Contents
THE CLINICAL SERVICES JOURNAL
Volume 22 I Issue 2 I February 2023
Inside this issue 38 End of the line for disposable textiles?
5 Editor’s Comment The NHS crisis: the human cost behind the latest figures
6 Cover Story - Point of care, reimagined
Medical device manufacturer, Mindray, is pioneering smart tools for ultrasound applications to enhance accuracy and speed of examinations and boost clinical confidence and decision-making.
9 News 15 Reviewing the flow of patients in and out of the NHS
Kate Woodhead RGN DMS considers the extreme pressures being faced by the NHS and what needs to be done to address the ‘gridlock’ currently being experienced across the system.
19 Key factors to drive improvement in SSDs
Sustainability, training, automation, and patient safety were among the hot topics discussed at the Institute of Decontamination Sciences (IDSc) annual conference. Top experts gave their views on the challenges ahead and key areas that must be addressed.
25 Understanding check list challenges
Nigel Roberts provides an insight into a Delphi Study (round one), which has sought to understand current practice around the use of the WHO Surgical Safety Checklist and some of the challenges around implementation.
33 Tackling the burden of surgical site infection
Simple, and relatively inexpensive, steps to implement care bundles can have a dramatic impact on rates of surgical site infection. The Burden of Infection Symposium provided an insight into the latest evidence and guidance around best practice, as well as offering expert advice on ‘overcoming the challenges of change’.
www.clinicalservicesjournal.com Volume 22 I Issue 2 I February 2023 THE CLINICAL SERVICES JOURNAL
Roberta Charlett examines the case for switching to reusable surgical textiles and the steps that will be required to successfully implement this.
43 South-West eradicates TRUS biopsies
Transrectal (TRUS) biopsies can yield inaccuracies in identifying potential cancer cells, while the nature of the procedure brings an increased likelihood of infection. Efforts are underway to phase out the procedure.
surgical site infection Tackling the burden of
Understanding checklist challenges Key factors to drive improvement in SSDs
47 How tech could bring the joy back to nursing
Sophie Evans, a former critical care nurse and now a clinical consultant for health communications specialist Ascom, discusses why it has never been more important for the NHS to bring back the joy to nursing, and how technology can play a major role.
51 Difficult to clean devices: the case for single use
Not all instruments can be guaranteed clean, especially those with narrow lumens. Jon Blastland argues that single-use alternatives could help reduce the risk of surgical site infection.
55 The prognosis for diagnostic services
To cope with the challenges of the future, it is critical to optimise diagnostic services and enable faster and earlier testing. Tracey Sainsbury discusses the key challenges and opportunities ahead.
59 Tackling workforce challenges in the NHS
Dr. Steve Fox argues that the healthcare sector must consider how insourced staff can be used appropriately to embed long-term resilience in the NHS workforce.
62 Infection prevention at the heart of design
Harald Huber discusses the importance of working with clinicians on product development to maximise infection prevention in endoscopy.
65 Calls to continue home BP monitoring
Professor Melvin Lobo saw one major positive outcome of the pandemic – people becoming more engaged in their own health, with proactive, self-directed blood pressure (BP) monitoring. He explains why this approach can vastly improve the understanding of patterns in hypertensive patients and, in turn, lead to better patient outcomes.
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