
Congenital heart disease
New research carried out in the UK has revealed that young children with congenital heart disease are at risk of having harmful toxins in their blood, particularly following surgery. Mark Nicholls reports

New research carried out in the UK has revealed that young children with congenital heart disease are at risk of having harmful toxins in their blood, particularly following surgery. Mark Nicholls reports

Point of care technologies (POCT) have an important, quality enhancing, risk-reducing and cost-impacting role within the extremely time-critical medical decision structures of a central Accident and Emergency department, says Professor Wilfried von Eiff, Centre for Hospital Management, University of Muenster, Germany.

‘We are all aware of the importance of early diagnosis and rapid appropriate treatment of patients with severe sepsis. Yet, many patients still do not receive satisfactory early management and the application of recent guidelines for sepsis management is still inadequate,’ writes Jean-Louis Vincent MD PhD, from the Intensive Care Department, Erasme Hospital, Université Libre de Bruxelles,…
For reasons important to both EU citizens and migrants, greater efforts needed to be made to address the gap in quality health care that exists between the two groups, experts told the European Health Forum Gastein. Improvements would not only benefit Europe's newer arrivals but the well-being of Europeans in general.

On 21 September 2011, in a lunch debate held at the European Parliament in Brussels EPF, CPME, PGEU and EFPIA brought together the perspectives of patients, doctors, community pharmacists and the research-based pharmaceutical industry presenting examples of best practices on adherence to therapies, and demonstrating how a coordinated, multi-stakeholder and patient-centred approach – involving…
Healthcare facilities in Europe are currently working to create a unified digital patient record. In tandem, medical imaging vendors are developing and offering cardiology information systems (CIS) with advanced functionalities and easy integration capabilities with enterprise-wide information systems. As a result of such trends, image management-based information systems are set to witness…

The 1st European Hospital Conference (EHC) will see three important organisations face up to their differences in what promises to be a great debate: During our interview with Dr João de Deus, President of the European Association of Senior Hospital Physicians (AEMH), he pointed out that AEMH, the European Hospital and Healthcare Federation (HOPE) and the European Association of Hospital…
There is a large variation in unplanned reoperation rates after colorectal surgery in English NHS hospitals, finds a study published on bmj.com today. As such, researchers suggest that reoperation rates could be used alongside other quality measures to help improve surgical performance on a national scale.

A combination of several well-known safety procedures could greatly reduce patient-harming errors in the use of radiation to treat cancer, according to a new study led by Johns Hopkins researchers.
Older patients and citizens should play a central role in the design and implementation of solutions for active and healthy ageing, in order to respect their rights and meet their needs. This was the strong message of the participants at the Conference “The Rights and Needs of Older Patients” organised by the European Patients’ Forum (EPF) and the Federation of Polish Patients (FPP).
France – Re-opening clogged arteries with metal stents has proved a life-saver for a majority of patients with coronary disease. Yet the high rates of complications and mortality for patients with diabetes following a percutaneous coronary intervention (PCI) continue to baffle cardiologists. Report: John Brosky

In Europe, nosocomial infections cause about 25,000 deaths every year. Copper has strong antibiotic effects and may reduce hospital acquired infections.

Professor Bill Keevil, Director of the Environmental Healthcare Unit at University of Southampton’s School of Biological Sciences, was among the first microbiological researchers to experiment on copper’s efficiency against pathogenic and nonpathogenic strains of E. coli bacteria and demonstrate the inherent anti-microbial property of the metal.

In terms of health politics, no hospital-related subject is more explosive than hygiene. However, although this reaction is common across Europe, approaches towards tackling nosocomial infections varies among our EU countries. Karoline Laarmann reports from Germany and Jane MacDougall from France…

How low? During the GE Healthcare Lunch Symposium of GE Healthcare at this year’s ECR in Vienna, Michael Maher, Professor of Radiology at the University College, Cork, provided an answer: 1.2 millisievert – at least for abdominal CT scans in patients with Crohn’s disease.

Medication errors sit among the top ten causes of harm to patients. They can, of course, occur in any department, but it’s still a surprise that they happen as frequently in anaesthetics departments, considering anaesthetists’ expertise is in handling tricky medication. However, apparently they are not the fault of the professional, but of the nature of the processes. Report: Karoline…

Bacteria are highly flexible when it comes to choosing a vehicle to enter a human body. During orthopaedic surgery, they may well settle on a prosthetic joint and cause immediate or delayed infections.

United Kingdom – A call has been made for tighter regulatory controls to ensure the safety regulation of medical devices, following joint investigations carried out by the British Medical Journal and the Channel 4 TV programme Dispatches, which were televised and published online at BMJ.com this May.

One year ago interventional cardiologists raised champagne glasses to celebrate the first publication of clinical evidence showing that transcatheter valve implants (TAVI) is safe and effective. In May at EuroPCR 2011, cardiologists raised magnifying glasses to look closer at further clinical results. John Brosky reports from Paris

The UK -- Patients admitted to hospital with inflammatory bowel disease (IBD) face a six-fold greater risk of death if they become infected with Clostridium difficile, according to a new study carried out by researchers at Imperial College London and St George’s Healthcare NHS Trust (pub: Alimentary Pharmacology and Therapeutics).
The clinical informatics firm ICNet International Ltd, which develops case management and surveillance software, has produced a software package using the SSI (Surgical Site infection surveillance) Monitor to combine information about patient movements in a hospital with data held by the laboratory and theatre systems -- and to alert staff if a patient is either infected or at risk of contracting…

When thinking about sharing radiological data within a multi-site center or even within a region, the initial question that arises always sounds the same: How should we cross-link all the data from the existing PACS solutions without going bankrupt? Because drawing a line and installing new systems all over the site in most of the cases is simply not affordable. On the other hand, the…

Adults with congenital heart failure (CHD) are a growing special subset of patients with specific needs; most need lifelong care, but in adulthood many fail to receive it. By Holger Zorn

To meet the high demands of today’s radiological environment, a PACS must provide far more than archiving, controlling and distribution of electronic data. Post processing and upgradable network structuring capabilities are just as important to guarantee efficient workflow. The Visage Thin Client looks like a smart solution indeed.

Contrast induced nephropathy (CIN) is widely recognised as a potentially serious complication of contrast media use -- a risk that increases with a patient’s age and decreased renal function. Mark Nicholls reports