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Foundation trust and NHS trust mergers

This report reviews 20 mergers involving NHS trusts and foundation trusts between 2010 and mid-2015 and asks whether mergers are always the best way forward Mergers of trusts in the NHS are often instigated by national bodies so that NHS trusts can gain foundation trust status or failing providers can be rescued from financial difficulties. This report looks at 20 mergers between 2010 and mid-2015 and finds that significant sums of money are being spent on such mergers (£2 billion on just 12 mergers over this period), often based on faulty reasoning and a lack of evidence that mergers offer lasting solutions.  
kingsfund.org.uk
about 4 years ago
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Critical Care

Saline-based and hydroxyethyl starch solutions are associated with increased risk of renal dysfunction. In the present study, we tested the hypothesis that balanced solutions and a limited volume of hydroxyethyl starch solution (renal protective fluid management [RPF] strategy) would decrease the incidence of postoperative acute kidney injury (AKI) and improve clinical outcomes in patients undergoing off-pump coronary artery bypass graft surgery (OPCAB).  
ccforum.com
about 4 years ago
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Faulty risk-of-bias assessment in a meta-analysis of hydroxyethyl starch for nonseptic ICU patients | Critical Care | Full Text

Evaluating 6 % hydroxyethyl starch (HES) of different molecular weight and substitution versus other fluids for nonseptic patients, He et al. [1] did not confirm the increased mortality, renal replacement therapy (RRT), bleeding and red blood cell transfusions seen in sepsis. A favourable safety profile for 6 % HES solutions was suggested.  
ccforum.com
about 4 years ago
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How to have Kinetic Mindfulness with David Phears

At http://bergmanchiropractic.com and http://Owners-Guide.com we strive to educate people on natural solutions to health. http://www.theArthritisReversalSyst...  
youtube.com
about 4 years ago
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Hormone Rant

Hormone production and regulation is a huge problem these days and the current medical solutions are only drugs, synthetic hormones and surgery. Even if you'...  
youtube.com
about 4 years ago
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Difficulty accessing data from randomised trials of drugs for heart failure: a call for action

When Robert Fleetcroft and colleagues attempted a systematic review of the treatment of heart failure, they were unable to answer their research question because of poor reporting and non-disclosure of data. And yet the necessary studies had been done. Here they discuss their experience and possible solutions  
feeds.bmj.com
about 4 years ago
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Behavioral Health and Primary Care: EHR Challenges, Solutions

How can existing EHR systems be adapted to deliver integrated behavioral health and primary care? This study examines the challenges, and both short- and long-term solutions.  
medscape.com
about 4 years ago
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Simply Awesome App Marketing Solutions - SAapps.net

SA Apps has been marketing apps and promoting games since October 2012. Our Top 10 Apps Marketing Solutions will boost your app downloads and up-rank your apps and games to Top charts.  
saapps.net
about 4 years ago
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Teaming Up to Improve Medication Adherence in ACS: Strategies and Solutions for the Healthcare Team CME/CE

Deepak L. Bhatt, MD, MPH, FACC, FAHA, FSCAI, FESC; Marie T. Brown, MD, FACP; Kathleen Fraser, RN-BC, MSN, MHA, CCM, CRRN; Jessica Tilton, PharmD, BCACP  
medscape.org
about 4 years ago
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Let's Talk Overactive Bladder: Practical Solutions to Overcoming Barriers CME

This educational initiative is designed as a comprehensive approach to address the practice needs of primary care providers, including primary care physicians, doctors of osteopathy, physician assistants, nurse practitioners, and allied healthcare professionals, who are at the forefront of caring for adult patients who may be suffering from overactive bladder.  
medscape.org
almost 4 years ago
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C Diff Infection Mimics Inflamed Bowel, Complicates Care

C difficile can be particularly challenging in patients with inflammatory bowel disease, but recent advances in the treatment of such patients and evidence-driven solutions could help.  
medscape.com
almost 4 years ago
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Disease Activity Assessment Across the RA Continuum: Challenges and Solutions CME

The goal of this activity is to increase clinician confidence in using newer methods of disease assessment in patients with rheumatoid arthritis (RA) to judge early treatment response prior to changes being seen in the physical exam and to predict radiographic progression and durability of remission.  
medscape.org
almost 4 years ago
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Shift Work: Thriving or Surviving? - Haney Mallemat - Intensive Care Network

Mallemat discusses the potentially negative consequences to shift work and believes a better understanding allows us to develop and research new solutions.  
intensivecarenetwork.com
almost 4 years ago
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Products | BIOPAC

Research Platforms with AcqKnowledge software provide powerful data acquisition hardware and automated analysis routines for wired, wireless, logging, and MRI setups, for human or animal studies. Integrated solutions make it easy to combine and synchronize systems. Add amplifiers, stimulators, transducers, electrodes, triggers, video, and accessories to achieve your specific protocol requirements...  
biopac.com
almost 4 years ago
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'Silent Majority' of Young Nonathletes Also at Risk for SCD

Although the data "raise ethical considerations" about limiting screenings to competitive athletes only, experts admit that "we can't screen everybody." Still, they note several possible solutions.  
medscape.com
almost 4 years ago
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IT Controversies, Burnout Hot Topics at Hospitalists Meeting

Evidence-based solutions for challenges in hospital care will be addressed at the meeting, and a physician panel will discuss balancing work-life issues.  
medscape.com
almost 4 years ago
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What do Patient Safety, Quality Improvement and Resource Stewardship Have in Common?

By: Brian M. Wong, MD, FRCPC They have been explicitly integrated into the revised CanMEDS 2015 Physician Competency Framework Medical educators are looking for practical solutions to ensure these distinct concepts are adequately and effectively integrated into the curriculum These domains are explored in-depth at a new 4-day ASPIRE faculty development workshop (Accredited MOC Workshop)…  
icenetblog.royalcollege.ca
almost 4 years ago
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Seven day NHS services: what trusts are doing

“There is no ‘one size fits all’ answer to introducing seven day urgent and emergency care services—local solutions will need to be found.” This was the message from NHS England’s medical director, Bruce Keogh, in 2013 when he outlined his vision for transforming the NHS.1 It is true that trusts have followed their own path, but a snapshot of how trusts in England have implemented seven day services reveals many similarities.  
feeds.bmj.com
almost 4 years ago
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Ten towns that promote health to be built in England

NHS England has outlined plans to create new communities with a focus on healthy living and will test solutions to tackle obesity, help people with dementia, and improve community cohesion.  
feeds.bmj.com
almost 4 years ago
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Data too important to share: do those who control the data control the message?

Hydroxyethyl starch solutions for fluid resuscitation fell from grace in 2013 after European and American regulators issued severe warnings about their safety. But the academic investigators that led a landmark trial that helped precipitate this downfall are refusing to share their data. Is this acceptable? Peter Doshi reports  
feeds.bmj.com
almost 4 years ago