Education

New NHS e-learning resource
NPCi is a new NHS e-learning resource designed specifically for busy health care professionals and managers. The content covers prescribing, therapeutics and medicines management. Current therapeutics areas include: cardiovascular (including diabetes), CNS and mental health, common infections, pain management and respiratory tract conditions. Other areas are devoted to information mastery and medicines management — including developing people and organisations, general medicines management, improvement skills and tools, patient safety and risk, patients and their medicines, review of medicines, and service efficiency and reducing waste. The site also includes recorded workshops, quizzes to test your knowledge, regular blogs and podcasts and even the facility to join a discussion forum.

The developers are continuing to load content but would value your comments via their online feedback form on the existing subject matter so that adjustments can be made to the site before the wider launch early in 2008.

Commissioning

Problems with performance related pay in primary care
DS Wald
eBMJ, 2007, 335(7619), pp523

Knowledge Improvement

Standard medication information is not enough: poor concordance of patient and nurse perceptions
I Ekman, M Schaufelberger, KI Kjellgren, K Swedberg, BB Granger
Journal of Advanced Nursing, 2007, 60(2), pp181-186

Quality Improvement

Improving quality through effective implementation of information technology in healthcare
J Ovretveit
International Journal for Quality in Health Care, 2007. 19(5), pp259-266

Interview with a quality leader: Brent James on reducing harm to patients and improving quality
SV White
Journal for Healthcare Quality, 2007, 29(5), pp35-44

Patient Safety

Getting to the ‘roots’ of patient safety
J Waring
International Journal for Quality in Health Care, 2007. 19(5), pp257-258

Health Improvement

Sustaining improvement in surgical infection prevention measured for hysterectomy
D Henry, FR Muriel, P Hirway
Journal for Healthcare Quality, 2007, 29(5), pp50-56

Evidence Based Practice

Getting to grips with evidence-based practice: the Ten Commandments
K Bannigan, A Birleson
British Journal of Occupational Therapy, 2007, 70(8), pp345-348

Barriers to evidence-based nursing: a focus group study
K Hannes, J Vandersmissen, L De Blaeser, G Peeters, J Goedhuys, B Aertgeerts
Journal of Advanced Nursing, 2007, 60(2), pp162-171

Process

Should we measure the individual or the system? Operational factors affecting compliance with treatment
Fontanesi, Ruiz, Reznik
Journal of Medical Practice Management, 2007, 23(1), pp60-63

Commissioning

Commissioning government offers PCTs foundation-style freedoms in return for ‘world-class commissioning’
Health Service Journal, 2007, 6701, pp5

Communication

Knowledge communication problems between experts and decision makers: an overview and classification
MJ Eppler
European Journal of Knowledge Management, 2007, 5(3)
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Management

Clinical and cost-effectiveness of interventions in medicines reconciliation at the point of admission: consultation
National Institute for Health and Clinical Excellence, 13th September 2007
This document summarises evidence on technical patient safety solutions and sets out provisional recommendations made by the Patient Safety Advisory Committee.
DEADLINE: 10th October 2007
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Consumerism: forcing medical practices toward patient-centered care
Ozmon
Journal of Medical Practice Management, 2007, 23(1), pp44-46

Research

The role of service user research in generating knowledge-based health and social care: from conflict to contribution
P Beresford
Evidence Policy: A Journal of Research, Debate and Practice, 2007, 3(3), pp329-341

Whose lives and whose learning? Whose narratives and whose writing? Taking the next research and literature steps with experts by experiences
M Preston-Shoot
Evidence Policy: A Journal of Research, Debate and Practice, 2007, 3(3), pp343-359

Using action research to construct national evidence based nursing care guidance for gerontological nursing
J Booth, D Tolson, R Hotchkiss, I Schofield
Journal of Clinical Nursing, 2007, 16(5), pp945-953

Best Practice

Implementing managerial innovations in primary care: can we rank change drivers in complex adaptive organizations?
F Longo
Health Care Management Review, 2007, 32(3), pp213-225

Education

Employee perceptions of their workplaces as learning environments
A Coetzer
Journal of Workplace Learning, 2007, 19(7), pp417-434

Contextual factors influencing the facilitation of others’ learning through everyday work experiences
AD Ellinger, M Cseh
Journal of Workplace Learning, 2007, 19(7), pp435-452

Learning from practice – reflections on a critical incident
B McBrien
Accident and Emergency Nursing, 2007, 15(3), pp128-133

Quality Improvement

Improving quality and safety - progress in implementing clinical governance in primary care: lessons for the new Primary Care Trusts
The House of Commons Public Accounts Committee has published a report on quality and safety in primary care. The report makes the following statements:
1. PCTs do not routinely include outcome measures for quality and safety in their commissioning arrangements.
2. One of the areas particularly associated with improving quality and safety was effective clinical leadership, yet members of PCTs’ Professional and Executive Committees often lacked effective leadership skills.
3. Not all GPs understand the concept of clinical governance and how it relates to their day to day work.
4. Patient and public involvement is less well developed than other aspects of clinical governance.
5. Of the 14 voluntary groups surveyed by the National Audit Office, all felt that PCTs could engage more effectively with their client groups.
6. Patients in primary care are often unclear about how to complain or how their complaints will be dealt with, whilst staff are not always informed of the outcome.
7. Only 4% of GPs report untoward events and clinical incidents to the National Patient Safety Agency’s National Reporting and Learning System resulting in limited sharing of learning either locally or nationally.
Click here to read the full text

Monitoring quality: the development of a tool for monitoring the quality of practice of nurses and midwives at a north London trust
E Robb, S Mackie, K Elcock
Nursing Management (UK), 2007, 14(5), pp22-27

Inspector General sets sights on quality of care
H and HN (formerly Hospitals and Health Networks), 2007, 81(8), pp18-21

Improving newborn preventive services at the birth hospitalization: a collaborative hospital-based quality-improvement project
CE Mercier
Pediatrics, 2007, 120(3), pp481-488

Effectiveness of a practice-based, multimodal quality improvement intervention for gastroenteritis within a Medicaid managed care network
AJ Zolotor
Pediatrics, 2007, 120(3), e644-650

Can care bundles improve quality in emergency care?
H McClelland
Accident and Emergency Nursing, 2007, 15(3), pp119-120

Tackling therapeutic inertia: role of treatment data in quality indicators
B Guthrie, M Inkster, T Fahey
British Medical Journal, 2007, 335(7629), pp542-544
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Decision Making

Reviewing nursing diagnosis: how nursing diagnoses can influence lengths of inpatient stay and cost efficiency at a London hospital
D Weir-Hughes
Nursing Management (UK), 2007, 14(5), pp32-35

Making evidence fit for purpose in decision making: a case study of the hospital discharge of older people
J Glasby, K Walshe, G Harvey
Evidence Policy: A Journal of Research, Debate and Practice, 2007, 3(3), pp425-437

Patient Safety

The role for leaders of health care organizations in patient safety
JR Clarke
American Journal of Medical Quality, 2007, 22(5), pp311-318

Fallible medicine: responding to errors in emergency care
S Whitehead
Emergency Medical Services, 2007, 36(7), pp57-64

Performance Improvement

Proven methods to achieve high payment for performance
Patel, Siemons, Shields
Journal of Medical Practice Management, 2007, 23(1), pp5-11

Business intelligence: using insight to improve the value and performance of your practice
Coan
Journal of Medical Practice Management, 2007, 23(1), pp34-36

Evidence Based Practice

Using evidence: how research can inform public services: a review
L Grayson
Evidence Policy: A Journal of Research, Debate and Practice, 2007, 3(3), pp439-457

Event: Working in partnership with patients: meeting new challenges

Event: Working in partnership with patients: meeting new challenges
Thursday 4th October 2007 – Holiday Inn, Birmingham
Speakers include: Damian Jenkinson, Acting Medical Director, NHS Clinical Governance Support Team

This learning event will debate and address the challenges of patient involvement and hear from people who have made a difference for patients by working in partnership to:

• Find new solutions
• Encourage innovation
• Join up services

It will demonstrate how success can be achieved and will illustrate how a change in perspective, lateral thinking and the simplest of ideas can improve patient’s experience and their health outcomes.

Website: www.pickereurope.org

Click here to read more.

Process Evaluation

A new implicit review instrument for measuring quality of care delivered to pediatric patients in the emergency department
M Dharmar, JP Marcin, N Kuppermann, ER Andrada, SL Cole, DJ Harvey, PS Romano
BMC Emergency Medicine, 2007, 7:13
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Process

Organization interventions employing principles of complexity science have improved outcomes for patients with Type II diabetes
LK Leykum, J Pugh, V Lawrence, M Parchman, PH Noel, J Cornell, RR McDaniel
Implementation Science, 2007, 2:28
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Research

How quickly do systematic reviews go out of date? A survival analysis
KG Shojania
Annals of Internal Medicine, 2007, 147(4), pp223-233

Systematic reviews: time to address clinical and policy relevance as well as methodological rigor
A Laupacis
Annals of Internal Medicine, 2007, 147(4), pp273-274

Knowledge Improvement

Learning at work through the 3Ps: partnerships, projects and practice development
Development and Learning in Organizations, 2007, 21(5), pp24-26

Are your executives committed to achieving your learning goals? The key relationships between commitment, expectancy, motivation, and job satisfaction
Development and Learning in Organizations, 2007, 21(5), pp33-34

Quality Improvement

Challenges in delivering safe patient care: a commentary on a quality improvement inititative
L Currie, L Watterson
Journal of Nursing Management, 2007, 15(2), pp162-8

The tension between needing to improve care and knowing how to do it
AD Auerbach, CS Landefeld, KG Shojania
New England Journal of Medicine, 2007, 357(6), pp608-613
Full text 90 day embargo

Decision Making

Delivering informed care
SM Maviglia
Health Management Technology, 2006, 27(2), pp26-28
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Health Improvement

The key to improving the patient experience
S Schweitzer
Health Management Technology, 2007, 28(8), pp39-40
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Performance Improvement

Pay for Performance: version 2.0?
TH Lee
New England Journal of Medicine, 2007, 357(6), pp531-534
Full text 90 day embargo

Practice Improvement

Are you an evidence based emergency physician
S Carley
Emergency Medicine Journal, 2007, 24(9)
Full text embargo 1 year

The 6 steps of evidence-based medicine
Evidence Based Medicine, 2007, 12(4), pp98-99