Ministry of Health Library
Health Improvement and Innovation Digest
Issue 218 - 24 September 2020
Welcome to the fortnightly Health Improvement and Innovation Digest (formerly the HIIRC digest). The Digest has links to key evidence of interest, with access to new content arranged by topic.
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Article access
For articles that aren't open access, contact your DHB library, or organisational or local library for assistance in accessing the full text. If your organisation has a subscription, you may be able to use the icon under full text links in PubMed to access the full article.
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Quality Improvement (International)
Patient safety culture in primary and home care services
Safety culture is still a poorly studied subject in primary care and home care, although these settings are considered gateways to access to healthcare. This study, published in BMC Family Practice, aims to evaluate safety culture in primary and home care settings.
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Cancer Services (International)
The Victorian Lung Cancer Service Redesign Project: Impacts of a Quality
This article, published in Internal Medicine Journal, discusses the effect of an improvement collaborative on timeliness and management in lung cancer. This initiative targeted Quality Improvement (QI) in lung cancer management, engaging a Quality Improvement collaborative using service redesign methodologies in five Victorian hospitals.
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Shorter Waits in Emergency Departments (International)
Paramedic streaming upon arrival in emergency department: A prospective study
The role of paramedics in hospital triage or streaming models has not been adequately explored and is potentially a missed opportunity for enhanced patient flow. The aim of the present study, published in Emergency Medicine Australasia, was to assess the concordance between a streaming decision by paramedics with the decision by nurses after arrival to the ED.
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Better Help for smokers to Quit (International)
Smartphone health apps for tobacco Cessation: A systematic review
Given the low retention and lack of persistent support by traditional tobacco cessation programs, evidence-based smartphone app-supported interventions can be an important tobacco control component. The objective of this systematic review, published in Addictive Behaviors, was to identify and evaluate the types of studies that use smartphone apps for interventions in tobacco cessation.
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Weight Management (International)
Effectiveness of Individual Real-Time Video Counseling on Smoking, Nutrition, Alcohol, Physical Activity, and Obesity Health Risks: Systematic Review
Real-time video communication technology allows virtual face-to-face interactions between the provider and the user, and can be used to modify risk factors for smoking, nutrition, alcohol consumption, physical activity, and obesity. No systematic reviews have examined the effectiveness of individual real-time video counseling for addressing each of the risk factors for smoking, nutrition, alcohol consumption, physical activity, and obesity. This systematic review, published in the Journal of Medical and Internet Research, aims to examine the effectiveness of individually delivered real-time video counseling on risk factors for smoking, nutrition, alcohol consumption, physical activity, and obesity.
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Disability Services (International)
Developing person‐centred care competencies for the healthcare workforce to support family caregivers: Caregiver centred care
Family caregivers (FCGs) are an integral part of the healthcare system. Researchers have proposed training to enhance the competencies of health providers to work effectively with FCGs. The objectives in this paper, published in Health and Social Care in the Community, are fourfold: a brief review of stakeholder engagement that led to the development of the competencies the health workforce needs to support FCGs, a description of the process used to name the competency domains, a report on the Modified Delphi process used to validate the domain indicators, and a description of the competency framework.
Environmental and behavioural interventions for reducing physical activity limitation and preventing falls in older people with visual impairment
Impairment of vision is associated with a decrease in activities of daily living. Avoidance of physical activity in older adults with visual impairment can lead to functional decline and is an important risk factor for falls. The rate of falls and fractures is higher in older people with visual impairment than in age‐matched visually normal older people. Possible interventions to reduce activity restriction and prevent falls include environmental and behavioral interventions. This Cochrane Review aimed to assess the effectiveness and safety of environmental and behavioral interventions in reducing physical activity limitation, preventing falls and improving quality of life amongst visually impaired older people.
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Key Ministry of Health Publications
Second Round of Consultation on Requirements for Third-party Service Providers
The codes of practice included in this consultation were published under the Radiation Safety Act 2016 (the Act) with requirements for managing entities to use an external service that is either approved by the Director for Radiation Safety or maintains laboratory accreditation under ISO/IEC 17025, or internal capability validated by a qualified expert for individual dosimetry monitoring and leak testing. This Guide sets out general considerations for a regulatory body when establishing its regulatory framework around management system for service providers. In this consultation, ORS invites your feedback on the most appropriate approach to achieve reliability and uniformity of monitoring and testing outcomes. The closing date for submissions is 12.00 pm, Saturday 31 October 2020.
Health Sector Response to the 2019 Measles Outbreaks
This report was commissioned by the Ministry in early 2020 to consider the health system's response to the measles outbreaks, and was conducted by Dr Gerard Sonder and Dr Suitafa Debbie Ryan. The review was tasked with reflecting on how the system responded, and continues to respond, to the outbreak, and to identify opportunities to strengthen future responses, and identifying what went well and what could be improved to help manage future disease outbreaks.
Influenza vaccine supply chain report
This report was commissioned by the Ministry in May 2020 to examine the supply and distribution of influenza vaccines and identify improvements for the 2021 influenza season and beyond. It was produced by PricewaterhouseCoopers (PWC), and highlights ten areas of focus grouped into the following themes of authorising and political environment, the strategic goals of the programme, and the organisation and system capabilities.
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District Health Board Initiative
Harti Hauora provides more support for Māori community in Southland
Helping tamariki Māori avoid hospital admissions for respiratory infections by supporting the health of their whānau is the aim of a new collaborative healthcare service at Southland Hospital. Harti Hauora is a Kaupapa Māori centred programme improving connections with health care and other family support service. Awarua Whānau Services, WellSouth Primary Health Network and Southern DHB have worked together to introduce the programme for Māori whose tamariki are admitted to hospital with respiratory infections.
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The information available on or through this newsletter does not represent Ministry of Health policy. It is intended to provide general information to the health sector and the public, and is not intended to address specific circumstances of any particular individual or entity.
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