significant improvements were seen in documentation relating to the SIGN guidelines for tonsillectomy. Overall, the number of children meeting all four SIGN criteria for tonsillectomy rose from 12% to 44% (χ2 = 57.8; P < 0.001). Furthermore, a significant reduction was seen in the number of children below the age of 5 years undergoing tonsillectomy for recurrent tonsillitis (χ2 = 14.66; P < 0.001). CONCLUSIONS With increasing scrutiny on tonsillectomy, it is important to ensure that the reasons for performing tonsillectomy are documented clearly and adhere to evidence-based guidance where possible. We have demonstrated that, with only simple and low-cost interventions, significant improvements in the documentation of tonsillectomy indications can be achieved.

Has the proportion of patients diagnosed with myocardial infarction that receives a 12 ECG in the prehospital setting in the UK changed over time?

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
T Quinn ◽  
A Watkins ◽  
C Hampton ◽  
M Halter ◽  
C Weston ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Heart Attack ◽  
Evidence Based ◽  
Funding Source ◽  
Average Increase ◽  
Patient Refusal ◽  
The Uk ◽  
Evidence Based Guidelines ◽  
Over Time ◽  
Heart Foundation

Abstract Background Two thirds of patients with Acute Myocardial Infarction (AMI) arrive at hospital in the UK by ambulance, usually staffed by paramedics who routinely carry out 12 lead ECGs for patients with suspected heart attack. However, recent research found that prehospital ECGs were missing for 40% of these patients, with better survival prospects in those who had received one. Purpose We are investigating reasons for non-administration of 12 lead ECG for patients diagnosed with AMI, in order to develop an intervention to improve practice. Firstly we explored whether the proportion of patients with AMI that receive a prehospital ECG has changed over time. Methods Interrogation of national UK national heart attack register (MINAP) database, extraction of data related to patients brought by ambulance by year. Results The cohort of patients diagnosed with AMI and taken to hospital by ambulance ranged from 32410 in 2005 to 60265 in 2017; the proportion with a prehospital ECG increased steadily across this period, from 51% to 78%, an average increase of 1.9% per annum. Conclusions Evidence based guidelines supporting the use of 12 lead ECG by ambulance paramedics may have contributed to improvements in care. However, 1 in 5 patients brought to hospital by ambulance still does not receive an ECG prior to arrival, which we know compromises their survival prospects. In order to optimise care we need to establish whether non-administration is a question of misdiagnosis, patient refusal or lack of availability of trained crews/equipment. Funding Acknowledgement Type of funding source: Foundation. Main funding source(s): British Heart Foundation

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