Achieving behaviour change for patient safety, Judith Dyson, Lecturer, Mental Health - University of Hull
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
NICE Master Class final presentation 25 11 14 (including workshops)NEQOS
Collaborating for Better Care Partnership Master Class with NICE: 'Putting Evidence into Practice' - complete ppt slide pack including the workshop ppts and web links.
The third interactive webinar in the series builds on the second session by focusing on the question: once we have evidence to justify implementing a new patient safety initiative, what next?
Achieving behaviour change for patient safety, Judith Dyson, Lecturer, Mental Health - University of Hull
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
NICE Master Class final presentation 25 11 14 (including workshops)NEQOS
Collaborating for Better Care Partnership Master Class with NICE: 'Putting Evidence into Practice' - complete ppt slide pack including the workshop ppts and web links.
The third interactive webinar in the series builds on the second session by focusing on the question: once we have evidence to justify implementing a new patient safety initiative, what next?
ICN Victoria presents Dr Dashiell Gantner, research fellow at the Monash University in Melbourne. Here he talks about translating ICU research into clinical practice.
This second interactive webinar in the series will draw upon Dr. Ian Graham's Knowledge to Action cycle and focus specifically on the central role of developing and synthesising evidence of what to implement and which knowledge translation and implementation strategies are most effective for promoting implementation, and developing the knowledge infrastructure to make best use of evidence.
What is implementation science and why should you careLisa Muldrew
This seminar will discuss the emerging field of implementation science with a focus on its application within clinical settings. Topics will include an overview of implementation science, how implementation science is positioned within the translation continuum, common conceptual models and analytic frameworks used in implementation science and a study example.
Interventions with potential to reduce sedentary time in adults: What's the e...Health Evidence™
Health Evidence hosted a 60 minute webinar examining the effectiveness of interventions which include a sedentary behaviour outcome measure in adults. Click here for access to the audio recording for this webinar: https://youtu.be/vRKV7TnJ2R8
Anne Martin, Postdoctoral Research Associate, Physical Activity for Health Research Centre, Institute for Sport, Physical Education and Health Sciences, University of Edinburgh, and Nanette Mutrie, Professor, Director of Physical Activity for Health Research Centre, Institute for Sport, Physical Education and Health Sciences, University of Edinburgh will be leading the session and will present findings from their systematic review:
Martin A., Fitzsimons C., Jepson R., Saunders D., van der Ploeg H.P., Teixeira P.J., et al. (2015). Interventions with potential to reduce sedentary time in adults: Systematic review and meta-analysis. British Journal of Sports Medicine, 0, 1-10.
There is growing public health concern about the amount of time spent sedentary. Too much time spent in sedentary behaviours is linked with poor health, including higher cardiometabolic risk markers, type 2 diabetes and premature mortality. The primary aim of this review is to evaluate the effect of interventions which include a sedentary behaviour outcome measure in adults. 51 randomised trials (involving 18,480 participants over 18 years old) assessed the effects of interventions which included sedentary behaviour as an outcome measure in adults. There is strong evidence that it is possible to intervene to reduce sedentary behaviours in adults by 22 min/day. This webinar provided an overview of the effectiveness of interventions on sedentary behaviour in adults and explored implementation recommendations.
Confirmation of the Validity of the Central Line Bundle as a Measure of a Hea...Heather Gilmartin
Presentation at an evidence-based practice conference describing research that confirmed the central line bundle data as a measure of a healthcare intervention
Measuring “Culture of Safety” Tawam’s Experience
Discovery:
Tawam Hospital’s Executive leadership realized the need to establish a “Culture of Safety” within the organization and implemented the Johns Hopkins Medicine “Comprehensive Unit based Safety Program” (CUSP). CUSP was introduced as a pilot project in the Intensive Care Unit (ICU), Neonatal Intensive Care Unit (NNU) and Paediatric Oncology Unit (Peds Onc).
Prior to implementation the leadership decided to measure staff perception of safety using evidence based tool.
Solution:
Tawam partnered with Pascal Metrics to implement the Safety Attitude Questionnaire survey. The SAQ was administered to all Tawam Hospital staff in three phases (2008, 2010 and 2011). In 2010 the pilot CUSP units were also resurveyed to determine the status of safety culture since its introduction in 2008.
An email from the CEO was sent to the participants encouraging them to participate in the SAQ survey.
Physicians, nurses, ward-clerks; respiratory therapist, physiotherapist, dieticians etc were included in the survey.
Those who spent at least 50% of their time in the identified units were only included to participate in the survey.
Survey was administered during departmental meetings to increase response rate.
Conducted separate sessions of physicians.
Staff dropped the completed surveys in an envelope.
82% of staff in the patient care areas of the whole hospital participated in the overall 3 phases of SAQ Survey.
The three CUSP pilot units were re-surveyed in 2010.
Anonymity, privacy and confidentiality were maintained from the beginning till the end.
Outcome:
The survey results were graded against percentage positive responses. Responses that were less than 60% mark were graded in the danger zone and anything above the 80% mark were graded in the goal zone. Teamwork climate and Safety climate scale scores are considered to be primary dependent variables, because they are important in preventing patient harm.
The overall hospital score on all the domain scores were in the danger zone, less than 60%. 20 clinical locations in 2010 and 7 clinical locations in 2011 had less than 60% scores in the primary dependent variables.
The SAQ results were disseminated department wise in the presence of a hospital Senior Executive. Every department did an action plan using the SAQ de-briefer tool. The hospital administrators to bring about the change played a facilitators role and helped the departments to come up with their actionable plans.
The hospital leadership in their pursuit to continuing the culture of safety journey, identified six more units for CUSP implementation based on the Phase 2 SAQ scores of 2010. Accordingly the Medical 1, Medical 2, Surgical 1, Surgical 2, Day Case and OBGYN Units were identified for the CUSP roll out. Senior Executive leaders were assigned to each of these new CUSP units to ensure leadership commi
ICN Victoria presents Dr Dashiell Gantner, research fellow at the Monash University in Melbourne. Here he talks about translating ICU research into clinical practice.
This second interactive webinar in the series will draw upon Dr. Ian Graham's Knowledge to Action cycle and focus specifically on the central role of developing and synthesising evidence of what to implement and which knowledge translation and implementation strategies are most effective for promoting implementation, and developing the knowledge infrastructure to make best use of evidence.
What is implementation science and why should you careLisa Muldrew
This seminar will discuss the emerging field of implementation science with a focus on its application within clinical settings. Topics will include an overview of implementation science, how implementation science is positioned within the translation continuum, common conceptual models and analytic frameworks used in implementation science and a study example.
Interventions with potential to reduce sedentary time in adults: What's the e...Health Evidence™
Health Evidence hosted a 60 minute webinar examining the effectiveness of interventions which include a sedentary behaviour outcome measure in adults. Click here for access to the audio recording for this webinar: https://youtu.be/vRKV7TnJ2R8
Anne Martin, Postdoctoral Research Associate, Physical Activity for Health Research Centre, Institute for Sport, Physical Education and Health Sciences, University of Edinburgh, and Nanette Mutrie, Professor, Director of Physical Activity for Health Research Centre, Institute for Sport, Physical Education and Health Sciences, University of Edinburgh will be leading the session and will present findings from their systematic review:
Martin A., Fitzsimons C., Jepson R., Saunders D., van der Ploeg H.P., Teixeira P.J., et al. (2015). Interventions with potential to reduce sedentary time in adults: Systematic review and meta-analysis. British Journal of Sports Medicine, 0, 1-10.
There is growing public health concern about the amount of time spent sedentary. Too much time spent in sedentary behaviours is linked with poor health, including higher cardiometabolic risk markers, type 2 diabetes and premature mortality. The primary aim of this review is to evaluate the effect of interventions which include a sedentary behaviour outcome measure in adults. 51 randomised trials (involving 18,480 participants over 18 years old) assessed the effects of interventions which included sedentary behaviour as an outcome measure in adults. There is strong evidence that it is possible to intervene to reduce sedentary behaviours in adults by 22 min/day. This webinar provided an overview of the effectiveness of interventions on sedentary behaviour in adults and explored implementation recommendations.
Confirmation of the Validity of the Central Line Bundle as a Measure of a Hea...Heather Gilmartin
Presentation at an evidence-based practice conference describing research that confirmed the central line bundle data as a measure of a healthcare intervention
Measuring “Culture of Safety” Tawam’s Experience
Discovery:
Tawam Hospital’s Executive leadership realized the need to establish a “Culture of Safety” within the organization and implemented the Johns Hopkins Medicine “Comprehensive Unit based Safety Program” (CUSP). CUSP was introduced as a pilot project in the Intensive Care Unit (ICU), Neonatal Intensive Care Unit (NNU) and Paediatric Oncology Unit (Peds Onc).
Prior to implementation the leadership decided to measure staff perception of safety using evidence based tool.
Solution:
Tawam partnered with Pascal Metrics to implement the Safety Attitude Questionnaire survey. The SAQ was administered to all Tawam Hospital staff in three phases (2008, 2010 and 2011). In 2010 the pilot CUSP units were also resurveyed to determine the status of safety culture since its introduction in 2008.
An email from the CEO was sent to the participants encouraging them to participate in the SAQ survey.
Physicians, nurses, ward-clerks; respiratory therapist, physiotherapist, dieticians etc were included in the survey.
Those who spent at least 50% of their time in the identified units were only included to participate in the survey.
Survey was administered during departmental meetings to increase response rate.
Conducted separate sessions of physicians.
Staff dropped the completed surveys in an envelope.
82% of staff in the patient care areas of the whole hospital participated in the overall 3 phases of SAQ Survey.
The three CUSP pilot units were re-surveyed in 2010.
Anonymity, privacy and confidentiality were maintained from the beginning till the end.
Outcome:
The survey results were graded against percentage positive responses. Responses that were less than 60% mark were graded in the danger zone and anything above the 80% mark were graded in the goal zone. Teamwork climate and Safety climate scale scores are considered to be primary dependent variables, because they are important in preventing patient harm.
The overall hospital score on all the domain scores were in the danger zone, less than 60%. 20 clinical locations in 2010 and 7 clinical locations in 2011 had less than 60% scores in the primary dependent variables.
The SAQ results were disseminated department wise in the presence of a hospital Senior Executive. Every department did an action plan using the SAQ de-briefer tool. The hospital administrators to bring about the change played a facilitators role and helped the departments to come up with their actionable plans.
The hospital leadership in their pursuit to continuing the culture of safety journey, identified six more units for CUSP implementation based on the Phase 2 SAQ scores of 2010. Accordingly the Medical 1, Medical 2, Surgical 1, Surgical 2, Day Case and OBGYN Units were identified for the CUSP roll out. Senior Executive leaders were assigned to each of these new CUSP units to ensure leadership commi
This Presentations talks about knowing more about your personality, know more about different types of people that might be difficult. Finally, tips on how to deal with them.
Remember: You could be one of the difficult people so be fair :)
Know how effective team management can lead to successful team work, which in turn can ultimately lead to the successful organization http://bit.ly/ZZNmC2
The fifth webinar continues the momentum of the series as it focuses on providing concrete approaches for identifying barriers and enablers, emphasising behaviour change approaches.
READ MORE: http://bit.ly/2LOwbj0
The fourth webinar picks-up directly from the third session, focusing on the next key step to inform implementation initiatives: identifying barriers and enablers to implementation.
READ MORE: http://bit.ly/2kIxtQo
DNP-835A Patient Outcomes and Sustainable ChangeASSIGNMENT 2.docxpauline234567
DNP-835A: Patient Outcomes and Sustainable Change
ASSIGNMENT 2:
Please see the ATTACHED Quality and Sustainability Paper: Part 1
Quality and Sustainability Paper: Part 2
Assessment Description
The purpose of this assignment is to determine what is needed to promote successful implementation and sustainability of a quality or safety program for your selected health care entity/issue.
General Guidelines:
Use the following information to ensure successful completion of the assignment:
· This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
· Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
· This assignment requires that you support your position by referencing six to eight scholarly resources. At least three of your supporting references must be from scholarly sources other than the assigned readings.
· You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
· Learners will submit this assignment using the assignment dropbox in the digital classroom. In addition, learners must upload this deliverable to the Learner Dissertation Page (LDP) in the DNP PI Workspace for later use.
Directions:
Write a paper (2,000-2,500 words) that provides the following:
1. Incorporate all necessary revisions and corrections suggested by your instructor for Part 1. Synthesize the different elements of Part 1 and Part 2 into one paper using transitions to connect ideas and concepts.
2. Evaluate current evidenced-based quality and/or safety program designs that can be implemented to improve the quality and/or safety outcomes for your selected quality and/safety issue at your identified health care entity. Based on this evaluation, propose an evidence-based quality and/or safety program to address your selected issue from Part 1. Explain how your proposed design will better improve the outcomes for the selected quality and/or safety issue as compared to the program currently in place at the health care entity.
3. Identify potential obstacles (such as economics or ethical issues) that may hinder the implementation of the proposed quality and/or safety program and suggest ways to overcome these.
4. Identify stakeholders within the selected health care entity with whom you may need to collaborate and discuss the role of each stakeholder in the implementation of the proposed program. In the identification of stakeholders, also include specific groups and leaders that are needed.
5. Identify a change management theory you will use to support the implementation of your quality and/or safety program. Provide evidence that supports the use of this theory within the program you designed.
6. Discuss the expected outcomes of the implementation of your proposed quality and/or saf.
Guidelines - what difference do they make? A Dutch perspectiveepicyclops
This lecture was given by Dr Raymond Ostelo of the EMGO Institute, VU University Medical Center, Amsterdam, to the North British Pain Association Spring Scientific Meeting in Edinburgh on Friday 18th May, 2007. His lecture forms part of a conference "Blurring the Boundaries - Managing Pain in Primary Care and Secondary Care".
This final webinar will emphasise the importance of understanding the problem before brainstorming solutions to better ensure a match between barriers and the solutions.
MORE INFO: http://bit.ly/2KctiLH
Similar to Guidelines for moving and handling people: Do they improve practice? (20)
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Guidelines for moving and handling people: Do they improve practice?
1. Guidelines for moving and
handling people:
Do they improve practice?
David R. Thomas Yoke Leng Thomas
Emeritus ResearchWorks NZ
Professor, University of
Auckland
dr.thomas@auckland.ac.nz
3. History of NZ Guidelines
1st version published in 2003 by ACC - 5 years
to complete
2nd version published March 2012 by ACC
24 month review process
Expert panel to guide development
Survey of 50 users of 2003 Guidelines
Draft version circulated for public comment
Multiple submissions or comments on draft
Formation of M&H Association of NZ – 2011?
4. Examples of Guidelines: Other
countries
UK – HOP6 (Handling of People v6, 2011)
Australia
Qld Health: Think Smart Patient Handling Better Practice
Guidelines 2010
Workcover NSW: Manual handling guide for nurses 2005
Worksafe Vic: Transferring people safely 2009
Canada
OSHA, BC: Safe Patient & Resident Handling 2000
Worksafe BC: Handle With Care: Patient Handling and the
Application of Ergonomics (MSI) Requirements 2006
USA - CDC Safe lifting and movement of nursing home
residents 2006
5. Why ACC funds Guidelines
ACC work-related entitlement claims for
employees in health services around $8
million pa
ACC injury prevention initiatives to reduce
injuries and their costs
Multiple workplace health and safety initiatives
– ACC & Department of Labour
The DPI (discomfort pain and injury)
framework used by ACC to address gradual
onset injuries, especially in workplaces
6. Questions regarding guidelines
effectiveness
1. What evidence is available about the impacts
of guidelines on practice?
2. What attributes of guidelines make them
more or less effective for specific audiences?
3. What organisational processes or procedures
facilitate or impede the use of guidelines in
everyday practice?
7. Types of guides and protocols
General guidelines (broad and extensive) covering a broad
area or set of topics in health and safety
Moving and handling guidelines to prevent injuries
Targeted guidelines for specific health problems or events
Preventing ladder injuries
Guidelines for treating depression
Guidelines for mild head injuries
Detailed protocols (brief & focused) for specific clinical
practice
Algorithms for specific movements when moving and
handling people
8. Review of literature: Impacts of
guidelines
Three frameworks or perspectives relevant:
Clinical trials framework favouring RCTs and
experimental trials, excluding non-experimental studies
(systematic reviews)
Evaluation framework using multiple types of evidence
for assessing effectiveness
Descriptive accounts based on interviews with
practitioners
No clinical trials or similar studies found for general
guidelines
Some experimental trials/RCT studies for clinical
protocols
Several commentaries on clinical guidelines and
protocols
Developing literature on evidence-based clinical
10. Algorithms for patient handling and
movement: Nelson et al 2003, 2006
Algorithms - Standardized processes for decisions
about equipment & number of staff to perform high-risk
activities safely (Nelson et al 2003)
Intervention included 6 program elements: (1)
Ergonomic Assessment Protocol, (2) Patient Handling
Assessment Criteria and Decision Algorithms, (3) Peer
Leader role (Back Injury Resource Nurses), (4) State-
of-the-art equipment, (5) After Action Reviews, (6) No
Lift Policy
The program elements resulted in a statistically
significant decrease in the rate of musculoskeletal
injuries as well as the number of modified duty days
12. Example: Cochrane review of printed
education materials (PEM) on clinical
practice
We did not locate any studies comparing
multifaceted interventions that included PEMs with
multifaceted interventions. Yet during our literature
search, we retrieved 82 studies that compared the
effects of PEMs with one or more interventions that
included PEMs. … [There are] difficulties in
separating the effects of PEMs when combined with
other interventions. …. some studies used PEMs
alongside other interventions for investigating
additive effects of interventions …. Future
intervention studies examining the effect of PEMs
should consider the impact of educational materials
13. Purposes of general guidelines
Improve knowledge about topic
Provide rationale for specific health and safety
practices (e.g. reduction of injuries)
Provide health and safety information for
managers
Describe specific techniques and procedures
for practitioners
14. Survey of users of NZPHG 2003
Survey of 50 users in 2010 - included M & H
coordinators, trainers and physiotherapists
Most used sections were: techniques (72%), risk
assessment (30%) and equipment (30%)
15/50 (30%) used external trainers
Some of the changes recommended
Remove 16kg limit
Simplify forms and audit tools
Clarify who are audiences for each section
More information about training
15. Context for M & H in NZ
Practitioners and trainers often hold strong
views about best practice for M & H people
Most views are consistent
Some conflicting views
Revised version of the Guidelines
endeavoured to take into account both
emerging consensus on best practice and
conflicting views, for example…
using brakes on mobile hoists
exclusion of unsafe techniques
16. Factors affecting clinicians’ compliance
with evidence-based guidelines (Gurses
2010)
1. Relative advantage: Is complying with the
guideline superior to not complying with it in
terms of its effectiveness and cost-
effectiveness?
2. Compatibility: Is the guideline consistent with
practitioners’ values, norms, and perceived
needs?
3. Complexity: How easy is it to integrate the
guideline into the current work practice?
4. Trialability: Can the practitioner test or try this
guideline with relative ease?
5. Observability: Can the practitioner observe
others that have incorporated the new guideline
17. Framework for assessing impacts
of M & H guidelines - 1
Regulatory Senior Management
environment Establish policy & programme
(DoL, ACC) Provide resources
Moving and Health and Safety Staff
Handling M & H Coordinators
Guidelines Operate M & H programmes
Organise training
Audit M & H practices
Outcomes
Reduced injuries, Carers
absenteeism and staff Training, risk assessment,
turnover techniques. use of equipment
18. Framework for assessing impacts
of M & H guidelines - 2
1. Features of Guidelines docs and resources
2. Health and safety regulatory environment in
NZ (e.g., legislation, compliance
requirements, resource
development, incentives)
3. Cultures in healthcare organizations
(e.g., DHBs, private providers)
4. Characteristics of practitioners (e.g., health &
safety awareness, professional
associations, union support)
19. Features of guidelines:
Presentation and writing styles
Multiple styles evident in existing guidelines and
manuals (UK, Australia, Canada, USA)
Move to pictorial styles (photos) to accompany
specific aspects (e.g., techniques, equipment)
Writing styles include; instructional/prescriptive,
technical/ academic and descriptive.
NZ Guidelines (2012) reduced instructional text
(compared to 2003) and used more descriptive
and technical text. Includes more photos, tables,
bullet points and examples (side boxes)
20. Enhancing guidelines use and
impacts
Target audiences identified
Awareness of guidelines – professional
associations, government agencies, health &
safety staff
Access to guidelines
Print, online & DVD docs (pdf), video of techniques
(DVD)
Print friendly format for electronic pdfs
Readability – multiple styles, multimedia versions
of key messages
Useability – can contents (techniques and
procedures) be easily used by practitioners and
21. Conclusions 1 – Key points
Extensive publication of guidelines for moving
and handling people in developed countries
Few studies on effectiveness of guidelines –
research on guideline effectiveness appears to be
a low priority
Impacts of guidelines likely to be similar to other
injury prevention/clinical practice initiatives
Readability and useability of guidelines likely to
be important
Need for research on enhancing influence of
guidelines on M & H practices
22. Conclusions 2 - Do Guidelines
improve practice?
Absence of evidence about effectiveness does not
mean absence of effectiveness
Guidelines probably do improve practice:
By providing information about specific
techniques and other resources
By providing a set of standards for moving and
handling people
Over time, through setting an agenda and context
for health and safety in moving and handling
people
23. References
Farmer, A. P., Légaré, F., et al. (2008). Printed educational
materials: effects on professional practice and health care
outcomes. Cochrane Database of Systematic Reviews, Issue 3.
Art. No.: CD004398 doi:10.1002/14651858.CD004398.pub2
Gurses, A. P., Marsteller, J. A., et al. (2010). Using an
interdisciplinary approach to identify factors that affect clinicians’
compliance with evidence-based guidelines. Critical Care
Medicine, 36(8 (suppl)), S282-S291.
doi:10.1097/CCM.0b013e3181e69e02
Nelson, A. , Owen, B., et al. (2003). Safe patient handling and
movement. American Journal of Nursing, 103(3), 32-43.
Nelson, A., Matz, M., et al. (2006). Development and evaluation
of a multifaceted ergonomics program to prevent injuries
associated with patient handling tasks. International Journal of
Nursing Studies, 43(6), 717-733.
Editor's Notes
Many government agencies have produced manuals or guidelines for moving and handling people as part of initiatives to reduce injuries to carers. Given the increasing number of specialised guidelines appearing, it is timely to assess the evidence about the impacts that guidelines might have on moving and handling practices and injuries among healthcare staff. While there is some evidence of positive impacts from clinical practice guidelines on patient outcomes, there appears to be little information on the impacts of moving and handling guidelines. This presentation considers possible causal links between use of moving and handling guidelines and the reduction of negative impacts among carers. It covers the purposes of guidelines, primary audiences, writing and presentation styles and the uses of guidelines reported by practitioners. The session will draw on the presenters’ involvement as members of an ACC panel, which produced Moving and Handling PeopleSee refs in folderGuidelines impacts docs