2025

Increasing productivity & workflow within the ward office of Ward 32 (2025)

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Type of publication:

Service improvement case study

Author(s):

*Danyal Fiaz

Citation:

SaTH Improvement Hub, August 2025

SMART Aim:

To improve ward office productivity by increasing staff reporting the space as suitable for meetings from 0% to at least 60%, and those able to access all necessary shift documents from 50% to 100%, by 20th July 2025.

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Mental Health Liaison Team (2025)

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Type of publication:

Service improvement case study

Author(s):

*Gemma Styles (on behalf of the working group)

Citation:

SaTH Improvement Hub, August 2025

SMART Aim:

To bridge the gap between physical and mental health care in PRH ED by June 2025, as evidenced by robust triage documentation and early referral to the mental health liaison service.

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Elective Hub High Flow List- Gynae (2025)

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Type of publication:

Service improvement case study

Author(s):

*Martyn Underwood

Citation:

SaTH Improvement Hub, July 2025

SMART Aim:

To increase utilisation on an all day theatre list on the 16th of July 2025. Sub aim: To increase number of cases on an all day theatre list by 1 on the 16th of July 2025.

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Educating for Accuracy: Improving ENT Abbreviation Recognition (2025)

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Type of publication:

Service improvement case study

Author(s):

*Dr. Saarah Talha; *Dr. Karola Meunier; *Dr. Ayesha Khan; *Dr. Emma Richards; *Mr. Salil Sood

Citation:

SaTH Improvement Hub, July 2025

Aims:

To evaluate the understanding of commonly used clinical abbreviations among the multi-disciplinary
team. To assess the effectiveness of a structured educational intervention in improving abbreviation recognition and overall communication within the clinical team.

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Heparin-Induced Thrombocytopenia Following Tinzaparin Administration: A Case Report (2025)

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Type of publication:

Journal article

Author(s):

*Khallaf, Laila; *Katarki, Praveenkumar; *Ahmad, Nawaid; *Govindagowda, Thimmegowda.

Citation:

Cureus. 17(9):e93248, 2025 Sep.

Abstract:

Heparin-induced thrombocytopenia (HIT), a severe immune-mediated reaction, presents a significant diagnostic challenge, particularly with atypical symptoms like syncope or when induced by low-molecular-weight heparin (LMWH). This report describes the case of a 77-year-old male who developed severe thrombocytopenia following tinzaparin administration for bridging therapy after an elective endovascular aneurysm repair (EVAR). The patient presented to the emergency department with syncope, an uncommon manifestation of HIT. Initial investigations revealed isolated thrombocytopenia, and a high clinical suspicion based on a 4Ts score of 6 prompted the immediate discontinuation of tinzaparin and initiation of fondaparinux. The diagnosis was subsequently confirmed by a positive HIT antibody screening test. The patient's platelet counts improved in a few days, and he was successfully transitioned to warfarin without complications. This case highlights the critical importance of maintaining a high index of suspicion for HIT in any patient exposed to Heparin products, including LMWH, who develops thrombocytopenia, even when the clinical presentation is atypical. Early recognition and prompt management with alternative anticoagulants are essential to prevent life-threatening thromboembolic complications.

DOI: 10.7759/cureus.93248

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