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CONTENTS VOLUME 19 REGULARS
5 Comment 7 News
THE CLINICAL SERVICES JOURNAL
13 Cover Story: Point-of-care ultrasound for obstetric care
78 Products FEATURES 17 The road to recovery for the NHS
The NHS faces a slow road to recovery and the Government must manage expectations to retain public confidence, the NHS Confederation has warned. A new report outlines key recommendations to help healthcare services recover.
22 Revisiting enhanced recovery pathways
Enhanced recovery programmes improve surgery outcomes. Kate Woodhead RGN DMS discusses the key principles of enhanced recovery, current progress in adoption, how the principles are now evolving and what needs to be done to drive improvement.
27 Ensuring effective testing: five ways to ‘fail’ As the steam steriliser is a critical part of decontamination, verification of the machine’s ability to penetrate steam into a load is vital to ensure patient safety. Emma Barrett and Richard Bancroft offer some advice on deciding which steam penetration verification test is right for your facility.
33 Transforming radiology services Trusts are now turning to managed equipment services to overhaul ageing radiology services, increasing the reliability and efficiency of their radiology departments.
37 Next steps for improving CVD outcomes Cardiovascular diseases (CVDs) are the number one cause of death globally. So, how can the NHS do more to improve outcomes and tackle the risk factors?
43 Driving England’s fight to eliminate Hepatitis C Professor Steve Ryder, Chair of the Hepatitis C Coalition, is calling on all those involved in the patient pathway to help find the estimated 50% of people with chronic hepatitis C who are unaware of their status, as well as those who have been tested but remain untreated.
47 Changing clinical practice in VTE prevention
Dr. Indira Natarajan highlights the burden of VTE on stroke aftercare and offers an insight into a pilot study evaluating the use of neuromuscular electrostimulation on the Royal Stoke University Hospital’s stroke unit.
53 Basildon Trust cuts cardiac arrests by 75%
Basildon and Thurrock University Hospitals NHS Foundation Trust has reduced cardiac arrests by more than three quarters since it went live with an early warning system. The Trust is now redesigning clinical pathways to spot acute kidney injury (AKI) and sepsis.
65 Role of POC CRP during the pandemic
Being able to reduce unnecessary A&E and hospital admissions for vulnerable patients has never been more relevant in light of the COVID-19 pandemic. Point-of-care CRP haematology analysers, installed in locations across Cornwall, are helping to reduce trips to hospital or get people home sooner.
69 Balancing efficacy with material compatibility
As decontamination units and SSDs restart services in the post-COVID era, decontamination consultant, Trevor Garcia, looks at some of the issues impacting on the selection of detergents and disinfectants for use in washer-disinfectors (WDs).
74 Anaemia and thrombosis in COVID patients
The global healthcare community came together to discuss the latest findings from the Coronavirus pandemic – through Omnia Health Live. COVID-19’s effect on haemoglobin and oxygen carrying capacity, as well as coagulation and thrombosis management, were among the many areas of investigation.
ISSUE 7
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AUGUST 2020
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