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CONTENTS VOLUME 22 ISSUE 1


REGULARS THE CLINICAL SERVICES JOURNAL FEATURES 15 Showcasing UK HealthTech innovation


The UK Pavilion is heading back to the Dubai World Trade Centre for this year’s Arab Health in January 2023. The show offers an impressive platform for UK healthcare manufacturers and providers to showcase the very best of talent and innovation to a global audience. CSJ spoke to ABHI’s Michelle Michelucci, about this year’s programme of activity.


18 Sharps injuries continue to pose risk to HCWs


Kate Woodhead RGN DMS warns that healthcare workers (HCWs) are still being put at occupational risk from sharps injuries. She discusses best practice and the importance of training.


23 Key trends shaping surgery of the future


Changes in epidemiology and earlier diagnostics will shape the delivery of surgical services in the next 30 years. At the same time, the impacts of COVID-19 will be felt for some time. At Future Surgery 2022, leading experts discussed some of the challenges ahead and the potential changes required.


26 Working together to recover elective surgery


High on the agenda of Future Surgery 2022 was the significant challenge around recovering elective surgery, in the wake of the pandemic. Among the hot topics included: staff retention and recruitment, the need for more day case surgery, new ways of working, and the recovery of training.


32 Improving VH2O2 sterilisation monitoring


Richard Bancroft and Brisia López-Ortega outline best practice when monitoring sterilisation processes involving the use of vaporised hydrogen peroxide.


35 Best practice frameworks for critical care staffing


Dr. Jack Parry-Jones FRCP FFICM urges the Government to look intently at solutions to the increasing pressures on critical care services. In this article, he outlines the key areas that need to be addressed.


39 Driving best practice in vascular access


Clinical educator, Linda Kelly, explores the national precedence being placed on infection prevention and control, and calls for the standardisation of care and maintenance of vascular access devices.


JANUARY 2023 43 Connected healthcare: how data will save lives


Data saves lives and connected MedTech will be key to ensuring this data is easily accessible and actionable. Mindray UK’s digital health experts discuss how clinical decision making could be enhanced though improved interoperability, artificial intelligence and mobile monitoring solutions.


49 Why aren’t surgical fires classed as a Never Event?


Nigel Roberts examines the evidence around the incidence of surgical fires, as well as current guidance to prevent associated harm. He considers whether surgical fires should be classed as a ‘Never Event’ and whether mitigating steps should be incorporated into the WHO surgical safety checklist.


53 Understanding the importance of ‘why?’


Chris Gale believes that human factors science can have an important contribution in helping to prevent errors in decontamination facilities and biomedical engineering. He calls for increased investment in staff education – to empower staff to understand why we do things, to improve patient safety, and ensure staff feel valued.


57 Connecting emergency services with technology


With Integrated Care Boards (ICB) having moved onto a statutory footing, it is time to use digital connectivity to join up services – starting with emergency care, argues Mike Farrar.


60 Predicting the risk of pre-eclampsia


Pre-eclampsia is one of the most common causes of maternal morbidity and mortality. However, the methods used to initially determine the presence of the disease have not changed in decades and rely on simple non-specific parameters. These markers are poor at predicting risk, warns Dawn Hannah.


63 Are hand hygiene and cleaning enough?


Carole Hallam argues that the use of air decontamination systems to improve indoor air quality should be considered as part of Trusts’ infection prevention and control strategies. She warns that hand hygiene and surface cleaning are not enough.


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5 Comment 6 Cover Story: Celebrating half a century of design


9 News


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