Improving quality and safety

Oral presentations in the theme ‘improving quality and safety’ are available to watch. Leave a comment below to join the discussion.

Getting It Right First Time – Cemented total hip replacements

Zakir Haider

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Hospital Financial Performance and Quality of Care: Evidence From Portugal

Iryna Sabat

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Impact of a new integrated respiratory services on COPD hospital admissions. An interrupted time series analysis

Martha Elwenspoek

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EDQDF: Improving Emergency Care

Jo Mower

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Implementation of research evidence in orthopaedics: a tale of three trials

Katharine Reeves

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Routine feedback on patient-reported outcomes to healthcare providers and patients in clinical practice

Ian Porter

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The PEONY Study: A qualitative investigation of views and experiences of primary and secondary care clinicians delivering postnatal care to women with hypertensive disorders of pregnancy

Sergio A. Silverio

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Preventing Cerebral Palsy in Preterm Delivery (PreCePT) – Applied research in Scaling Up Quality Improvement

Karen Luyt

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A Whole Systems Approach to Optimising Detection and Response to Deterioration in Hospitalised Children: Prospective, mixed methods, before and after evaluation of the PUMA Programme

Amy Lloyd

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Building a sustainable improvement programme to improve the detection and management of Atrial Fibrillation (AF) in the North West Coast (NWC)

Julia Reynolds

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Add your voice to the conversation

Nick Black replied on

Zakir Great piece of work. Clear, rigorous and of great practical value. All one could ask for. Rather depressing findings but not surprising as there seems to be an over-optimistic expectation of GIRFT held generally. Do you have any thoughts of how to increase use of cement in Barts Health in the future?

Zakir haider replied on

Dear Nick, Thanks for your kind words. The first step is to raise awareness of the issue as likely clinicians will be aware of their own use of cemented stems but unlikely to be aware of the overall picture on the use of arthroplasty stems, as a department, within the trust. The second step is then to discuss in an MDT format along with the heads of the department , present evidence and consider more cemented stem use. However, this will also involve a number of policy makers/ managers along with ensuring implants must have high ODEP rating, reduction of cost with manufacturers etc. No quick fix I’m afraid! Thanks Zak

Nick Black replied on

Ian et al, Thanks for this really useful and much needed contribution to this important question. The findings fit with my a priori view of the impact of PROMs in many ways. My only concern is the apparent downplaying of the probable improvement in long term disease management. If I interpret it correctly, you report a 56% improvement. That seems to me to be rather important anduseful. What other intervention would achieve that?

Paul Okeny replied on

Dear Martha, thank you for the nice, informative and clear presentation of your work. I am a graduate student so my question is really for learning purposes: Could it have been possible to employ propensity score matching in the analysis of the study? Would it have any effect of the current results? Could "clustering" lead to reduced/masked effect of the intervention? Many thanks for the very informative work.