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May 2025 RDS newsletter now available. Expand this announcement to view.

Welcome to the May 2025 update from the RDS team

1.     RDS deployments

Three small-scale releases took place during April and May, including the following fixes and improvements:

  • Applying moderate severity security patch to Umbraco.
  • Fixes to:
    • Random ordering of tiles on mobile app
    • Simultaneous issuing of multiple copies of content review alerts
    • Content display on mobile app for the left hand menu navigation option
  • Whitelisting of Jotforms outcomes pages so that recommendations for action can be displayed following completion of a form or calculation.

2.     RDS performance

Two short outages took place on the mornings of 12th and 22nd May. Tactuum is still investigating the root cause and will report on this shortly.

3.     Redesign of Gentamicin and Vancomycin calculator interfaces

New designs have been produced which make the health board name and calculator title clear to the user on these calculator pages, with a warning message and link to ensure users access the right calculator for their board. These designs have been implemented in a test environment and are now under review.

4.     RDS Redesign, archiving and version control

We now plan to release at end of July 2025 the following major enhancements:  redesigned Right Decision Service homepage, new search and browse interface, upgraded archiving and version control, and capability to edit content adopted from the Shared Content Library. We will provide slides and demos in advance of the release to introduce users and editors to the new functionality.

5. Training sessions for RDS editors

Introductory webinars for RDS editors will take place on:

  • Monday 16 June 12.30-1.30 pm
  • Tuesday 24 June 3.45-4.45 pm

Running usage statistics reports using Google analytics

  • Wednesday 11th June: 2-3pm

 To book a place on any of these webinars, please contact Olivia.graham@nhs.scot providing your name, role, organisation, title and date of the webinar you wish to attend.

6.New RDS toolkits

The following toolkits were launched during March 2025:

7.New RDS developments

Work is progressing on a number of decision support systems that are part of the wider Right Decision Service platform, beyond the web and mobile apps:

  • The Patient Reported Outcome Measures system. A minimum viable product version will be available for functional testing by key stakeholders at end of July.
  • Pharmacogenomics decision support as an extension of the current high risk prescribing decision support integrated with primary care electronic health record systems. This is part of a European research and innovation project.
  • Planned Date of Discharge decision support system to be tested in NHS Lanarkshire. Will undergo user acceptance testing in July with a view to piloting from November.

8. Implementation projects

Public library services in Inverclyde, East Renfrewshire, Glasgow Life, Angus, Falkirk and Stirling have come forward to work with the RDS team, the Scottish Library and Information Council and local Realistic Medicine leads, to develop their role in engaging citizens in Realistic Medicine. This includes promoting the Being a partner in my care app: Realistic Medicine Together. This provides tools and resources to support conversations about what matters to the person,  shared decision-making and self-management.

 

If you have any questions about the content of this newsletter, please contact his.decisionsupport@nhs.scot  If you would prefer not to receive future newsletters, please email Olivia.graham@nhs.scot and ask to be removed from the circulation list.

 

 

 

Incidental hyperglycaemia / glycosuria (1138)

Warning

Objectives

For acute medical staff in CDU and ED when assessing children with intercurrent illness who are found to have incidental hyperglycaemia/glycosuria. To guide how to manage these children in terms of further investigation and follow up

Glycosuria and hyperglycaemia may be seen as part of the normal stress response in children with infection and also in association with medications such as steroids. This may be identified on urine dipstick testing or on a blood gas/cap BG/TBG

In some cases, the child has simply not washed their hands (alcohol gel does not count).

What we are trying to prevent

Children who may be presenting with type 1 Diabetes/ impaired glucose tolerance in addition to their intercurrent illness.

Please see Intermittent/borderline hyperglycaemia for well children with intermittent/borderline hyperglycaemia where criteria is not met for Diabetes.

Incidental glycosuria flowchart

Incidental Hyperglycaemia flowchart - intercurrent illness

Flowchart showing what to do if there's an incidental finding of hyperglycaemia when investigating intercurrent illness

* If Diabetes team unavailable, can be discharged if HbA1c within normal range and all Cap BGs <11.1 for 24 hours. Discuss with Diabetes team when available.

- If HbA1c not available, can be discharged if cap - BGs< 7.8 for 24 hours. Chase HbA1c - PUT in 2C JOB BOOK. Discuss with Diabetes team when available.

For clinical queries, please contact

Diabetes medical team - 0141 452 4961

Diabetes Hot nurse - 0141 452 4646

Out of Hours - General Paediatric team

Childrenwithdiabetes@ggc.scot.nhs.uk

Editorial Information

Last reviewed: 05/03/2024

Next review date: 28/02/2027

Author(s): Dr Karen Whyte, Consultant Paediatrician.

Version: 1

Author email(s): Karen.whyte2@ggc.scot.nhs.uk.

Approved By: Paediatrics Guidelines Group