958 Pre-operative Pregnancy Testing in Paediatric Patients

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
S Ashraf ◽  
M Bogden
Keyword(s):  
Patient Safety ◽  
Surgical Procedures ◽  
Current Practice ◽  
Sexually Active ◽  
Staff Education ◽  
Pregnancy Testing ◽  
Improve Compliance ◽  
Safety Precaution ◽  
One Year ◽  
The Uk

Abstract Introduction NICE emphasises the importance of pregnancy testing before surgical procedures as a patient safety precaution, especially in 13-16-year-olds. This is because, in the UK, a third of females will have been sexually active by the age of 16, meanwhile, in England there are 67,000 operations involving females aged 12-15 annually. Method Guidance from NICE and RCPCH was used to create standards to compare against current practice. Surgical admissions involving females aged 13-16 were retrospectively analysed over a one-year period and compared to these standards. Changes, including creation of a protocol, revision of the clerking proforma and staff education, were implemented to improve compliance and patient data was re-audited following this. Results Initially, 27% of patients did not have pregnancy testing before their procedure and consent for pregnancy testing was not documented. However, when pregnancy tests were performed, the result was documented 100% of the time. After implementing changes, 100% of patients had pregnancy testing before their procedure and documentation of consent had improved. Conclusions Initial practice showed poor compliance with NICE and RCPCH standards. Changes implemented have shown increased compliance to NICE and RCPCH standards and these changes could be used as a model to improve clinical compliance in further areas.

Intact cord stabilisation and delivery room strategies: current practice in the UK

2020 ◽  
pp. fetalneonatal-2020-321153
Author(s):  
Anne Elizabeth Bean ◽  
Laura Myers ◽  
Catherine Smith ◽  
Tamanna Williams
Keyword(s):  
Current Practice ◽  
Delivery Room ◽  
The Uk

scholarly journals Equity release mortgages (ERM)

2019 ◽  
Vol 24 ◽  
Keyword(s):  
Current Practice ◽  
The Uk

Abstract This abstract relates to the following interim paper: Kenny, T., Golding, C., Craske, G., Dobinson, A., Gunter, S., Griffiths, O., Hayes, N., Mockridge, A., Robertson, S., Saundh, R. and Thorpe, J., Actuarial management of equity release mortgages: current practice and issues in the actuarial management of ERMs in the UK. This paper is available on the Institute and Faculty of Actuaries (IFoA) website at https://ifoa-www.s3.eu-west-2.amazonaws.com/live/s3fs-public/Sessional%20Paper_0.pdf. The final paper will be published in due course.

Neonatal post-haemorrhagic hydrocephalus in the UK: a survey of current practice

2016 ◽  
Vol 31 (3) ◽  
pp. 307-311
Author(s):  
Naveen Kumar ◽  
Wisam Al-Faiadh ◽  
Jignesh Tailor ◽  
Conor Mallucci ◽  
Chris Chandler ◽  
...  
Keyword(s):  
Current Practice ◽  
The Uk

Abstract P144: Successful Regional Implementation of a Large Vessel Occlusion Screening Tool: An Interdisciplinary Process Improvement Project

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Amanda Werner ◽  
Brian L Kaiser
Keyword(s):  
Screening Tool ◽  
Retrospective Chart Review ◽  
Interdisciplinary Team ◽  
Essential Elements ◽  
Successful Implementation ◽  
Staff Education ◽  
Vessel Occlusion ◽  
Improvement Project ◽  
Adoption And Implementation ◽  
One Year

Introduction: Recommendations have recently been updated to support use of an LVO screening tool to assist in the identification and routing of eligible patients to endovascular stroke centers. Despite the recommendations for the use of an LVO screening tool, the general adoption and implementation is incomplete amongst many stroke systems nationwide. Methods: An interdisciplinary team selected the Vision, Aphasia, Neglect (VAN) tool for use amongst a series of Primary Stroke Centers and freestanding emergency departments. Educational plans surrounding the tool were developed and disseminated to prehospital EMS crews, Emergency Department nurses, and specialty transport crews. Staff education was bolstered utilizing existing EMR-based tools and the development of quick access materials for all personnel. Over a 12-month period, a combination of real time feedback and retrospective chart review were performed to ensure staff compliance and accuracy of LVO evaluations. Results: A total of 687 stroke alert patient were reviewed over a 12-month period—339 were triage arrivals and 348 were EMS arrivals. Initial compliance was low across both EMS and nursing, with only 23% of patients being screened for LVO status during the initial 6 months of implementation but increased to 66% compliance over the last 6 months. Sensitivity of VAN assessments increased from 88% to 93% and specificity increased from 80% to 86% over the same one-year period. Conclusions: Successful implementation of an LVO screening tool requires an interdisciplinary team to adopt a tool that is both user-friendly and validated for detection of LVO. Initial staff education and continuous feedback are essential elements to ensure the overall compliance and accuracy of assessments. Ongoing efforts are underway with a one-year goal of 80% compliance of screening while maintaining a high-level of accuracy. Additional staff education directed at the most common reason for a false positive screening, mistaking dysarthria for aphasia.

scholarly journals Implications of Brexit on the effectiveness of the UK soft drinks industry levy upon CHD in England: a modelling study

2018 ◽  
Vol 21 (18) ◽  
pp. 3431-3439
Author(s):  
Paraskevi Seferidi ◽  
Anthony A Laverty ◽  
Jonathan Pearson-Stuttard ◽  
Maria Guzman-Castillo ◽  
Brendan Collins ◽  
...  
Keyword(s):  
Food Policy ◽  
Uncertainty Interval ◽  
Sugar Price ◽  
Policy Model ◽  
Sweetened Beverages ◽  
Life Years ◽  
Economic Circumstance ◽  
One Year ◽  
The Uk ◽  
The Eu

AbstractObjectiveAn industry levy on sugar-sweetened beverages (SSB) was implemented in the UK in 2018. One year later, Brexit is likely to change the UK trade regime with potential implications for sugar price. We modelled the effect of potential changes in sugar price due to Brexit on SSB levy impacts upon CHD mortality and inequalities.DesignWe modelled a baseline SSB levy scenario; an SSB levy under ‘soft’ Brexit, where the UK establishes a free trading agreement with the EU; and an SSB levy under ‘hard’ Brexit, in which World Trade Organization tariffs are applied. We used the previously validated IMPACT Food Policy model and probabilistic sensitivity analysis to estimate the effect of each scenario on CHD deaths prevented or postponed and life-years gained, stratified by age, sex and socio-economic circumstance, in 2021.SettingEngland.SubjectsAdults aged 25 years or older.ResultsThe SSB levy was associated with approximately 370 (95 % uncertainty interval 220, 560) fewer CHD deaths and 4490 (2690, 6710) life-years gained in 2021. Associated reductions in CHD mortality were 4 and 8 % greater under ‘soft’ and ‘hard’ Brexit scenarios, respectively. The SSB levy was associated with approximately 110 (50, 190) fewer CHD deaths in the most deprived quintile compared with 60 (20, 100) in the most affluent, under ‘hard’ Brexit.ConclusionsOur study found the SSB levy resilient to potential effects of Brexit upon sugar price. Even under ‘hard’ Brexit, the SSB levy would yield benefits for CHD mortality and inequalities. Brexit negotiations should deliver a fiscal and regulatory environment which promotes population health.

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