Original Papers

Quality Improvement of Clinical Handover in a Liaison Psychiatry Department: A Three-Phase Audit

 L Alexander, N Bechan, S Brady, L Douglas, S Moore, R Shelley

Alexander et al describe an intervention that improved clinical handover.  It consisted of an 11 item handover checklist.

A Review of the Parenteral Nutrition Supply Service in an Irish Neonatal Unit

 Smith A, Glynn AC , Shankar A , McDermott C, McCallion N

Smith et al report on the impact of a 5 day rather than a 7 day patient specific parenteral nutrition (PSPN).  Education, training and improvements in stock bags help in part to overcome the disadvantages.

The Doctor Can See You Now: A Key Stakeholder Study Into The Acceptability Of Ambulance Based Telemedicine.

 P Gilligan, A Bennett, A Houlihan, A Padki, N Owens, D Morris, I Chochliouros, A Mohammed, A Mutawa, M A Eswararaj, S Gannon, A Alrmawi, J Zuhair Gasem, P P Natalie Sheung, Claire Tynan, Ruth Little, Willie Merriman, Ahjoku Amadi-Obi, L Kenna, D A Alim, C O’Donnel

Gilligan et al explore the feasibility of a telelink between a patient, a paramedic and an ED doctor.  98.5% of patients,  89% of doctors, 76% of nurses and 91% of ambulance personnel saw the potential in an audio-visual link.

Subtrochanteric Femur Fractures in an Irish Trauma Centre over 9 years: How the Impact of Hospital Coding on Diagnosis of Subtrochanteric Femur Fractures Leads to Inaccurate Occurrence Rates

 EI Coveney, Harriz E, Gibney B, JF Quinlan

Coveney et al report that 1701 patients were admitted with hip fractures.  Using ICD-10 coding 48 cases were coded with a subtrochanteric fracture.  However when the AO/OTA classification is applied the revised number was 8 cases.

Screening For Gestational Diabetes Mellitus Selectively in a University Maternity Hospital

O’Malley EG, O’Duill M, McArdle C, Kennedy RAK, Reynolds CM, Turner MJ   

O’Malley et al audited selective screening with an oral glucose tolerance test (OGTT).  Based on national recommendations 46.5% had maternal risk factors, and 6.5% had fetal risk factors.  9 women with risk facts did not have an OGTT.