Browsing by Author "Tanner, Judith"
Now showing 1 - 20 of 56
Results Per Page
Sort Options
Item Metadata only Advanced practitioners within the operating theatre.(AfPP, 2004) Tanner, JudithItem Metadata only A benchmark too far: findings from a national survey of surgical site infection surveillance(Elsevier, 2013) Tanner, Judith; Padley, Wendy; Kiernan, Martin; Leaper, David; Norrie, Peter; Baggott, RobBackground The national surgical site infection (SSI) surveillance service in England collates and publishes SSI rates that are used for benchmarking and to identify the prevalence of SSIs. However, research studies using high-quality SSI surveillance report rates that are much higher than those published by the national surveillance service. This variance questions the validity of data collected through the national service. Aim To audit SSI definitions and data collection methods used by hospital trusts in England. Method All 156 hospital trusts in England were sent questionnaires that focused on aspects of SSI definitions and data collection methods. Findings Completed questionnaires were received from 106 hospital trusts. There were considerable differences in data collection methods and data quality that caused wide variation in reported SSI rates. For example, the SSI rate for knee replacement surgery was 4.1% for trusts that used high-quality postdischarge surveillance (PDS) and 1.5% for trusts that used low-quality PDS. Contrary to national protocols and definitions, 10% of trusts did not provide data on superficial infections, 15% of trusts did not use the recommended SSI definition, and 8% of trusts used inpatient data alone. Thirty trusts did not submit a complete set of their data to the national surveillance service. Unsubmitted data included non-mandatory data, PDS data and continuous data. Conclusion The national surveillance service underestimates the prevalence of SSIs and is not appropriate for benchmarking. Hospitals that conduct high-quality SSI surveillance will be penalized within the current surveillance service.Item Metadata only Biogel Skinsense N: surgical glove management for latex allergies.(2001) Tanner, JudithItem Metadata only Bladder spasm in the recovery room.(AfPP, 2004) Yates, V.; Tanner, Judith; Crossley, A.Item Metadata only Brushes and picks used on nails during the surgical scrub to reduce bacteria: a randomised trial.(Elsevier, 2009) Tanner, Judith; Khan, Debra; Walsh, Susannah E.; Chernova, J.; Lamont, S.; Laurent, T.Though brushes are no longer used on the hands and forearms during the surgical scrub, they are still widely used on the nails. The aim of this study was to determine if nail picks and nail brushes are effective in providing additional decontamination during a surgical hand scrub. One hundred and sixty four operating department staff were randomised to undertake one of the following three surgical hand scrub protocols; chlorhexidine only, chlorhexidine and a nail pick or chlorhexidine and a nail brush. Bacterial hand sampling was conducted before and one hour after scrubbing using a modified version of the glove juice method. No statistically significant differences in bacterial numbers were found between any two of the three intervention groups. Nail brushes and nail picks used during surgical hand scrubs do not decrease bacterial numbers and are unnecessary.Item Metadata only Choosing the right surgical glove: an overview and update.(MA Healthcare, 2008) Tanner, JudithItem Metadata only Clostridium difficile, ethnicity and religion.(Saunders, 2008) Tanner, Judith; Anthony, Denis Martin; Johnson, Mark, 1948 Mar. 16-; Khan, Debra; Trevithick, CarolineItem Metadata only Developing a maternity unit visiting policy.(2004) Soltani, H.; Dickinson, F.; Tanner, JudithItem Metadata only Developing research capacity: identifying and quantifying nursing research activity in the NHS.(Sage, 2002) Tanner, Judith; Hale, C.Item Metadata only A disputed occupational boundary: operating theatre nurses and operating department practitioners.(Blackwell, 2004) Timmons, S.; Tanner, JudithItem Open Access Do surgical care bundles reducethe risk of surgical site infectionsin patients undergoing colorectalsurgery? A systematic review andcohort meta-analysis of 8,515 patients(Elsevier, 2015-04) Tanner, Judith; Padley, Wendy; Assadian, O.; Leaper, David; Kiernan, MartinBACKGROUND: Care bundles are a strategy that can be used to reduce the risk of surgical site infection (SSI), but individual studies of care bundles report conflicting outcomes. This study assesses the effectiveness of care bundles to reduce SSI among patients undergoing colorectal surgery. METHODS: We performed a systematic review and meta-analysis of randomized controlled trials, quasi-experimental studies, and cohort studies of care bundles to reduce SSI. The search strategy included database and clinical trials register searches from 2012 until June 2014, searching reference lists of retrieved studies and contacting study authors to obtain missing data. The Downs and Black checklist was used to assess the quality of all studies. Raw data were used to calculate pooled relative risk (RR) estimates using Cochrane Review Manager. The I(2) statistic and funnel plots were performed to identify publication bias. Sensitivity analysis was carried out to examine the influence of individual data sets on pooled RRs. RESULTS: Sixteen studies were included in the analysis, with 13 providing sufficient data for a meta-analysis. Most study bundles included core interventions such as antibiotic administration, appropriate hair removal, glycemic control, and normothermia. The SSI rate in the bundle group was 7.0% (328/4,649) compared with 15.1% (585/3,866) in a standard care group. The pooled effect of 13 studies with a total sample of 8,515 patients shows that surgical care bundles have a clinically important impact on reducing the risk of SSI compared to standard care with a CI of 0.55 (0.39-0.77; P = .0005). CONCLUSION: The systematic review and meta-analysis documents that use of an evidence-based, surgical care bundle in patients undergoing colorectal surgery significantly reduced the risk of SSI.Item Metadata only Double gloving to reduce surgical cross infection(Cochrane Library, 2006-07-19) Tanner, Judith; Parkinson, H.Item Metadata only English hospitals under report SSIs(BMJ, 2013) Tanner, Judith; Padley, Wendy; Kiernan, Martin; Leaper, David; Baggott, Rob; Norrie, PeterWe thank Lamagini and colleagues for their interest in our paper. These authors from the HPA claim that we are misinformed and lacking in understanding. Yet, our criticisms are the same as those expressed by the Public Accounts Committee and the DH Advisory Committee on HCAIs. Even the European Centers for Disease Control says the English SSI surveillance system ‘lags’ behind the rest of Europe. The SSI surveillance data published by the HPA does not include post discharge surveillance (save for readmission data in the mandatory scheme) which account up to 80% of SSIs. This results in the ‘true’ scale of SSIs being hugely under reported. As length of stay after surgery continues to fall this becomes ever more important. An SSI surveillance system which does not include post discharge surveillance is akin to describing the size of iceberg by measuring only the part seen above the water.Item Metadata only First assistant activities.(AfPP, 2001) Tanner, JudithItem Metadata only A fresh look at preoperative body washing.(Sage, 2012) Tanner, Judith; Gould, D.; Jenkins, P.; Hilliam, R.; Mistry, N.; Walsh, Susannah E.National guidelines do not support preoperative body washing to reduce surgical site infections, instead recommending bathing or showering with soap. Yet preoperative body washing continues to be widely used in many hospitals across Europe. This paper suggests that existing trials of preoperative body washing, upon which guidelines are based, are dated and proposes a new investigation of preoperative body washing using modern definitions of surgical site infection with standardised patient follow up, modern surgical techniques and well designed trials. This paper provides a critique of existing guidelines and describes a randomised trial with 60 participants to compare the effect of soap and two antiseptic washing products on colony forming units (CFUs) for up to six hours. Chlorhexidine gluconate and octenidine were significantly more effective than soap in reducing CFUs in the underarm, and chlorhexidine was significantly more effective than soap in reducing CFUs in the groin.Item Metadata only Hand hygiene: product preference and compliance.(Emap, 2011-02-15) Tanner, Judith; Mistry, N.Hospitals are trying to improve patient hand hygiene by providing hnadwashing products at the bedside. Patients' compliance with handwashing depends on their satisfaction with hygiene products but no one has looked at which products patients prefer. Research on this will help hospitals target hand hygiene more appropriately and effectively. Aim. To explore patient satisfaction with hand hygiene products and identify those that are most popular. Method. Two hundred patients were given five hand hygiene products to evaluate. These represent the interventions most widely used by patients in hospitals; alcohol foams, alcohol wipes, wet cloths with antiseptic solutions, bowls of soapy water and mobile sinks. Results. Alcohol foam acheived the highest mean satisfction score and was significantly more popular than the other products. Conclusion. Alcohol foam was the most popular choice regardless of age, sex, dexterity, mobility and religion.Item Metadata only Hand washing in a neonatal unit.(Mosby, 2003) Shaw, S.; Tanner, JudithItem Metadata only Health, lifestyle, belief and knowledge differences between two ethnic groups with specific reference to tobacco, diet and physical activity.(Blackwell, 2012) Anthony, Denis Martin; Baggott, Rob; Tanner, Judith; Jones, Kathryn L.; Evans, Hala; Perkins, G.; Palmer, H.Item Metadata only Inadvertant hypothermia and active warming for surgical patients.(2011) Tanner, JudithItem Metadata only Indulging curiosity- researching infection prevention.(Sage, 2009) Loveday, H.; Prieto, J. A.; Hodgson, G.; Tanner, Judith
- «
- 1 (current)
- 2
- 3
- »