South Tipperary General Hospital
Research by staff affiliated to South Tipperary General Hospital
Ovarian Small Cell Carcinoma Hypercalcemic Type: A Case ReportA 31-year-old female was diagnosed with small cell carcinoma of the ovary hypercalcaemic type (OSCCHT) post left oophorectomy. This is a rare aggressive ovarian tumour of which less than 300 cases were reported.
South Tipperary General Hospital continuous quality improvement strategy and achievements 1996-2003South Tipperary General Hospital, 2004In South Tipperary General it was agreed basically to provide a circle of people from all professional disciplines within the hospital whose remit is to improve the quality of service throughout the hospital, to provide liaison with people of recognised expertise, and to evaluate procedures through reflective practice against the evidence of current research available. Having developed as a unilateral group initially in 1996, the group evolved into a truly Multidisciplinary group 1988 and functions as a very effective team ongoingly. The group has sought to develop terms of reference as a guide to ongoing continuous quality improvements.
Fracture liaison service in a non-regional orthopaedic clinic--a cost-effective service.Fracture liaison services (FLS) aim to provide cost-effective targeting of secondary fracture prevention. It is proposed that a dedicated FLS be available in any hospital to which a patient presents with a fracture. An existing orthopaedic clinic nurse was retrained to deliver a FLS. Proformas were used so that different nurses could assume the fracture liaison nurse (FLN) role, as required. Screening consisted of fracture risk estimation, phlebotomy and DXA scanning. 124 (11%) of all patients attending the orthopaedic fracture clinic were reviewed in the FLS. Upper limb fractures accounted for the majority of fragility fractures screened n=69 (55.6%). Two-thirds of patients (n=69) had reduced bone mineral density (BMD). An evidence based approach to both non-pharmacological and pharmacotherapy was used and most patients (76.6%) receiving pharmacotherapy received an oral bisphosphonate (n=46). The FLS has proven to be an effective way of delivering secondary prevention for osteoporotic fracture in a non-regional fracture clinic, without increasing staff costs.
Healthcare professionals' experiences of the implementation of integrated care pathways.The purpose of this paper is to report on a study that explores healthcare professionals' experiences of the implementation of integrated care pathways (ICPs).