Systematic literature review of learning curves for colorectal polyp resection techniques in lower gastrointestinal endoscopy.

Aim: The performance of therapeutic procedures in lower gastrointestinal endoscopy (LGI) can be challenging and carries an increased risk of adverse events. There is increasing demand for the training of endoscopists in these procedures, but limited guidelines exist concerning procedural competency. The aim of this study was to assess the learning curves for LGI polypectomy, colorectal endoscopic mucosal resection (EMR) and colorectal endoscopic submucosal dissection (ESD).

What matters to medical ward patients, and do we measure it? A qualitative comparison of patient priorities and current practice in quality measurement, on UK NHS medical wards.

Objectives: To compare the quality metrics selected for public display on medical wards to patients' and carers' expressed quality priorities.

Methods: Multimodal qualitative evaluation of general medical wards and semi-structured interviews.

Setting: UK tertiary National Health Service (public) hospital.

Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, cluster controlled, non-randomised trial.

Objectives: Frontline insights into care delivery correlate with patients' clinical outcomes. These outcomes might be improved through near-real time identification and mitigation of staff concerns. We evaluated the effects of a prospective frontline surveillance system on patient and team outcomes.

Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards.

Objectives: To understand how frontline reports of day-to-day care failings might be better translated into improvement.

Design: Qualitative evaluation of an interdisciplinary team intervention capitalising on the frontline experience of care delivery. Prospective clinical team surveillance (PCTS) involved structured interdisciplinary briefings to capture challenges in care delivery, facilitated organisational escalation of the issues they identified, and feedback.