Together with Médecins Sans Frontières and the World Health Organisation, we hosting a two day conference on the global response to Ebola. By pulling together and sharing the collective knowledge, we're working hard to ensure that, as a team, we have a head start on any future epidemics
This presentation was by John McGhie
Cost and Time savings through ValGenesis -Validation Software SolutionValGenesis
As a pioneer in the development of automated validation software solutions, ValGenesis, Inc. leads the way with a unique paperless validation process that tracks the validation status of any GxP system in real time. With years of development and refinement in place,
ValGenesis is the first to offer users real-time paperless validation via electronic execution thereby minimizing ineffectiveness and maximizing efficiency.
ValGenesis automates and manages the validation life cycle and provides real time validation status of any system corporate wide.
Try this site where you can compare quotes from different companies: WWW.INSUREINFO.INFO
Teen Driving Insurance?
I am wondering how much the type of car will affect the price of car insurance for a 16 year old. Which if the following cars will the insurance cost the most? and the least? 00 BMW 323ci, 04 Mazda 3s, 2001 audi a4 1.8t, 04 acura rsx base, 04 mitsubishi eclipse gs
Cost and Time savings through ValGenesis -Validation Software SolutionValGenesis
As a pioneer in the development of automated validation software solutions, ValGenesis, Inc. leads the way with a unique paperless validation process that tracks the validation status of any GxP system in real time. With years of development and refinement in place,
ValGenesis is the first to offer users real-time paperless validation via electronic execution thereby minimizing ineffectiveness and maximizing efficiency.
ValGenesis automates and manages the validation life cycle and provides real time validation status of any system corporate wide.
Try this site where you can compare quotes from different companies: WWW.INSUREINFO.INFO
Teen Driving Insurance?
I am wondering how much the type of car will affect the price of car insurance for a 16 year old. Which if the following cars will the insurance cost the most? and the least? 00 BMW 323ci, 04 Mazda 3s, 2001 audi a4 1.8t, 04 acura rsx base, 04 mitsubishi eclipse gs
Elizabeth Stephenson and Carol Ewing: child health policy updateNuffield Trust
Elizabeth Stephenson, Children and Young People Policy Lead at NHS England, and Dr Carol Ewing, Vice President of the Royal College of Paediatrics and Child Health, give an overview of the national policy making landscape for child health.
Welcome and the National Patient Safety Plan - Dr Mike Durkin (Chair), Director for Patient Safety, NHS England
Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
Royal Veterinary College Business and International Engagement PresentationHorseTechConference
Slides to accompany the keynote talk by Tas Gohir, Head of Knowledge Transfer and Impact, Royal Veterinary College.
This presentation was delivered as the final keynote at the inaugural HorseTech Conference on the 18th October 2017 hosted by the Royal Veterinary College London.
Introduction to the SBRI Competition: Vaccines for Epidemic DiseasesKTN
On Tuesday 12th October 2021, KTN held the event, Introduction to the SBRI Competition: Vaccines for Epidemic Diseases, in partnership with Innovate UK. This event served as a call for applications for the opening of the new SBRI Competition - Vaccines for Epidemic Diseases: Readiness for clinical development and regulatory submission.
https://apply-for-innovation-funding.service.gov.uk/competition/1046/overview
Fenin en colaboración con el departamento comercial UK Trade and Investment, de la Embajada británica en Madrid, han organizado un foro empresarial dirigido al sector de tecnología sanitaria, con el objetivo de evaluar los sistemas de compras de los sistemas sanitarios de España y Reino Unido (NHS), y conocer las oportunidades de negocio que el NHS representa para empresas españolas de tecnología sanitaria.
Community Nursing Research Strategy Masterclass
13th September 2013
The WSPCR was requested to organise a research masterclass for the Directors of Nursing from all the Welsh Health Boards on Friday 11th Sept. It was funded by the Health Minister and attended by the CNO. It also included the Head of the NISCHR and the manager of AHSC. The masterclass included the presentation of the Welsh Community Nurse Research Strategy which aims to raise the quality and quantity of research in Community Nursing in Wales. The workshop also generated further areas for research activity/priority.
http://www.wspcr.ac.uk/crns-masterclass-sep-2013.php
A "bundle" is a
group of evidence-based care components
for a given disease that, when executed together, may result in better outcomes than if implemented individually.
Antibiotic Guardian London Workshop 20164 All of Us
Antibiotic resistance is one of the biggest threats facing us today.
Why it is relevant to you: without effective antibiotics many routine treatments will become increasingly dangerous. Setting broken bones, basic operations, even chemotherapy and animal health all rely on access to antibiotics that work.
What we want you to do: To slow resistance we need to cut the unnecessary use of antibiotics. We invite the public, students and educators, farmers, the veterinary and medical communities and professional organisations, to become Antibiotic Guardians.
Call to action: Choose one simple pledge about how you’ll make better use of antibiotics and help save these vital medicines from becoming obsolete.
Re-purposing ILRI labs to support national COVID-19 testing in KenyaILRI
Poster prepared by Edward Okoth and Samuel Oyola for the Global Agenda for Sustainable Livestock Africa 1 regional online meeting, 2-3 September 2020. Nairobi, Kenya: ILRI.
Cystic Fibrosis Drug Development Solutions Covance
Succeed in cystic fibrosis studies with an experienced and trusted partner CF remains one of the most common life-shortening inherited diseases, despite breakthroughs in targeted therapies in recent years. Research and development efforts continue, but those involved face major challenges in finding specialized trials sites and enrolling sufficient numbers of eligible patients.
Lean Six Sigma Process ImprovementTask Read the Case Study belo.docxsmile790243
Lean Six Sigma Process Improvement
Task: Read the Case Study below and use the Lean Six Sigma DMAIC methodology and associated appropriate tools to select and solve a relevant problem situation.
Hospital Food Case Study
Introduction
Hospital food is an emotive subject and engenders headlines, usually negative, in the national newspapers. The NHS spends around £500 million on food to serve 300 million meals in 1,200 hospitals every year. For example, it buys 1.3 million chicken legs, 12.3 million loaves of bread, 13.5 million kgs of potatoes and 250,000 litres of orange juice a year. In 2000, a newspaper article estimated hospital food wastage at £144 million per year – almost three times the Department of Health estimate of £45 million. One of the main reasons being cited for the wastage was the poor quality of the food, although a definition of quality was not offered. Hospitals can deliver their catering services in-house; however, the NHS tendering process allows hospital trusts to outsource their catering processes if they want. Experts in food nutrition are concerned about the low priority given to the nutritional value of the food, with many patients becoming undernourished during their stay in hospital. Food is viewed by medical staff as part of the recovery process.
With regards to food quality hospitals do survey patients’ attitudes to the meals provided, some hold focus groups and generally ask about overall quality, temperature and how they were served at the bedside. Most patients have low expectations but meals are often the highlight of the day, especially for long stay patients.
Food Services
Over the years, the need to improve efficiency has resulted in reductions in staff numbers involved in the hospital catering service, along with centralisation of skills and equipment to produce economies of scale.
There are now many possible variations in food service and either an in-house operator or a contract operator could manage the food service.
The following are simplified overviews of the different systems (although every hospital can have a different variation according to local circumstances):
(a) The food can be produced on-site using a cook-serve system
A cook-serve system is a “traditional” catering operation where food is prepared on-site and distributed at the appropriate temperature to the wards, either plated or in bulk. This system allows for batch cooking which minimises hot-holding and nutrient losses and optimises the food’s sensory characteristics as it can be prepared close to the time required. However, in practice there can be a substantial time delay between production and consumption as wards are often situated a long way from the kitchens. The result is that many of the potential advantages are not realised. It is important that the food is served at 63ºC or above to control the multiplication of bacteria in the food.
Cooked on the day
Immediate service
Raw Ingredients
Figure 1: A Simplified ...
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Elizabeth Stephenson and Carol Ewing: child health policy updateNuffield Trust
Elizabeth Stephenson, Children and Young People Policy Lead at NHS England, and Dr Carol Ewing, Vice President of the Royal College of Paediatrics and Child Health, give an overview of the national policy making landscape for child health.
Welcome and the National Patient Safety Plan - Dr Mike Durkin (Chair), Director for Patient Safety, NHS England
Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
Royal Veterinary College Business and International Engagement PresentationHorseTechConference
Slides to accompany the keynote talk by Tas Gohir, Head of Knowledge Transfer and Impact, Royal Veterinary College.
This presentation was delivered as the final keynote at the inaugural HorseTech Conference on the 18th October 2017 hosted by the Royal Veterinary College London.
Introduction to the SBRI Competition: Vaccines for Epidemic DiseasesKTN
On Tuesday 12th October 2021, KTN held the event, Introduction to the SBRI Competition: Vaccines for Epidemic Diseases, in partnership with Innovate UK. This event served as a call for applications for the opening of the new SBRI Competition - Vaccines for Epidemic Diseases: Readiness for clinical development and regulatory submission.
https://apply-for-innovation-funding.service.gov.uk/competition/1046/overview
Fenin en colaboración con el departamento comercial UK Trade and Investment, de la Embajada británica en Madrid, han organizado un foro empresarial dirigido al sector de tecnología sanitaria, con el objetivo de evaluar los sistemas de compras de los sistemas sanitarios de España y Reino Unido (NHS), y conocer las oportunidades de negocio que el NHS representa para empresas españolas de tecnología sanitaria.
Community Nursing Research Strategy Masterclass
13th September 2013
The WSPCR was requested to organise a research masterclass for the Directors of Nursing from all the Welsh Health Boards on Friday 11th Sept. It was funded by the Health Minister and attended by the CNO. It also included the Head of the NISCHR and the manager of AHSC. The masterclass included the presentation of the Welsh Community Nurse Research Strategy which aims to raise the quality and quantity of research in Community Nursing in Wales. The workshop also generated further areas for research activity/priority.
http://www.wspcr.ac.uk/crns-masterclass-sep-2013.php
A "bundle" is a
group of evidence-based care components
for a given disease that, when executed together, may result in better outcomes than if implemented individually.
Antibiotic Guardian London Workshop 20164 All of Us
Antibiotic resistance is one of the biggest threats facing us today.
Why it is relevant to you: without effective antibiotics many routine treatments will become increasingly dangerous. Setting broken bones, basic operations, even chemotherapy and animal health all rely on access to antibiotics that work.
What we want you to do: To slow resistance we need to cut the unnecessary use of antibiotics. We invite the public, students and educators, farmers, the veterinary and medical communities and professional organisations, to become Antibiotic Guardians.
Call to action: Choose one simple pledge about how you’ll make better use of antibiotics and help save these vital medicines from becoming obsolete.
Re-purposing ILRI labs to support national COVID-19 testing in KenyaILRI
Poster prepared by Edward Okoth and Samuel Oyola for the Global Agenda for Sustainable Livestock Africa 1 regional online meeting, 2-3 September 2020. Nairobi, Kenya: ILRI.
Cystic Fibrosis Drug Development Solutions Covance
Succeed in cystic fibrosis studies with an experienced and trusted partner CF remains one of the most common life-shortening inherited diseases, despite breakthroughs in targeted therapies in recent years. Research and development efforts continue, but those involved face major challenges in finding specialized trials sites and enrolling sufficient numbers of eligible patients.
Lean Six Sigma Process ImprovementTask Read the Case Study belo.docxsmile790243
Lean Six Sigma Process Improvement
Task: Read the Case Study below and use the Lean Six Sigma DMAIC methodology and associated appropriate tools to select and solve a relevant problem situation.
Hospital Food Case Study
Introduction
Hospital food is an emotive subject and engenders headlines, usually negative, in the national newspapers. The NHS spends around £500 million on food to serve 300 million meals in 1,200 hospitals every year. For example, it buys 1.3 million chicken legs, 12.3 million loaves of bread, 13.5 million kgs of potatoes and 250,000 litres of orange juice a year. In 2000, a newspaper article estimated hospital food wastage at £144 million per year – almost three times the Department of Health estimate of £45 million. One of the main reasons being cited for the wastage was the poor quality of the food, although a definition of quality was not offered. Hospitals can deliver their catering services in-house; however, the NHS tendering process allows hospital trusts to outsource their catering processes if they want. Experts in food nutrition are concerned about the low priority given to the nutritional value of the food, with many patients becoming undernourished during their stay in hospital. Food is viewed by medical staff as part of the recovery process.
With regards to food quality hospitals do survey patients’ attitudes to the meals provided, some hold focus groups and generally ask about overall quality, temperature and how they were served at the bedside. Most patients have low expectations but meals are often the highlight of the day, especially for long stay patients.
Food Services
Over the years, the need to improve efficiency has resulted in reductions in staff numbers involved in the hospital catering service, along with centralisation of skills and equipment to produce economies of scale.
There are now many possible variations in food service and either an in-house operator or a contract operator could manage the food service.
The following are simplified overviews of the different systems (although every hospital can have a different variation according to local circumstances):
(a) The food can be produced on-site using a cook-serve system
A cook-serve system is a “traditional” catering operation where food is prepared on-site and distributed at the appropriate temperature to the wards, either plated or in bulk. This system allows for batch cooking which minimises hot-holding and nutrient losses and optimises the food’s sensory characteristics as it can be prepared close to the time required. However, in practice there can be a substantial time delay between production and consumption as wards are often situated a long way from the kitchens. The result is that many of the potential advantages are not realised. It is important that the food is served at 63ºC or above to control the multiplication of bacteria in the food.
Cooked on the day
Immediate service
Raw Ingredients
Figure 1: A Simplified ...
Similar to Lessons Learned from PPE Procurement (20)
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
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ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
2. Lesson learnt from PPE procurement
Position during 2014 –
• Development of group consensus on appropriate levels of PPE to
respond to outbreak. WHO – World Heath Organisation, MSF –
Médecins Sans Frontières, MOD, NHS, PHE – Public Health England,
NGO’s.
• Refinement of level of protection and associated standard operating
practises.
• Approach to market midway through development to ascertain current
stock levels and manufacturing lead time.
• Secure forward commitment of stocks and manufacturing slots with
each supplier.
• Package and ship to Sierra Leone – Airbridge direct and via UK.
3. Lesson learnt from PPE procurement
Post Response –
• Development of global standard of PPE for each primary VHF agreed by
all main responders / agencies.
• Development of global standard of testing protocols for each type of
PPE equipment. Current testing protocols varies from lab to lab.
• Review previous outbreaks and agree global benchmarked level of
stock to be secured in centralised warehousing to respond to future
occurrences.
Achieved –
• Two CIPS procurement awards.
• Two Global supply chain awards.
• One Air freight award.
• One British Expertise award.
• Articles published in European / Africa Business Review, Supply
Management, UK National press.
4. Lesson learnt from PPE procurement
Benefits –
• All actors would have confidence in agreed levels of protection and
safety protocols in the use of the equipment appropriate to the type of
response.
• A routine laboratory testing regime to verify stockpile of PPE is fit for
purpose. Current life cycle is around 5 yrs. shelf life.
• Secured forward commitment from manufactures not during a
response period would allow for a gradual build up of stores,
maintaining set Quality Control processes.
• Cost effective purchase, shipping and storage would offset the high
price of air freight of goods during emergency
• Reduced possibility of bottlenecks in supplier manufacturing pipelines.
5. Lesson learnt from PPE procurement
UK’s achievements –
• The UK led the international response to the Ebola crisis in Sierra Leone and has
committed £427 million to ending the epidemic, largest bilateral donor.
• The UK's objective is to support the Government of Sierra Leone to maintain a
'resilient zero'.
• Over 1,500 British military personnel deployed to construct six UK funded
treatment centres from scratch and trained over 4,000 Sierra Leonean and
international healthcare workers.
• Over 150 NHS volunteers who worked on the frontline to support over 1,500
treatment and isolation beds — more than half of all the beds available for
Ebola patients in the country.
• Over 100 Public Health England staff ran three new laboratories, greatly
speeding up the diagnosis of people with Ebola-like symptoms.
• The UK delivered 2,800 tonnes of aid for the response. More than one million
PPE suits and 200 vehicles, including ambulances.