scholarly journals Assessment of the efficacy, safety and quality of gentamicin use in Aberdeen Royal Infirmary

1999 ◽  
Vol 44 (6) ◽  
pp. 843-845 ◽  
Author(s):  
K. O. Buabeng ◽  
A. R. Mackenzie ◽  
R. B. S. Laing ◽  
I. Cook ◽  
B. Jappy ◽  
...  
Keyword(s):  
Royal Infirmary ◽  
Aberdeen Royal Infirmary

389 General Surgery Operative Cancellations Within Aberdeen Royal Infirmary 2019

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
S McIntosh ◽  
R Jardine ◽  
M Ghazanfar
Keyword(s):  
Median Time ◽  
General Surgery ◽  
Retrospective Review ◽  
Common Reason ◽  
Patient Treatment ◽  
Royal Infirmary ◽  
Emergency Operations ◽  
Elective Operation ◽  
Theatre Management ◽  
Aberdeen Royal Infirmary

Abstract Introduction Operative cancellation rates can be up to 17.6%, resulting in delays to patient treatment and management. This audit was conducted to assess underlying reasons for operative cancellations with the aim to minimise cancellations in the future. Method A retrospective review of General surgery operative cancellations during 2019 at Aberdeen Royal Infirmary was undertaken. Data was obtained from Theatre Management. Results 28548 operations were performed across all surgical specialities during 2019 with 2664 operations cancelled. Within General Surgery, 447 were cancelled (182 emergency (40.7%), 265 electives (59.3%)). The most common reason was lack of theatre time for elective cases and procedure no longer needed for emergency cases. For cancelled elective surgeries, there was a median time of 29 days before being operated. Conclusions We highlight that both elective and emergency operations are susceptible to cancellation. There are clear differences in the reason of cancellation between elective and emergency. Going forward, it is worth discussing booking emergency operations with the on-call consultant to ensure they are necessary. Regarding elective operation cancellations due to lack of theatre time it would be imperative to assess the exact cause of this as to minimise operative cancellations. We plan re-audit once a departmental discussion has been made.

450 Retrospective Analysis of Surgical Clerk-Ins Within the Acute Receiving Unit: A Quality Improvement Project

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
L Lee ◽  
A MacLeod ◽  
A Bradley
Keyword(s):  
Royal Infirmary ◽  
Improvement Project ◽  
Out Of Hours ◽  
Emergency Admissions ◽  
Vte Prophylaxis ◽  
Care Services ◽  
Documentation Quality ◽  
Patient Documentation ◽  
Patient Handovers

Abstract Introduction Accurate patient documentation at the ARU is vital to patient safety and ensuring smooth handovers to secondary care services. Because the nature of surgical treatment requires frequent patient handovers, and this increases the risk of miscommunication, we aimed to assess the quality of surgical clerk-ins and identify areas for improvement. Method Emergency admissions at the Dumfries Galloway Royal Infirmary were audited, looking at documentation quality under various clerk-in sections. Data was analysed before presentation to clinical governance. Results When 46 patient clerk-ins were examined, venous thromboembolism (VTE) prophylaxis plans were performed in only 24% of admissions - less than 1 in 4 patients. Comparing out-of-hours and in-hours patient documentation, much higher omission rates were identified in the out-of-hours documentation: in systemic enquiry (42 vs 100%) and family history (31% vs 66%). Conclusions These results brought to attention the effect of hospital admission timing on patient documentation quality, and the lack of VTE prophylaxis planning. In surgery, these plans are key to minimising risk of avoidable thromboembolic complications. A departmental meeting was convened to stress the importance of accurate and comprehensive clerk-ins to ARU doctors. Future audits could explore the factors influencing documentation quality for out-of-hours admissions, and ways to address these issues.

Para-incisional tattooing with electrocautery

1999 ◽  
Vol 113 (3) ◽  
pp. 244-245 ◽  
Author(s):  
Akhtar Hussain ◽  
Michael S. W. Lee
Keyword(s):  
New York ◽  
Head And Neck ◽  
Operative Procedure ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Operative Procedures ◽  
Royal Infirmary ◽  
Medical College ◽  
Albany Medical College ◽  
Aberdeen Royal Infirmary

AbstractThe authors present a technique using electrocautery diathermy to make surgical tattoos. This method has been used in over 300 patients who underwent head and neck surgery at Aberdeen Royal Infirmary and Albany Medical College, New York, over a period of five years. A wide variety of operative procedures such as total laryngectomies and neck dissections were performed. The electrocautery surgical tattoos have a major advantage of persisting until the end of the operative procedure by which time other types of tattoos have faded. The technique is widely available, inexpensive, and has to date been complication free.

Do trauma systems work? A comparison of major trauma outcomes between Aberdeen Royal Infirmary and Massachusetts General Hospital

Injury ◽  
2015 ◽  
Vol 46 (1) ◽  
pp. 150-155 ◽  
Author(s):  
Brian E. Morrissey ◽  
Ruth A. Delaney ◽  
Alan J. Johnstone ◽  
Laurie Petrovick ◽  
R. Malcolm Smith
Keyword(s):  
General Hospital ◽  
Major Trauma ◽  
Massachusetts General Hospital ◽  
Royal Infirmary ◽  
Trauma Systems ◽  
Trauma Outcomes ◽  
Aberdeen Royal Infirmary

scholarly journals ABERDEEN ROYAL INFIRMARY.

The Lancet ◽  
1891 ◽  
Vol 138 (3547) ◽  
pp. 425 ◽  
Author(s):  
Ogston
Keyword(s):  
Royal Infirmary ◽  
Aberdeen Royal Infirmary

44 The first 100 endobronchial ultrasound transbronchial needle aspirations at Aberdeen Royal Infirmary

Lung Cancer ◽  
2012 ◽  
Vol 75 ◽  
pp. S15
Author(s):  
P. Mahendra ◽  
D. Miller ◽  
V. Bruce ◽  
K.M. Kerr ◽  
M. McKean ◽  
...  
Keyword(s):  
Endobronchial Ultrasound ◽  
Royal Infirmary ◽  
Aberdeen Royal Infirmary

scholarly journals Improving the quality of weekend medical handover on non-receiving medical hospital wards

2021 ◽  
Vol 10 (4) ◽  
pp. e000991
Author(s):  
Ruairidh Nicoll ◽  
Mark White ◽  
Luis Loureiro Harrison ◽  
Ruth LM Cordiner ◽  
Malcolm Daniel ◽  
...  
Keyword(s):  
Electronic System ◽  
Royal Infirmary ◽  
Time Period ◽  
Pdsa Cycle ◽  
Paper Form ◽  
Medical Wards ◽  
National Training ◽  
Short Time ◽  
Hospital Wards

IntroductionHandover is the system by which the responsibility for immediate and ongoing care is transferred between healthcare professionals and can be an area of risk. The Royal College of Physicians (RCP) has recommended improvement and standardisation of handover. Locally, national training surveys have reported poor feedback regarding handover at Glasgow Royal Infirmary.AimTo improve and standardise handover from weekday to weekend teams.MethodsThe Plan–Do–Study–Act (PDSA) quality improvement framework was used. Interventions were derived from a driver diagram after consultation with relevant stakeholders. Four PDSA cycles were completed over a 4-month period:PDSA cycle 1—Introduction of standardised paper form on three wards.PDSA cycle 2—Introduction of electronic handover system on three wards.PDSA cycle 3—Expansion of electronic handover to seven wards.PDSA cycle 4—Expansion of electronic handover to all non-receiving medical wards.The outcome of interest was the percentage of patients with full information handed over based on a six-point scale derived from the RCP. Data were collected weekly throughout the study period.Results18 data collection exercises were performed including 525 patients. During the initial phase there was an improvement in handover quality with 0/28 (0%) at baseline having all six points completed compared with 13/48 (27%) with standardised paper form and 21/42 (50%) with the electronic system (p<0.001). When the electronic handover form was expanded to all wards, the increased quality was maintained, however, to a lesser extent compared with the initial wards.ConclusionA standardised electronic handover system was successfully introduced to downstream medical wards over a short time period. This led to an in improvement in the quality of handover in the initial wards involved. When expanded to a greater number of wards there was still an improvement in quality but to a lesser degree.

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