Maintaining good oral hygiene and oral health is essential. It becomes more crucial for orthodontic patients who undergo different orthodontic treatments. The measures and precautions to ensure oral hygiene to improve the life quality during the treatment.
This study evaluated the microbial quality of farmed tilapia from seven fresh water farms of Cagayan which were endorsed by the Bureau Fisheries and Aquatic Resources Provincial Office of Cagayan. The study utilized a Mixed Method of analysis where the profile of fish farms and microbial quality of tilapia harvested from the fish farms were quantitatively described while a Focus Grouped Discussion was done to determine farm practices of the fish farm owners. Interview, observation techniques and document reviews were also done to validate some responses provided by the participants in the FGD. Results of the bacterial culture conducted revealed the presence of different bacterial isolates from the fish samples which were found to be pathogenic and may be due to poor fish farm practices. Further, the results of the study showed that most fish farm owners do not comply to practice basic sanitary and hygienic protocols as endorsed by BFAR. While the bacteria load levels detected from the fish samples were within the acceptable limit as prescribed by the Food and Drug Administration of the Department of Health, some fish farms were detected to have high bacterial loads in as much as the harvested fishes from these sites are concerned because of the use of contaminated source of water supply. The study strongly recommends BFAR to conduct stricter monitoring and implement sanitary and hygienic practices in the fish farms of Cagayan to avoid food poisoning and intoxication once fishes like tilapia are consumed. Consumers are likewise advised to cook properly fishes cultured in fish farms.
Silk, being the “queen of textiles”, passes through various procedures to ensure its quality. Pre-treatment is the process of soaking raw silk in a solution consisting of soap, oil, and water. Its primary purpose is to smoothen and elasticize the raw silk to expedite throwing operations. This paper aimed to modify the soaking solution for raw silk being used at DMMMSU-Sericulture Research and Development Institute, to improve the quality of fabric produced. The study utilized an experimental research design, using raw silk from silkworm hybrid DMMMSU 406. Pre-treatment was done using three types of edible oils such as castor oil, corn oil, and coconut oil as soaking agents with a material liquor ratio of 1:4:5:6. All the treatments passed the standards for breaking strength, dimensional change, and colorfastness. Results revealed that coconut oil had the lowest registered number of breaks, and the highest registered reflectance percentage. The same treatment also performed better in terms of cleanness, evenness, and neatness test.
Background Poor translation of clinical practice guidelines (CPGs) into clinical practice is a barrier to the provision of consistent and high-quality evidence-based care. The objective was to systematically review the roles and effectiveness of knowledge brokers (KBs) for translating CPGs in health-related settings.
An implementation of Crev as a command line tool integrated with cargo. This tool helps Rust users evaluate the quality and trustworthiness of their package dependencies.
Northamptonshire Healthcare NHS Foundation Trust (NHFT) have made significant improvements to their Workforce Race Equality Standard (WRES) indicators. They have done some great work to improve equality within their workforce. This is making a real difference in the working environment and the quality of care they provide.
South London and Maudsley NHS Foundation Trust has been rated Good overall by the Care Quality Commission.
The trust was rated Good for being effective, caring, responsive and well-led. It was rated Requires Improvement for being safe, following the inspection in April and May 2019. At a previous inspection the trust was also rated Good overall.
England's Chief Inspector of Hospitals has praised Shropshire Community Health NHS Trust following an inspection by the Care Quality Commission.
Shropshire Community Health NHS Trust was rated as Good overall following an inspection which took place between January and March this year.
This is an important judgement as it further clarifies what is an acceptable care setting. The appearance of the proposed service did not match with the residential area it was located within and was too big - there was a supported living service on the same site. This did not promote integration with the local community.
The child and adolescent mental health wards were rated Inadequate overall and for safe, responsive and well-led services, and Requires Improvement for caring and effective services.
The concerns primarily focused on West Lane Hospital, it was not delivering safe care. There were substantial and frequent staff shortages and staff did not adequately assess, monitor or manage risks to patients. When patients demonstrated higher levels of risk, staff did not follow processes and procedures to mitigate these through appropriate observation and engagement.
The Care Quality Commission (CQC) has rated the services provided by South West Yorkshire Partnership NHS Foundation Trust as Good following an inspection in May and June. This represents an improvement on their last inspection in March and April 2018 when the trust was rated as Requires Improvement.
The Care Quality Commission (CQC) has told North East London NHS Foundation Trust that it must make immediate improvements following its latest inspection.
The Care Quality Commission has rated the services provided by Lancashire Care NHS Foundation Trust as Requires Improvement following an inspection in May and June.
At this latest inspection, the trust was rated Requires Improvement for safe, effective, responsive and well-led and Good for caring. Overall the trust remains at Requires Improvement, no change from their last inspection in 2018.
Barnet, Enfield and Haringey Mental Health NHS Trust has been rated Good overall by the Care Quality Commission. Previously it was rated Requires Improvement.
The trust was rated Good for being effective, responsive, caring and well-led. It was rated Requires Improvement for being safe, following the inspection in June and July 2019.
The Care Quality Commission (CQC) has today published a report on Cumbria Partnership NHS Foundation Trust. The trust has been rated Requires Improvement following an inspection in May and June 2019.
A Pre-admission Suite (PAS) at a south London mental and community health trust has now closed, following a Care Quality Commission focused inspection in August 2019.
CQC undertook the inspection following concerns received about the length of
time patients stayed in Oxleas NHS Foundation Trust’s PAS and complaints from patients and relatives.
Driving improvement through technology’ includes examples from across health and social care. These range from apps that help people to take more control of their care, to digital systems for sharing care records.
Each has made positive changes to drive improvements for patients. In each case study we highlight how staff describe the journey of improvement as they experienced it.
Together their stories share some common themes. They show that one of the biggest aspects to supporting improvement across all hospitals was robust leadership. Another is meaningful engagement with staff.
In this update for 2018, we report on:
the increase in opioid prescribing across the UK
measures put in place following the Gosport Independent Panel report
our continuing concerns regarding lower schedule controlled drugs
the introduction of legislation for cannabis based medicinal products.
Our update shares the key issues raised by NHS England controlled drug accountable officers and their unaccounted-for losses of controlled drugs by NHS England area. We also give examples of issues raised and followed up through the local area networks.
The Care Quality Commission’s annual assessment of the state of health and social care in England shows that quality ratings have been maintained overall – but people’s experience of care is determined by whether they can access good care when they need it.
The report Providers deliver: better care for patients considers both the leadership approaches and frontline initiatives that underpin improvements in quality. Through 11 case study conversations, it considers some of the frontline work that has contributed to trusts’ improvements in CQC ratings, as well as exploring the role of trust leaders in providing an enabling, supportive environment in which this work has been possible.
Free access. Despite consensus that preventing patient safety events is important, measurement of safety events remains challenging. This is, in part, because they occur relatively infrequently and are not always preventable. There is also no consensus on the ‘best way‘ or the ‘best measure’ of patient safety. The purpose of all safety measures is to improve care and prevent safety events; this can be achieved by different means. If the overall goal of measuring patient safety is to capture the universe of safety events that occur, then broader measures encompassing large populations, such as those based on administrative data, may be preferable. Acknowledging the trade-off between comprehensiveness and accuracy, such measures may be better suited for surveillance and quality improvement (QI), rather than public reporting/reimbursement. Conversely, using measures for public reporting and pay-for-performance requires more narrowly focused measures that favour accuracy over comprehensiveness, such as those with restricted denominators or those based on medical record review.
Health systems invest in diabetes quality improvement (QI) programmes to reduce the gap between research evidence of optimal care and current care.1 Examples of commonly used QI strategies in diabetes include programmes to measure and report quality of care (ie, audit and feedback initiatives), implementation of clinician and patient education, and reminder systems. A recent systematic review of randomised trials of QI programmes indicates that they can successfully improve quality of diabetes care and patient outcomes.2 Changes in surrogate markers such as blood glucose control, blood pressure or cholesterol levels are used to measure QI intervention effectiveness.2
However, investments in QI strategies are only worthwhile if the programmes that effectively improve care are sustained after trial completion.3. To read the full article, log in using your NHS OpenAthens details.
Open access. Lean is commonly adopted in healthcare to increase quality of care and efficiency. Few studies of Lean involve staff-related outcomes, and few have a longitudinal design. Thus, the aim was to examine the extent to which changes over time in Lean maturity are associated with changes over time in care-giving, thriving and exhaustion, as perceived by staff, with a particular emphasis on the extent to which job demands and job resources, as perceived by staff, have a moderated mediation effect.
Open access. The Plan-Do-Study-Act (PDSA) method is widely used in quality improvement (QI) strategies. However, previous studies have indicated that methodological problems are frequent in PDSA-based QI projects. Furthermore, it has been difficult to establish an association between the use of PDSA and improvements in clinical practices and patient outcomes. The aim of this systematic review was to examine whether recently published PDSA-based QI projects show self-reported effects and are conducted according to key features of the method.