Thursday 31 March 2016

Researching effective approaches to cleaning in hospitals

"The study uses the integrated Promoting Action on Research Implementation in Health Services (iPARIHS) framework to support the tailored implementation of the environmental cleaning bundle in each hospital."

Researching effective approaches to cleaning in hospitals: protocol of the REACH study, a multi-site stepped-wedge randomised trial
L Hall, et al.
Implementation Science, 2016, 11:44

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Achieving change in primary care—causes of the evidence to practice gap

"This comprehensive review of reviews summarises current knowledge on the barriers and facilitators to implementation of diverse complex interventions in primary care."

Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews
R Lau, et al.
Implementation Science, 016, 11:40

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Discharge planning: Best practice in transitions of care

"The report seeks to provide key recommendations that contribute to an improved discharge experience for patients, carers and their families, and identifies examples of effective discharge planning."

Discharge planning: Best practice in transitions of care
The Queen's Nursing Institute
2016

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Patient care: A unified approach: A case study report

"This report highlights case studies that exemplify how integration between GPs and physicians can be achieved. The case studies span a wide range of services in England and Wales, and cover a variety of learning points involving different specialties, different population groups and different ways of addressing complex issues. This report has been compiled to share learning from successful examples of integration, and to encourage GPs and physicians to reflect on their own practice."

Patient care: A unified approach: A case study report
Royal College of Physicians, Royal College of General Practitioners
March 2016

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Enhancing evidence informed policymaking in complex health systems

"In developing and supporting evidence-to-policy interventions, due consideration should be given to fit-for-purpose approaches, as different needs in policymaking cycles require adapted processes and knowledge. Greater consideration should be provided to approaches embedding the use of research in real-world policymaking, better suited to the complex adaptive nature of health systems."

Enhancing evidence informed policymaking in complex health systems: lessons from multi-site collaborative approaches
EV Langlois, V Becerril Monteklo, T Young, K Song,  Alcalde-Rabanal, N Tran
Health Research Policy and Systems, 2016, 14:20

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Opportunity costs and local health service spending decisions

"All health care systems face the need to find the resources to meet new demands such as a new, cost-increasing health technology."

Opportunity costs and local health service spending decisions: A qualitative study from Wales
S Karlsberg Schaffer, J Sussex, D Hughes, N Devlin
BMC Health Searches Research, 2016

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Bringing together physical and mental health: A new frontier for integrated care

"The report identifies 10 areas where there is particular scope for improvement. These span the full range of health system activities, illustrating that change is needed across the system. Commissioners and providers can use these 10 areas as a guide to identify where some of the most significant opportunities for quality improvement and cost control lie."

Bringing together physical and mental health: A new frontier for integrated care
C Naylor, P Das, S Ross, M Honeyman, J Thompson, H Gilburt
The King's Fund
March 2016

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Six ways in which NHS financial pressures can affect patient care

"In The King’s Fund report Thinking about rationing, Rudolf Klein and Jo Maybin describe a useful framework for understanding the different ways in which access to high-quality care can be limited by commissioners and providers, building on earlier work by Roy Parker. Their typology outlines six ways in which patients can be affected by financial pressures and provides a useful means of examining what is happening in local health systems."

Six ways in which NHS financial pressures can affect patient care
R Robertson
The King's Fund
March 2016

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Patterns of maternity care in English NHS trusts 2013/14

"This is the second report that the RCOG has published describing patterns of maternity care practice and outcomes within the English NHS using data routinely collected by NHS hospitals. The first report presented a set of clinically relevant and technically robust indicators, developed by a panel of clinical and methodological experts. It revealed that NHS maternity units in England were achieving similar outcomes but that there were large degrees of variation in some areas of practice. This second edition revises and extends the suite of indicators, thereby aiming to improve the quality of information available to NHS maternity services to use for performance assessment and quality improvement."

Patterns of maternity care in English NHS trusts 2013/14
London School of Hygiene & Tropical Medicine, Royal College of Obstetricians & Gynaecologists
March 2016

Read more here.

Friday 18 March 2016

Integrated knowledge translation (IKT) in health care

"Conclusions: The IKT strategies that achieve beneficial outcomes remain unknown. We generated a summary of IKT approaches, enablers, barriers, conditions, and outcomes that can serve as the basis for a future review or for planning ongoing primary research. Future research can contribute to three identified knowledge gaps by examining (1) how different IKT strategies influence outcomes, (2) the relationship between the logic or theory underlying IKT interventions and beneficial outcomes, and (3) when and how decision-makers should be involved in the research process. Future IKT initiatives should more systematically plan and document their design and implementation, and evaluations should report the findings with sufficient detail to reveal how IKT was associated with outcomes."

Integrated knowledge translation (IKT) in health care: a scoping review
AR Gagliardi, W Berta, A Kothari, J Boyko, R Urquhart
Implementation Science, 2016, 11:38

Read more here.

Improving the quality and safety of patient care

"This brochure outlines some of the initiatives the UK is currently pursuing, and the organisations which are leading the way in standards of safety. The different sections also provide information on the partners who can best help you achieve your goal of safer, better healthcare."

Improving the quality and safety of patient care
Department of Health
March 2016

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The ongoing saga of randomised trials in quality improvement

"There is much debate within the improvement field about the value of RCTs in determining the effectiveness of improvement interventions."

To RCT or not to RCT? The ongoing saga of randomised trials in quality improvement
G Parry, M Power
BMJ Quality and Safety, 2016, 25:221-3

Read more here.