Staff Publication

Delivery of Simulation Training for Critical Care (2026)

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Type of publication:

Service improvement case study

Author(s):

*Mark Ridgway

Citation:

SaTH Improvement Hub, February 2026

SMART Aim:

To deliver to the Critical Care Team, all four Critical Airway Study Days and increase their number of in-situ simulations and live drills across both sites by December 2025, thus improving Critical Care staff confidence in airway management and deteriorating patient situations.

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Reducing Cancellations in Angiography (2026)

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Type of publication:

Service improvement case study

Author(s):

*M Hough, *S Boyd, *A Fedder, *M Akhtar, *S Jones

Citation:

SaTH Improvement Hub, March 2026

SMART Aim:

To identify the primary reason for cancellations. Apply an intervention in order to reduce the number cancellations by a minimum of 1, in planned angiography procedures in Room 4 of the radiology department by 16/3/26.

Link to PDF poster

ReSPECT Documentation (2026)

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Type of publication:

Service improvement case study

Author(s):

*Dr Sultan Ahmed

Citation:

SaTH Improvement Hub, March 2026

SMART Aim:

To increase the proportion of A&E patients with a documented ReSPECT form at initial triage or early assessment from 10 % to 0-60 % by 31/12/2026) using a nursing-led, triage-focused intervention.

Link to PDF poster

Variation, temporal trends and factors associated with ileostomy reversal after anterior resection surgery for rectal cancer in England: An observational study using administrative data (2026)

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Type of publication:

Journal article

Author(s):

*Olagunju N; *Cheetham M; Savage K; Briggs TWR; Gray WK

Citation:

Colorectal Disease. 28(3):e70427, 2026 Mar.

Abstract:

AIMS: The presence of a temporary ileostomy following anterior resection for rectal cancer substantially impacts the quality of life of patients and long-term functional outcomes. Timely reversal of the ileostomy can help to minimise negative impacts. Using an administrative dataset for England, this study aimed to explore temporal trends in ileostomy reversal rates, variation in reversal rates across trusts and factors associated with delayed reversal.

METHODS: This was an exploratory retrospective analysis of observational data from the Hospital Episode Statistics (HES) dataset for England. All patients aged >=17 years undergoing a planned anterior resection for rectal cancer with ileostomy creation between April 1, 2016, and March 31, 2023, were identified. The primary outcome of interest was ileostomy reversal within 18 months.

RESULTS: Data were available for 5,275 ileostomy creations during the study period. Ileostomy was reversed within 18 months in 3,338 (63.5%) patients. Frailty, socio-economic deprivation, open surgery and anastomotic leak were associated with failure to reverse ileostomy within 18 months. There was a steady decrease in rates of ileostomy reversal within 18 months over the course of the study period.

CONCLUSIONS: This study highlights a need to review current ileostomy closure pathways across England, provide equitable access to timely reversal and improve the shared decision-making process between clinicians and patients undergoing surgery for rectal cancer.

DOI: 10.1111/codi.70427

Consensus Statements on the Definition of Surgical Success Following Obstetric Urinary Pelvic Floor Fistula Repair: An IUGA-ICS Proposal (2026)

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Type of publication:

Journal article

Author(s):

Maljaars LP; Corcos J; Ghoniem G; Goh JTW; Greenwell TJ; Kupualor D; Pope R; *Rachaneni S; Regmi MC

Citation:

International Urogynecology Journal. 2026 Mar 18.

Abstract:

INTRODUCTION: Standardized definitions for surgical success after obstetric urinary pelvic floor fistula (UPF) repair are lacking. This study aimed to establish a consensus among fistula surgeons on defining surgical success for UPF repair caused by obstetric (childbirth-related) injuries.

MATERIALS AND METHODS: A working group was initiated by the International Urogynecology Association (IUGA) in collaboration with the International Continence Society (ICS). Following a systematic literature review, statements were developed, and a Delphi method was applied to reach a consensus on each statement.

RESULTS: Consensus was reached on 34/44 statements (77.3%). These were grouped into five categories: (1) definition of outcome, (2) treatment and outcome assessment, (3) post-fistula repair urinary incontinence, (4) incurable fistula, and (5) quality of life.

DISCUSSION: The consensus group recommends defining surgical success as anatomical closure of the fistula without residual urinary incontinence, as closure alone is insufficient. Women with residual urinary incontinence should not be classified as cured and require further diagnostic and therapeutic intervention. A postoperative dye test at catheter removal is advised as an objective measure of surgical success. The group also underscores the importance of basic urodynamic evaluation to assess residual incontinence following fistula closure. A diagnosis of "incurable" fistula should only be considered after three failed repairs and requires independent assessments by two expert surgeons. Finally, clinical success should include improvements in patient quality of life, and a specialized, validated quality-of-life questionnaire is essential to evaluate the physical, social, and emotional impact of UPF on patients and to assess treatment effectiveness from the patient's perspective.

CONCLUSION: The consensus statements aim to standardize the definition of successful outcomes in obstetric UPF repair, guiding future research and patient counseling. The group encourages further investigation into existing knowledge gaps in obstetric urinary pelvic floor fistula.

DOI: 10.1007/s00192-025-06413-6

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