Bed rest and posture for preventing post-dural puncture headache

Post-dural puncture headaches are a recognised complication of any procedure where the dura is punctured. The dural puncture may be intentional, with the use of a spinal needle, or unintentional, as a complication of epidural injections or

Published September 2014

Service redesign: early identification of patients at risk of developing end-stage kidney disease

  The aim of the original case study ‘Service redesign: systematic diabetes renal service’ (10/0051) was to reduce the rate of loss of kidney function in people with diabetes mellitus so that fewer people developed kidney failure and

Published August 2014

Crisis response falls team: reducing admissions and repeat falls

Falls-related calls make up about 20% of all calls received by the East Midlands Ambulance Service (EMAS); approximately 90,000 calls per year. Reducing demand on hospitals and the potential negative outcomes associated with hospital admission

Published August 2014

Wireless working in hospitals: Improving efficiency and safety of out-of hours

  Coordination and communication between hospital wards and team members has been a major issue locally and nationally. Standard pager and landline telephone systems are prone to delays. When pagers are answered, tasks must be interrupted

Published June 2014

Alcohol Care Teams: to reduce acute hospital admissions and improve quality of care

The second review of this case study has been undertaken. Additional information about implementation of the initiative has been added for the lead site, The Royal Bolton Hospital. In addition, alcohol specialist nurse services have now been

Published May 2014

Early epoetin for preventing red blood cell transfusion in premature infants

Use of epoetin (also known as EPO) may reduce the use of blood transfusions but not sufficiently to reduce donor exposure. Use of epoetin appears to lead to an increase in the incidence of retinopathy of prematurity (ROP). As such the Cochrane

Published July 2014
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