NHS Experience of Care Week 2017

NHS Experience of Care Week 2017 begins on 20 March.
We would like to take this opportunity to highlight and showcase some of our activities and services which support this. Work undertaken by our CEBIS team makes an impact on patient care and clinical services. Here are some recent examples summarised in a table:
Query Findings Outcome Impact
In the neonatal intensive care unit, should ET suctioning be done using the open versus closed suction technique? 2 studies in neonates suggested closed technique reduces infection. Development of a unit protocol to improve infection prevention & control. Reduced hospital-acquired infection (avoiding increased length of stay and related costs).
 Does methotrexate cause increased complications after plastic surgery?  2 RCTs, 1 control group study & 2 case series suggested that methotrexate does increase complications.  Evidence informed advice given to patient regarding adverse effects.  Change in treatment resulting in reduced patient morbidity.
 What effect does chemotherapy have on concentration/memory and what interventions are used to overcome this?  No systematic reviews available on the use of interventions during chemotherapy treatment.  Evidence-based research proposal and funding bid.  £10,000 funding secured.
 Is prophylactic treatment advocated for the treatment of progressive acquired retinoschisis?  Prophylactic treatment usually ineffective and can result in retinal detachment (RD).  No prophylactic laser or surgical treatment; avoidance of resulting RD surgery.  Estimated cost saving: £500,000 to £5m per 100,000 population (Estimated prevalence of retinoschisis previously deemed to require intervention: 1%. Estimated cost of laser treatment: £500/case, surgery: £5,000/case).
In a patient with acute retinal necrosis, is there any evidence for using systemic steroids to reduce disease complications such as retinal detachment? Multiple case reports & case series found no correlation between use of steroids and improved outcomes; risk of central serous retinopathy with steroid treatment. Steroids not used in this patient. Avoided unnecessary medication & associated adverse effects.
Our Knowledge Skills, Electronic Resources, Literature Searching, Tailored Alerts and Document Delivery services provide evidence-based support for nursing and medical revalidation, patient-centred research, professional development, clinical and management decision making. Did you know that a million decisions are made in the NHS every day? With our help, you can make the best possible decisions based on the best available evidence and make a real difference to the experience of care.
A Million Decisions



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