Definitions and abbreviations | Right Decisions

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Definitions and abbreviations

Announcements and latest updates

Welcome to the Right Decision Service (RDS) newsletter for August 2024.

Contingency planning for RDS outages

Following the recent RDS outages, Tactuum and the RDS team have been reviewing the learning from these incidents. We are committed to doing all we can to ensure a positive outcome by strengthening the RDS to make it fully robust and clinically resilient for the future.

We would like to invite you to a webinar on 26^th September 3-4 pm on national and local contingency planning for future RDS outages. Tactuum and the RDS team will speak about our business continuity plans and the national contingency arrangements we are putting in place. This will also be a space to share local contingency plans, ideas and existing good practice. We would also like to gather your views on who we should send communications to in the event of future outages.

I have sent a meeting request for this date to all editors – please accept or decline to indicate attendance, and please forward on to relevant contacts. You can also contact Olivia.graham@nhs.scot directly to register your interest in participating.

2.National IV fluid prescribing calculator

This UK CA marked calculator is now live at https://righdecisions.scot.nhs.uk/ivfluids . It has been developed by a multiprofessional steering group of leads in IV fluids management, as part of the wider Modernising Patient Pathways Programme within the Centre for Sustainable Delivery. It aims to address a known cause of clinical error in hospital settings, and we hope it will be especially useful to the new junior doctors who started in August.

Please do spread the word about this new calculator and get in touch with any questions.

New toolkits

The following toolkits are now live;

Gender identity healthcare: adults and young people standards. (https://rightdecisions.scot.nhs.uk/genderidentity ) Note that this toolkit includes self-evaluation forms for each standard. A Scottish Government launch of these standards, together with the toolkit and NES educational resources, is planned for 3^rd September.
Care Inspectorate staffing method framework.
Vascular surgery pathways from the Modernising Patient Pathways Programme within the Centre for Sustainable Healthcare Delivery.

Updated guidance on current and future Medical Device Regulations

We have updated and simplified this guidance within our standard operating procedures. We have clarified the guidance on how to determine whether an RDS tool is a medical device, and have provided an interactive powerpoint slideset to steer you through the process.

Guide to six stages of RDS toolkit development

We have developed a guide to support editors and toolkit leads through the process of scoping, designing, delivering, quality assuring and implementing a new RDS toolkit. We hope this will help in project planning and in building shared understanding of responsibilities throughout the full development process. The guide emphasises that the project does not end with launch of the new toolkit. Implementation, communication and evaluation are ongoing activities throughout the lifetime of the toolkit.

Training sessions for new editors (also serve as refresher sessions for existing editors) will take place on the following dates:

Thursday 5 September 1-2 pm
Wednesday 24 September 4-5 pm
Friday 27 September 12-1 pm

To book a place, please contact Olivia.graham@nhs.scot, providing your name, organisation, job role, and level of experience with RDS editing (none, a little, moderate, extensive.)

7 Evaluation projects

Dr Stephen Biggart from NHS Lothian has kindly shared with us the results of a recent survey of use of the Edinburgh Royal Infirmary of Edinburgh Anaesthesia toolkit. This shows that the majority of consultants are using it weekly or monthly, mainly to access clinical protocols, with a secondary purpose being education and training purposes. They tend to find information by navigating by specialty rather than keyword searching, and had some useful recommendations for future development, such as access to quick reference guidance.

We’d really appreciate you sharing any other local evaluations of RDS in this way – it all helps to build the evidence base for impact.

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.

With kind regards

Right Decision Service team

Healthcare Improvement Scotland

Definitions

Biofilm: a slime-enclosed community of bacterial colonies that is very difficult to eradicate even with the most powerful antibiotics or sterilising systems.³⁷

Ecthyma: a pus forming, ulcerating and crusting inflammatory skin disease.³⁸

Endotoxin: a toxin produced by certain bacteria and released upon destruction of the bacterial cells.³⁹

Ex vivo: in an artificial environment outside a living organism.⁴⁰

Furunculosis: a condition in which the patient suffers from recurrent episodes of boils.⁴¹

Hepatalgia: pain in the liver.⁴²

Hidradenitis: inflammation of a sweat gland.⁴³

Lytic: of or relating to lysis; the destruction of a living cell by disruption of its membrane.⁴⁴

Paronychia: infection of the skin fold at the base or side of the nail.⁴⁵

Pyoderma: a pus containing skin infection.⁴⁶

Sycosis vulgaris: a chronic inflammation of the hair follicles, especially of the beard, characterised by eruption of pimples and nodules.⁴⁷

Abbreviations

ARLG	Antibacterial Resistance Leadership Group
CPI	consumer price index
CS	case studies
DFI	diabetic foot infection
DFU	diabetic foot ulcer
DNA	deoxyribonucleic acid
ESKAPE	Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baummannii, Pseudomonas aeruginosa, and Enterobacter species
FRI	fracture-related infection
GMP	Good Manufacturing Process
GRADE	Grading of Recommendations, Assessment, Development and Evaluations
ICER	incremental cost effectiveness ratio
LEA	lower extremity amputation
MHRA	Medicines and Healthcare Products Regulatory Authority
NA	not applicable
NHS	National Health Service
NICE	National Institute of Health and Care Excellence
NR	not reported
OBS	observational trial
PFU	plaque forming units
PJI	periprosthetic joint infection
PSSRU	Personal and Social Services Research Unit
PT	phage therapy
QALY	quality-adjusted life-year
RCT	randomised controlled trial
SHTG	Scottish Health Technologies Group
SoC	standard of care