Follow us on twitter: @csjmagazine


CONTENTS VOLUME 19


REGULARS 5 Comment


6 Cover Story: Designing out error in endoscope connection


THE CLINICAL SERVICES JOURNAL FEATURES 15 First Do No Harm: key recommendations


Kate Woodhead RGN DMS continues the discussion around the Cumberlege Review, First Do No Harm, calling for a long overdue overhaul of safety reporting systems.


19 Optimising lighting for surgical specialties


Lindsay Keeley, patient safety and quality lead, for the Association for Perioperative Practice, provides a detailed insight into the importance of surgical lighting, key considerations and the demands surgical specialties have that influence overall specification.


23 Tackling ED overcrowding with POC testing


Clare Bailey, from the Barking, Havering and Redbridge University Hospitals NHS Trust (BHRUT) describes how the use of POC testing has led to faster diagnoses and improved patient experience at Queen’s hospital.


27 GSTT reduces infections with SSI protocol


An insight into how effective SSI pathways at Guy’s and St Thomas’ have helped to reduce the risk of infection and improve outcomes.


32 Timing cardiac surgery in patients with COVID


Surgery in patients diagnosed with COVID-19 infection carries significant mortality and morbidity. A team at St Bart’s Hospital aimed to determine the safety of deferring surgery and the earliest safe period for surgery.


37 Progressing safety in scope decontamination


UK hospitals have come a long way in improving endoscope reprocessing over the past 20 years, but could AI drive further improvements in the future?


43 Safe management of plus size patients


Mary Muir provides a guide to the safe management and transportation of bariatric patients throughout their care pathway.


Follow the CSJ LinkedIn page Search for ‘Clinical Services Journal’


OCTOBER 2020


85 Meeting demand for compliance training


Ensuring compliance with best practice in decontamination is a top priority and patient safety is paramount. However, as limited budgets for training have proven to be a challenge for many Trusts, areas of non-compliance can begin to emerge. iM Med is offering training services to support Trusts to drive improvement, reduce downtime and ensure compliance.


48 COVID-19: supporting the NHS recovery


Taking a look at the risks posed by a pause in elective procedures and exploring the resumption of endoscope services, Brian King discusses how private-public sector collaboration could be key to aiding recovery.


51 Managing devices during COVID-19 crisis


RFiD technology has been helping the clinical engineering department at University Hospitals Plymouth NHS Trust effectively manage medical devices during the pandemic.


60 Falsified medicines and the hospital setting


The EU Falsified Medicines Directive introduced new requirements for hospitals to verify the authenticity of prescription medicines. A new report offers an insight into the wider benefits to be gained.


71 SSI prevention: how can we strive for zero?


Robert Dowling discusses strategies to optimise the implementation of new technology, as we strive for zero SSIs.


76 Improving safety with the ‘autonomous pharmacy’


Paul O’Hanlon discusses the role of technology and automation in reducing medication errors, enhancing patient safety and tackling spiralling costs.


9 News 89 Products


ISSUE 9


Follow us on twitter: @csjmagazine


WWW.CLINICALSERVICESJOURNAL.COM l 3


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64  |  Page 65  |  Page 66  |  Page 67  |  Page 68  |  Page 69  |  Page 70  |  Page 71  |  Page 72  |  Page 73  |  Page 74  |  Page 75  |  Page 76  |  Page 77  |  Page 78  |  Page 79  |  Page 80  |  Page 81  |  Page 82  |  Page 83  |  Page 84  |  Page 85  |  Page 86  |  Page 87  |  Page 88  |  Page 89  |  Page 90  |  Page 91  |  Page 92