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1. Required hospital capacity in 2025 and criteria for rationalisation of complex cancer surgery, radiotherapy and maternity services

ON EPIDEMIOLOGICAL DATA 150 2.3.1 Incidence/prevalence of dementia 150 2.3.2 Hospital use by dementia patients 154 2.4 RESULTS ON INTERVENTIONS TO REDUCE HOSPITAL USE BY DEMENTIA PATIENTS 162 2.4.1 Strategies outside the hospital with an impact on hospital use 162 2.4.2 Strategies in the hospital 164 2.4.3 Strategies with regard to fall prevention 166 2.5 DISCUSSION AND CONCLUSION 166 3 ENGLAND 169 3.1 BACKGROUND 169 KCE Report 289 Required hospital capacity and criteria for rationalisation 3 3.1.1 Country (...) of hospital inpatient stays 50 Figure 5 – Projected and observed number of nursing days 51 Figure 6 – Absolute difference in ALOS (projections – observations) in days, calculated by APR-DRG 54 Figure 7 – Absolute difference in ALOS (projections – observations) in days, calculated by APR-DRG, for APR-DRGs with trend analysis 55 Figure 8 – Absolute difference in ALOS (projections – observations) in days, calculated by APR-DRG, for APR-DRGs without trend analysis 56 Figure 9 – Relative difference in ALOS

2017 Belgian Health Care Knowledge Centre

2. Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU

and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD. 36 Division of Pulmonary, Critical Care and Sleep Medicine, School of Medicine, Yale University, New Haven, CT. 37 Department of Anesthesiology and Critical Care, Grenoble Alpes University Hospital, Grenoble, France. 38 School of Nursing, University of California San Francisco, San Francisco, CA. 39 Department of Surgery, University of Washington, Seattle, WA. 40 Department of Critical Care and Perioperative Medicine, School (...) of Clinical Sciences, Monash University, Melbourne, VIC, Australia. 41 Department of Pharmacy, Brigham and Women’s Hospital, Boston, MA. 42 Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH. 43 Department of Anesthesia and Critical Care, McMaster University, Hamilton, ON, Canada. 44 Welch Medical Library, Johns Hopkins University, Baltimore, MD. 45 Department of Psychiatry and Behavioral Sciences, New York Medical College, Valhalla, NY. 46 Department of Philosophy

2018 Society of Critical Care Medicine

3. KDIGO 2017 clinical practice guideline update for the diagnosis, evaluation, prevention, and treatment of chronic kidney disease&mdash

. None provided Chronic kidney disease–mineral and bone disorder (CKD–MBD) Complications of CKD-BMD including hyperparathyroidism, osteoporosis and osteoporotic fractures, and vascular or valvular calcification Kidney transplant bone disease Diagnosis Evaluation Management Prevention Treatment Endocrinology Family Practice Internal Medicine Nephrology Pediatrics Preventive Medicine Advanced Practice Nurses Health Care Providers Nurses Physician Assistants Physicians To update the 2009 clinical (...) KDIGO 2017 clinical practice guideline update for the diagnosis, evaluation, prevention, and treatment of chronic kidney disease&mdash KDIGO 2017 clinical practice guideline update for the diagnosis, evaluation, prevention, and treatment of chronic kidney disease—mineral and bone disorder (CKD-MBD). | National Guideline Clearinghouse success fail JUN 09 2017 2018 2019 14 Apr 2018 - 12 Jul 2018 COLLECTED BY Organization: Formed in 2009, the Archive Team (not to be confused

2017 National Guideline Clearinghouse (partial archive)

4. Adrian Boyle and Ian Higginson: This A+E crisis was entirely predictable and partly preventable

predictable and partly preventable. The current difficulties are almost entirely due to inadequate acute bed capacity and co-ordination in hospitals, which in turn is caused by inadequate social care capacity. This has been made more difficult due to medical, nursing, and other staff shortages, resulting from the abject failure in NHS workforce planning. There are particular problems in emergency medicine, acute medicine, and geriatric medicine. There are not enough nurses to staff wards (...) alternatives to emergency departments are of unproven benefit. Letters to GPs encouraging them not to refer patients to hospital help no one. Streaming nurses at the front door and GPs working in emergency departments help with “avoidable attenders”, but do nothing to help the chronic lack of beds and consequent exit block. Beating managers and staff to work harder and work smarter, in a broken system, does not address the root cause of steadily falling emergency department performance. The most effective

2018 The BMJ Blog

5. Mepilex Border Heel and Sacrum dressings for preventing pressure ulcers

of pressure ulcers in NHS acute care settings. The incidence rate is likely to fall over time as a result of improvements in preventative care but it will still vary across NHS trusts and it may be affected by proposed changes to the reporting arrangements. Because of these uncertainties the case for routinely adopting Mepilex Border dressings is not supported, but further research to reduce the clinical and cost uncertainties would be helpful. Mepilex Border Heel and Sacrum dressings for preventing (...) Mepilex Border Heel and Sacrum dressings for preventing pressure ulcers Mepile Mepilex Border Heel and Sacrum x Border Heel and Sacrum dressings for pre dressings for prev venting pressure ulcers enting pressure ulcers Medical technologies guidance Published: 10 January 2019 © NICE 2019. All rights reserved. Subject to Notice of rights ( rights).Y Y our responsibility our responsibility This guidance represents

2019 National Institute for Health and Clinical Excellence - Medical technologies

6. March 2014 supplement to the 2013 consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection

March 2014 supplement to the 2013 consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection MARCH 2014 SUPPLEMENT TO THE 2013 CONSOLIDATED GUIDELINES ON THE USE OF ANTIRETROVIRAL DRUGS FOR TREATING AND PREVENTING HIV INFECTION RECOMMENDATIONS FOR A PUBLIC HEALTH APPROACH SUPPLEMENTSUPPLEMENT MARCH 2014 SUPPLEMENT TO THE 2013 CONSOLIDATED GUIDELINES ON THE USE OF ANTIRETROVIRAL DRUGS FOR TREATING AND PREVENTING HIV INFECTION RECOMMENDATIONS FOR A PUBLIC (...) HEALTH APPROACH4 WHO Library Cataloguing-in-Publication Data MARCH 2014 SUPPLEMENT TO THE 2013 CONSOLIDATED GUIDELINES ON THE USE OF ANTIRETROVIRAL DRUGS FOR TREATING AND PREVENTING HIV INFECTION. Recommendations for a public health approach. I.World Health Organization. ISBN 978 92 4 150683 0 Subject headings are available from WHO institutional repository © World Health Organization 2014 All rights reserved. Publications of the World Health Organization are available on the WHO web site (www

2014 World Health Organisation HIV Guidelines

7. Defending Dignity - Challenges and opportunities for nursing

or too small. (School Nurse, N H S T rust, Community/P rimary Car e) The layout of health care settings caused concerns, either because it hindered patients’ and families’ access to staff and facilities or because it prevented privacy, for example: Lay out stops speedy bell to r esponse times, patients feel cut off . (Matr on, N H S T rust, Acute Hospital) R elativ es’/ber eav ement r oom is situated in a difficult ar ea of the war d to access and is not ideally situated close to the patients (...) of London. Prior to this she worked at the Open University as Assistant Director (Academic Lead) on the open learning nursing programme. She qualified as an SRN at the Royal Victoria Hospital in Belfast and as an RMN at W est Park Hospital in Epsom. Her MA and PhD studies, and the majority of her research and scholarship, are in the field of applied and professional ethics. In 1999 she began researching dignity in care on a project with David Seedhouse at Middlesex University . Ann has recently

2008 Royal College of Nursing

8. Genetics and Genomics for the Prevention and Treatment of Cardiovascular Disease: Update

Genomics and Translational Biology, Council on Epidemiology and Prevention, Council on Basic Cardiovascular Sciences, Council on Cardiovascular Disease in the Young, Council on Cardiovascular Surgery and Anesthesia, Council on Clinical Cardiology, Council on Cardiovascular and Stroke Nursing, and Stroke Council Originally published 2 Dec 2013 Circulation. 2013;128:2813–2851 You are viewing the most recent version of this article. Previous versions: Cardiovascular diseases (CVDs) are a major source (...) Genetics and Genomics for the Prevention and Treatment of Cardiovascular Disease: Update Genetics and Genomics for the Prevention and Treatment of Cardiovascular Disease: Update | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019 March 2019 March 2019 March 2019 February 2019 February 2019 February 2019 February 2019 January 2019 January 2019 January 2019 January 2019 January 2019 This site uses cookies. By continuing to browse

2013 American Heart Association

9. Guideline on the use of devices for adult male circumcision for HIV prevention

Africa), Daniel Makawa (Chipatra General Hospital, Zambia), Dino Rech (Center for HIV and AIDS Prevention Studies, South Africa), Jason Reed (U.S. President’s Emergency Plan for AIDS Relief, USA), Renee Ridzon (Consultant to Bill and Melinda Gates Foundation, USA), Christopher Samkange* (University of Zimbabwe, Zimbabwe), Carl Schutte (Strategic Development Consultants, South Africa), Xaba Sinokuthemba (Ministry of Health and Child Welfare, Zimbabwe), Eugene Zimulinda (Department of Defence, Rwanda (...) ). Members of the external review g roup Melanie Bacon (National Institutes of Health, USA), Naomi Bock (U.S. President’s Emergency Plan for AIDS Relief, USA), Agnes Chidanyika (United Nations Population Fund, Denmark), Moses Galukande (International Hospital of Kampala, Uganda), Marelize Gorgens (World Bank, USA), Timothy Hargreave* (The University of Edinburgh, United Kingdom), Afua Hesse*, (University of Ghana, Ghana), Angelo Kaggwa (AVAC Global Advocacy for HIV Prevention, USA), Dayanund

2013 World Health Organisation HIV Guidelines

10. Putting prevention into practice

practitioners, practice nurses and practice staff. The guidelines are intended to be a practical resource designed to strengthen prevention activities in general practice. The expert team has created an up-to-date prevention approach and identified effective prevention activities for general practice. The pressures of practice and the time constraints associated with patient consultations have been taken into account. The companion documents, the RACGP Guidelines for preventive activities in general (...) Tan Dr Rob Wight RACGP staff Ms Christine Hansen Ms Susan Lane Ms Jane London Ms Rachel Portelli Ms Teri Snowdonv iii Putting prevention into practice – guidelines for the implementation of prevention in the general practice setting 2nd edition How to use the guidelines These guidelines are intended for use by general practitioners, general practice nurses and other practice staff, and divisions of general practice. The guidelines contain examples of how introduced concepts have been applied

2014 The Royal Australian College of General Practitioners

11. Guidelines for preventive activities in general practice (8th edition)

to use the red book 7 Organisational detail 7 V . What’s new in this 8th edition? 9 1. Preventive activities prior to pregnancy 11 What does pre-conception care include? 11 2. Genetic counselling and testing 14 3. Preventive activities in children and young people 17 Early intervention 17 4. Preventive activities in middle age 26 5. Preventive activities in older age 28 5.1 Immunisation 28 5.2 Falls and physical activity 29 5.3 Visual and hearing impairment 31 5.4 Dementia 32 6. Communicable diseases (...) to new United States Preventive Services Task Force (USPSTF) recommendations for obesity screening and screening for depression in adolescents have been included. Preventive activities in older age (Section 5) New information about possible prevention of dementia by attention to cardiovascular risk factors has been added. Information about influenza vaccination has been included. New and more detailed information about falls assessment and prevention has been included. Communicable diseases (Section

2012 Clinical Practice Guidelines Portal

12. Urinary incontinence and pelvic organ prolapse in women: management

of recurrent prolapse the uncertainties about the long-term adverse effects for all procedures, particularly those involving the implantation of mesh materials differences between procedures in the type of anaesthesia, expected length of hospital stay, surgical incisions and expected recovery period the role of intraoperative prolapse assessment in deciding the most appropriate surgical procedure. [2019] [2019] 1.8.3 Do not offer surgery to prevent incontinence in women having surgery for prolapse who do (...) include: 2 consultants with expertise in managing urinary incontinence in women and/or pelvic organ prolapse a urogynaecology, urology or continence specialist nurse a pelvic floor specialist physiotherapist and may also include: a member of the care of the elderly team an occupational therapist Urinary incontinence and pelvic organ prolapse in women: management (NG123) © NICE 2019. All rights reserved. Subject to Notice of rights ( conditions#notice-of-rights). Page

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

13. Heart Disease and Stroke Statistics

as among individuals with low socioeconomic status, those with mental illness, individuals with HIV who are receiving medical care, and those who are active-duty military. Tobacco use remains a leading cause of preventable death in the United States and globally. It was estimated to account for 7.1 million deaths worldwide in 2016. Over the past 6 years, there has been a sharp increase in e-cigarette use among adolescents, and e-cigarettes are now the most commonly used tobacco product (...) /dL were more likely to be prescribed statins (66.0%) than black males (57.8%), white females (55.0%), and black females (53.6%). High Blood Pressure (Chapter 8) In 2011 to 2014, the prevalence of hypertension among US adults was 45.6% (95% CI, 43.6%–47.6%) using the new BP thresholds from the 2017 American College of Cardiology/AHA guidelines versus 31.9% (95% CI, 30.1%–33.7%) using guideline thresholds from the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation

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2019 American Heart Association

14. ESC/ESH Management of Arterial Hypertension

regression and cardiovascular risk reduction with antihypertensive treatment3045 5.7 When to refer a patient with hypertension for hospital-based care3046 6 Genetics and hypertension3047 7 Treatment of hypertension3048 7.1 Beneficial effects of blood pressure-lowering therapy in hypertension3048 7.2. When to initiate antihypertensive treatment3048 7.2.1 Recommendations in previous guidelines3048 7.2.2 Drug treatment for patients with grade 1 hypertension at low–moderate cardiovascular risk3048 7.2.3 (...) 8.17 Hypertension and vascular disease3088 8.17.1 Carotid atherosclerosis3088 8.17.2 Arteriosclerosis and increased arterial stiffness3088 8.17.3 Lower extremity arterial disease3089 8.18 Hypertension in valvular disease and aortopathy3089 8.18.1 Coarctation of the aorta3089 8.18.2 Prevention of aortic dilation and dissection in high-risk subjects3089 8.18.3 Hypertension bicuspid aortic valve-related aortopathy3089 8.19 Hypertension and sexual dysfunction3089 8.20 Hypertension and cancer

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2018 European Society of Cardiology

15. Standard care

women-centred care across the woman’s full continuum of pregnancy, labour and birth, postnatally and transition to parenting · Practise in any setting to promote holistic health, provide counselling and education for the woman, her family and the community in the areas of women’s health, sexual or reproductive health and child care · Refer also to the International Confederation of Midwives 16 Nursing · Provides autonomous and collaborative care in a variety of settings including hospitals (...) is provided in remote areas by midwife(s) or nurse(s) in collaboration with a doctor. Intrapartum care and early postnatal care is provided in regional or metropolitan hospital by hospital midwives and doctors, with temporary relocation prior to labour Other models · Combinations of obstetric, midwifery, maternal fetal medicine, obstetric medicine, general practice, drug and alcohol, mental health and other clinicians Queensland Clinical Guideline: Standard care Refer to online version, destroy printed

2019 Queensland Health

16. Syphilis in pregnancy

of interpreter services where necessary · Ensuring informed consent is obtained prior to delivering care · Meeting all legislative requirements and professional standards · Applying standard precautions, and additional precautions as necessary, when delivering care · Documenting all care in accordance with mandatory and local requirements Queensland Health disclaims, to the maximum extent permitted by law, all responsibility and all liability (including without limitation, liability in negligence) for all (...) , QSSS, midwife, nurse, nurse practitioner, obstetrician, personnel managing follow-up and/or contact tracing. Pinta/yaws/bejel Infections caused by bacteria that are closely related to Treponema pallidum. Pinta affects only the skin while yaws and bejel can also affect the joints and bones. Not endemic in Australia. QSSS Queensland Syphilis Surveillance Service (QSSS) is an important source of information, support and advice for health care providers engaged in the detection and management of women

2019 Queensland Health

17. Statin Safety and Associated Adverse Events: A Scientific Statement From the American Heart Association

of therapy and after a dose increase or the addition of an interacting drug. The risk of rhabdomyolysis is ≈0.01% and is potentially preventable by prompt cessation of statin treatment. In a retrospective cohort study, Graham et al searched the hospital records of >250 000 statin users and identified 24 patients who had been admitted to the hospital for rhabdomyolysis. For the statins most commonly used at the time of the study (atorvastatin, simvastatin, and pravastatin), the rate of hospitalization (...) symptoms without significantly raised creatinine kinase in statin-treated compared with placebo-treated participants is <1%, and it is even smaller (0.1%) for patients who discontinued treatment because of such muscle symptoms. This suggests that muscle symptoms are usually not caused by pharmacological effects of the statin. Restarting statin therapy in these patients can be challenging, but it is important, especially in patients at high risk of cardiovascular events, for whom prevention

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2019 American Gastroenterological Association Institute

18. Paediatric Urology

. Laparoscopic versus open orchiopexy in the management of peeping testis: a multi-institutional prospective randomized study. J Pediatr Urol, 2014. 10: 605. 91. Kirsch, A.J., et al. Surgical management of the nonpalpable testis: the Children’s Hospital of Philadelphia experience. J Urol, 1998. 159: 1340. 92. Fowler, R., et al. The role of testicular vascular anatomy in the salvage of high undescended testes. Aust N Z J Surg, 1959. 29: 92. 93. Koff, S.A., et al. Treatment of high undescended testes by low (...) torsion of the spermatic cord--does it guarantee prevention of recurrent torsion events? J Urol, 2006. 175: 171. 179. Figueroa, V., et al. Comparative analysis of detorsion alone versus detorsion and tunica albuginea decompression (fasciotomy) with tunica vaginalis flap coverage in the surgical management of prolonged testicular ischemia. J Urol, 2012. 188: 1417. 180. Akcora, B., et al. The protective effect of darbepoetin alfa on experimental testicular torsion and detorsion injury. Int J Urol, 2007

2019 European Association of Urology

19. Asymptomatic Bacteriuria

genitourinary symptoms or systemic signs of infection (such as fever or change in hemodynamic status). A retrospec- tive review of 80 patients in a nursing home who fell on their way to or back from a bathroom reported that 39 (48%) of these had pyuria and bacteriuria and were diagnosed as UTI [102]. Whether these patients had symptoms of urgency or frequency that contributed to a fall on the way to the toilet is not documented. In a more recent cohort study of suspected UTI in nursing home residents, only (...) in mental status or falls. Treatment of ASB in patients with delirium has not been shown to have any beneficial impact in clinical out- comes compared to no treatment, including reducing severity or duration of delirium and reducing risk of sepsis, death, or hospitalizations (all low or very low certainty). There is high certainty that antimicrobials cause harm. Treatment probably increases the risk of antibiotic-associated diarrhea, including CDI, and increases the risk of antimicrobial resistance

2019 Infectious Diseases Society of America

20. Primary postpartum haemorrhage

without limitation, liability in negligence) for all expenses, losses, damages and costs incurred for any reason associated with the use of this guideline, including the materials within or referred to throughout this document being in any way inaccurate, out of context, incomplete or unavailable. © State of Queensland (Queensland Health) 2018 This work is licensed under Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 Australia. In essence, you are free to copy and communicate the work (...) management 12 2.3.1 Third stage management 13 2.3.2 Fourth stage monitoring 14 2.4 Postnatal risk management 14 2.5 Secondary prevention with misoprostol 15 3 Treatment 16 3.1 Estimation of blood loss 16 3.2 Point of care blood clotting analysers 16 3.3 Resuscitation 17 3.3.1 Tranexamic acid 18 3.3.2 Support during PPH 18 3.4 Tone 19 3.4.1 First line pharmacological therapy for uterine atony 19 3.4.2 Second line pharmacological therapy for uterine atonia 20 3.4.3 Intractable bleeding 21 3.5 Trauma 22

2019 Queensland Health

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