scholarly journals Correction to Fourth review of the UK national patient dose database. Br J Radiol 2012;85:e957–8

2013 ◽  
Vol 86 (1021) ◽  
pp. 20120341-20120341
Keyword(s):  
Patient Dose ◽  
National Patient ◽  
The Uk

scholarly journals Fourth review of the UK national patient dose database

2012 ◽  
Vol 85 (1018) ◽  
pp. e957-e958 ◽  
Author(s):  
D Hart ◽  
P C Shrimpton
Keyword(s):  
Patient Dose ◽  
National Patient ◽  
The Uk

The UK National Patient Dose Database: now and in the future

2003 ◽  
Vol 76 (906) ◽  
pp. 361-365 ◽  
Author(s):  
D Hart ◽  
B F Wall
Keyword(s):  
Patient Dose ◽  
The Future ◽  
National Patient ◽  
The Uk

Analysis and results from a UK national dose audit of paediatric CT examinations

2021 ◽  
Author(s):  
Mark Worrall ◽  
Mike Holubinka ◽  
Glafkos Havariyoun ◽  
Kirsten Hodgson ◽  
Sue Edyvean ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Patient Dose ◽  
Radiological Protection ◽  
Tube Current ◽  
National Patient ◽  
Ct Head ◽  
The Uk ◽  
First Time ◽  
Pro Forma ◽  
Selection Of

Objectives: To present the results following a UK national patient dose audit of paediatric CT examinations, to propose updated UK national diagnostic reference levels (DRLs) and to analyse current practice to see if any recommendations can be made to assist with optimisation. Methods: A UK national dose audit was undertaken in 2019 focussing on paediatric CT examinations of the head, chest, abdomen/pelvis and cervical spine using the methods proposed by the International Commission on Radiological Protection. The audit pro-forma contained mandatory fields, of which the post-examination dosimetry (CTDIvol and DLP) and the patient weight (for body examinations) were the most important. Results: Analysis of the data submitted indicates that it is appropriate to propose national DRLs for CT head examinations in the 0- < 1, 1- < 5, 5- < 10 and 10- < 15 year age ranges. This extends the number of age categories of national DRLs from those at present and revises the existing values downwards. For CT chest examinations, it is appropriate to propose national DRLs for the first time in the UK for the 5- < 15, 15- < 30, 30- < 50 and 50- < 80 kg weight ranges. There were insufficient data received to propose national DRLs for abdomen/pelvis or cervical spine examinations. Recommendations towards optimisation focus on the use of tube current (mA) modulation, iterative reconstruction and the selection of examination tube voltage (kVp). Conclusions: Updated UK national DRLs are proposed for paediatric CT examinations of the head and chest. Advances in knowledge: A national patient dose audit of paediatric CT examinations has led to the proposal of updated national DRLs.

scholarly journals Alcohol skin preparation causes surgical fires

2012 ◽  
Vol 94 (2) ◽  
pp. 87-89 ◽  
Author(s):  
B Rocos ◽  
LJ Donaldson
Keyword(s):  
Fire Risk ◽  
World Health ◽  
Training Curriculum ◽  
Skin Preparation ◽  
Us States ◽  
National Patient Safety Agency ◽  
The Us ◽  
National Patient ◽  
Health Organization ◽  
The Uk

INTRODUCTION Surgical fires are a rare but serious preventable safety risk in modern hospitals. Data from the US show that up to 650 surgical fires occur each year, with up to 5% causing death or serious harm. This study used the National Reporting and Learning Service (NRLS) database at the National Patient Safety Agency to explore whether spirit-based surgical skin preparation fluid contributes to the cause of surgical fires. METHODS The NRLS database was interrogated for all incidents of surgical fires reported between 1 March 2004 and 1 March 2011. Each report was scrutinised manually to discover the cause of the fire. RESULTS Thirteen surgical fires were reported during the study period. Of these, 11 were found to be directly related to spirit-based surgical skin preparation or preparation soaked swabs and drapes. CONCLUSIONS Despite manufacturer's instructions and warnings, surgical fires continue to occur. Guidance published in the UK and US states that spirit-based skin preparation solutions should continue to be used but sets out some precautions. It may be that fire risk should be included in pre-surgical World Health Organization checklists or in the surgical training curriculum. Surgical staff should be aware of the risk that spirit-based skin preparation fluids pose and should take action to minimise the chance of fire occurring.

Patient Dose Protocols and Trends in the UK

1995 ◽  
Vol 57 (1-4) ◽  
pp. 359-362 ◽  
Author(s):  
B.F. Wall ◽  
P.C. Shrimpton
Keyword(s):  
Patient Dose ◽  
The Uk

Patient Dose Protocols and Trends in the UK

1995 ◽  
Vol 57 (1-4) ◽  
pp. 359-362
Author(s):  
B.F. Wall ◽  
P.C. Shrimpton
Keyword(s):  
Patient Dose ◽  
The Uk

Variability in local pressures under digital tourniquets

2013 ◽  
Vol 39 (6) ◽  
pp. 637-641 ◽  
Author(s):  
S. D. Middleton ◽  
P. J. Jenkins ◽  
A. Y. Muir ◽  
R. E. Anakwe ◽  
J. E. McEachan
Keyword(s):  
Force Sensor ◽  
Pressure Effects ◽  
Application Time ◽  
Surgical Glove ◽  
Surgical Gloves ◽  
National Patient Safety Agency ◽  
National Patient ◽  
Safe Limits ◽  
Local Pressures ◽  
The Uk

The UK National Patient Safety Agency issued a rapid response report in 2009 following reports of complications related to digital tourniquet use and inadvertent retention. In their guidance, they recommend the use of CE marked digital tourniquets and advise against the use of surgical gloves. There are a number of different commercially available non-pneumatic digital tourniquets, but little clear data relating to their comparable physical properties, clinical efficacy or safety. The aim of this study was to investigate the variability of pressures exerted by non-pneumatic digital tourniquets. A Tekscan FlexiForce® force sensor was used to measure applied force and to calculate the surface pressures under: the Toe-niquet™; T-Ring™ and surgical glove ‘roll down’ tourniquets in finger models. The lowest mean pressures were produced by the larger glove sizes (size 8) (25 mmHg), while the highest pressures were produced by the Toe-niquet (1560 mmHg). There was a significant overall difference in pressures exerted under tourniquets when comparing tourniquet type ( p<0.001) and finger size ( p<0.001) with these techniques. It is difficult to anticipate and regulate pressures generated by non-pneumatic tourniquets. Safe limits for application time and surface pressures are difficult to define. Further work is required to model the pressure effects of commercially available digital tourniquets and to identify which are most effective but safe.

scholarly journals Importance of accessibility and opening hours to overall patient experience of general practice: analysis of repeated cross-sectional data from a national patient survey

2018 ◽  
Vol 68 (672) ◽  
pp. e469-e477 ◽  
Author(s):  
Thomas E Cowling ◽  
Azeem Majeed ◽  
Matthew J Harris
Keyword(s):  
General Practice ◽  
Patient Experience ◽  
Patient Survey ◽  
Cross Sectional ◽  
National Patient ◽  
General Practices ◽  
The Uk ◽  
Multilevel Linear Regression ◽  
Practice Patient

BackgroundThe UK government aims to improve the accessibility of general practices in England, particularly by extending opening hours in the evenings and at weekends. It is unclear how important these factors are to patients’ overall experiences of general practice.AimTo examine associations between overall experience of general practice and patient experience of making appointments and satisfaction with opening hours.Design and settingAnalysis of repeated cross-sectional data from the General Practice Patient Surveys conducted from 2011–2012 until 2013–2014. These covered 8289 general practice surgeries in England.MethodData from a national survey conducted three times over consecutive years were analysed. The outcome measure was overall experience, rated on a five-level interval scale. Associations were estimated as standardised regression coefficients, adjusted for responder characteristics and clustering within practices using multilevel linear regression.ResultsIn total, there were 2 912 535 responders from all practices in England (n = 8289). Experience of making appointments (β 0.24, 95% confidence interval [CI] = 0.24 to 0.25) and satisfaction with opening hours (β 0.15, 95% CI = 0.15 to 0.16) were modestly associated with overall experience. Overall experience was most strongly associated with GP interpersonal quality of care (β 0.34, 95% CI = 0.34 to 0.35) and receptionist helpfulness was positively associated with overall experience (β 0.16, 95% CI = 0.16 to 0.17). Other patient experience measures had minimal associations (β≤0.06). Models explained ≥90% of variation in overall experience between practices.ConclusionPatient experience of making appointments and satisfaction with opening hours were only modestly associated with overall experience. Policymakers in England should not assume that recent policies to improve access will result in large improvements in patients’ overall experience of general practice.

Management of patient dose in radiology in the UK

2011 ◽  
Vol 147 (3) ◽  
pp. 355-372 ◽  
Author(s):  
C. J. Martin
Keyword(s):  
Patient Dose ◽  
The Uk
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