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Aim: This study aimed to develop a universally applicable core set of quality indicators for Hirschsprung's disease care through a consensus-driven process, to standardise and improve care quality across Europe.

Methods: A modified Delphi method was used to achieve consensus among healthcare professionals (HPs) and patient representatives (PRs) across Europe. Participants completed three rounds of anonymous surveys, rating quality indicators for Hirschsprung's disease care.

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Theory-informed refinement and tailored implementation of a quality improvement program in maternity care to reduce unwarranted clinical variation across a health service network.

BMC Health Serv Res

January 2025

Australian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia.

Background: Unwarranted clinical variation presents a major challenge in contemporary healthcare, indicating potential inequalities and inefficiencies, and unrealised potential for better outcomes. Despite an increasing focus on unwarranted clinical variation, and consideration of efforts to address this challenge, evidence-based strategies which achieve this are limited. Audit and feedback of healthcare processes (process auditing) and clinician engagement are important tools which may help to reduce unwarranted clinical variation, however their application in maternity care is yet to be thoroughly explored.

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Background: Incidence of peripheral venous cannula (PVC) bacteraemia have been rising in a trust in the south-west of England, with a 267% increase noted over the 2022/23 financial year compared with the previous year.

Aim: To use a multimodal approach to reduce the incidence of PVC bacteraemia and improve patient safety.

Methods: The initiative consisted of an educational poster highlighting the severity of infection associated with PVCs alongside key prevention messages rooted in Trust policy.

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Simplified Internal Audits of the Welfare Quality Protocol in Dairy Farms: Are They Effective in Improving Welfare Practices?

Animals (Basel)

January 2025

Animal Behaviour and Welfare Research Laboratory, Centre for Interdisciplinary Research in Animal Health, Veterinary Medicine Faculty, Lisbon University, Av. Universidade Técnica, Alto da Ajuda, 1330-477 Lisbon, Portugal.

The Welfair certificate has become an important part of food chain integrity for animal welfare assessment in several countries, relying on a rigorous audit that verifies compliance with legislation and assesses animal welfare through the Welfare Quality Protocol (WQP). Dairy cattle farmers are encouraged to conduct internal audits beforehand to self-assess the farm's animal welfare level. Since early 2023, the Welfair scheme has proposed simplified audits to shorten the time needed for internal audits.

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Uncoded chronic kidney disease prevalence in secondary care: a retrospective audit with population health implications.

BMC Nephrol

January 2025

Rochdale Care Organisation, Northern Care Alliance NHS Foundation Trust, Rochdale, England.

Background: One million patients are estimated to have undiagnosed chronic kidney disease (CKD) in England. Clinical coding in CKD is associated with improved management and lower acute kidney injury (AKI), unscheduled care and mortality risk. Primary care's role in coding CKD is well documented.

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