2025

Medicine Flow Team – Test of Change PRH (2025)

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Type of publication:

Service improvement case study

Author(s):

*Shelbey Fenton-Cook

Citation:

SaTH Improvement Hub, December 2025

SMART Aim:

During a 1-month test of change 22nd Sept – 17th October 2025

  • Increase pre 12:00 discharges to trust target of 35%
  • Increase pre 08:45 transfers to DCL to 10%
  • Increase in DCL utilisation to 50%
  • Reduction in simple LOS to trust target of 4 days

Link to PDF poster

Medicine Flow Team – Test of Change RSH (2025)

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Type of publication:

Service improvement case study

Author(s):

*Shelbey Fenton-Cook

Citation:

SaTH Improvement Hub, December 2025

SMART Aim:

During a 1-month test of change 22nd Sept – 17th October 2025

  • Reduction in simple LOS to trust target of 4 days
  • Increase pre 12:00 discharges to trust target of 35%
  • Increase pre 08:45 transfers to DCL to 10%
  • Increase in DCL utilisation to 50%

Link to PDF poster

SaTH and CTH Therapy Weekend assessment and Discharge Model (2025)

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Type of publication:

Service improvement case study

Author(s):

*Mandy Taylor; *Sharon Huckerby; *Sarah Robinson.

Citation:

SaTH Improvement Hub, December 2025

SMART Aim:

To develop a streamlined therapy approach to support the discharge of the complex patient ensuring the patient is supported to leave the acute setting as soon as medically optimised by 20th November 2025 as
evidenced by complex discharge figures.

Link to PDF poster

Oxygen Prescriptions for Gynaecology Inpatients (2025)

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Type of publication:

Service improvement case study

Author(s):

*William Roberts

Citation:

SaTH Improvement Hub, December 2025

SMART Aim:

Trust policy for all inpatients to have a target oxygen saturation identified on admission. Widespread issue with poor oxygen prescription compliance across the country. 47% (n = 15) of gynae inpatients had no oxygen prescribed. Incorrect/absent prescriptions have the potential to cause harm. Target compliance 80%

Link to PDF poster

Next-of-Kin (NOK) Communication Bundle – Second Cycle (2025)

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Type of publication:

Service improvement case study

Author(s):

*Yasmin Ahmadi, *Giulia Abdel Latif

Citation:

SaTH Improvement Hub, December 2025

SMART Aim:

To evaluate the awareness, use, and perceived helpfulness of the NOK communication sticker among ward staff following its implementation in Cycle 1 by 31st October 2025 as evidenced by staff feedback survey results.

Link to PDF poster

Intravenous fluid mismanagement: time for national stewardship and quality improvement (2025)

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Type of publication:

Journal article

Author(s):

Breen, Andrew; *Miller, Ashley; Timmins, Alan; Barton, Greg; Kirk-Bayley, Justin; Peck, Marcus John Edwards; Davis, Huw John; Wilkinson, Jonathan.

Citation:

BMJ Open Quality. 14(4), 2025 Dec 14.

DOI: 10.1136/bmjoq-2025-003503

Link to full-text [open access - no password required]

The Impact of Smoking on Outcomes Following Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-Analysis (2025)

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Type of publication:

Systematic Review

Author(s):

*Ibrahim, Abdelrahman; Al-Musabi, Musab; Kabariti, Rakan; Kempe-Gowda, Swarna; Wade, Roger.

Citation:

Cureus. 17(11):e96765, 2025 Nov.

Abstract:

The influence of smoking on postoperative outcomes following anterior cruciate ligament (ACL) reconstruction is a topic of ongoing scientific discussion and uncertainty. We aimed to conduct a systematic review and meta-analysis to compare the outcomes between smokers and non-smokers undergoing this procedure. We conducted a systematic search of electronic information sources, including MEDLINE, EMBASE, CINAHL, CENTRAL, ClinicalTrials.gov, and bibliographic reference lists. We applied a combination of free-text search and controlled vocabulary search adapted to thesaurus headings, search operators, and limits in each of the above-mentioned databases. Primary outcome parameters included surgical site infections, ACL graft rupture, revision rates, and patient-reported outcome measures (PROMs). We identified 24 comparative studies, including a total of 672,241 patients, of whom 69,113 were in the smoker group and 603,128 were in the non-smoker group. The analysis revealed that smoking was associated with a significantly higher risk of surgical site infections (OR 1.40, P=0.01). Smokers also reported significantly worse PROMs on the International Knee Documentation Committee (IKDC) score (MD -5.38, P<0.00001) and multiple Knee Injury and Osteoarthritis Outcome
Score (KOOS) subscales. There was no statistically significant difference between the two cohorts for ACL graft rupture or all-cause revision rates. Smoking appears to be associated with a higher risk of surgical site infections following ACL reconstruction and is linked to significantly poorer functional PROMs.

DOI: 10.7759/cureus.96765

Link to full-text [open access - no password required]