Central venous catheter insertion is a commonly performed procedure in anaesthesia and critical care in order to assist fluid management and to allow administration of intravenous medications. Central venous catheter misplacement can occur, even in expert hands, despite the widespread use of ultrasound guidance. In this case report, we describe central venous catheter misplacement into the left internal mammary vein and subsequent patient management.
Failure to check microbiology results put patients at risk of prolonged infections, resulting in increased morbidity and mortality from sepsis. There are some electronic systems designed to address this risk although they are rarely used in the hospital setting. In many hospitals the follow-up of microbiology results for discharged patients is reliant upon individual doctor's vigilance or ad hoc lists.Our intervention, the ‘Pink Book’, provides a simple, cost effective system to follow-up microbiology results for discharged patients. This simple paper based system enables prompt, effective, efficient follow-up of microbiology results, saving our paediatric department an estimated 1.5 hours per week, £17,440 per year and helping to prevent one case of inadequately treated infection per month.This project highlights how small scale, simple interventions at the local level, born out of the frustration at existing inefficient systems, can make great improvements to patient safety and the efficiency of healthcare.
<p>The floatation tank experience is unique. It involves floating on a body of water dense in Epsom salt, inside of a purpose-built tank. The buoyancy from the salt density means there is little sensation of gravity, and the water temperature is the same as the skin temperature so there is minimal sense of touch. There is no light, no sound, and no one else. This research considers the feasibility of developing technology designed to stimulate the senses in the floatation environment – conceptualised as the floatation stimulation platform (FSP). The identified target market for the FSP is the commercial floatation centre. Three phases of investigation were conducted to assess feasibility of the FSP. Phase One involved surveying 10 existing floatation centres and assessing their use of stimuli in the floatation environment in a commercial context. Phase Two involved surveying 37 participants connected to a commercial floatation centre's online network. Participants were asked a range of questions about their perceptions and experiences of floatation, stimuli within the floatation tank, and activities they participate in. Phase Three involved analysing a commercial offering of audio stimuli designed for a specific model of floatation tank. The findings of all three phases of investigation suggest the FSP is a feasible concept. A major finding from Phase One was that all surveyed commercial floatation centres currently use stimuli in their floatation tanks, while in Phase Two it was found that all participants surveyed were open to the concept of experiencing stimuli in the floatation tank. Phase Three of the investigation found that stimuli designed for the floatation tank is most valuable to floatation centres if it can increase customer retention. From the investigation findings, recommendations were developed for appropriate business models and developmental pathways for FSP technology. It is suggested that FSP technology operate as different components for different senses. It is also recommended that a content library for existing floatation tank and FSP technology be developed and made available on subscription-based access. The feasibility of creating personalised content for FSP technology is also explored.</p>
<p>The floatation tank experience is unique. It involves floating on a body of water dense in Epsom salt, inside of a purpose-built tank. The buoyancy from the salt density means there is little sensation of gravity, and the water temperature is the same as the skin temperature so there is minimal sense of touch. There is no light, no sound, and no one else. This research considers the feasibility of developing technology designed to stimulate the senses in the floatation environment – conceptualised as the floatation stimulation platform (FSP). The identified target market for the FSP is the commercial floatation centre. Three phases of investigation were conducted to assess feasibility of the FSP. Phase One involved surveying 10 existing floatation centres and assessing their use of stimuli in the floatation environment in a commercial context. Phase Two involved surveying 37 participants connected to a commercial floatation centre's online network. Participants were asked a range of questions about their perceptions and experiences of floatation, stimuli within the floatation tank, and activities they participate in. Phase Three involved analysing a commercial offering of audio stimuli designed for a specific model of floatation tank. The findings of all three phases of investigation suggest the FSP is a feasible concept. A major finding from Phase One was that all surveyed commercial floatation centres currently use stimuli in their floatation tanks, while in Phase Two it was found that all participants surveyed were open to the concept of experiencing stimuli in the floatation tank. Phase Three of the investigation found that stimuli designed for the floatation tank is most valuable to floatation centres if it can increase customer retention. From the investigation findings, recommendations were developed for appropriate business models and developmental pathways for FSP technology. It is suggested that FSP technology operate as different components for different senses. It is also recommended that a content library for existing floatation tank and FSP technology be developed and made available on subscription-based access. The feasibility of creating personalised content for FSP technology is also explored.</p>
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