Welcome to the Right Decision Service (RDS) newsletter for April 2024.
Tactuum has been working hard to address the issues experienced during the last week. They have identified a series of three mitigation measures and put the first of these in place on Friday 3rd May. If this does not resolve the problems, the second mitigation will be actioned, and then the third if necessary.
Please keep a lookout for any slowing down of the system or getting locked out. Please email myself, mbuchner@tactuum.com and onivarova@tactuum.com if you experience any problems, and also please raise an urgent support ticket via the Support Portal.
Thank you for your patience and understanding while we achieve a full resolution.
A rotating carousel presenting some of the key RDS tools and capabilities, and an editable slideset, are now available in the Resources for RDS providers section of the Learning and Support toolkit.
The redesign of RDS Search and Browse is still on-track for delivery by mid-June 2024. We then plan to have a 3-week user acceptance testing phase before release to live. All editors and toolkit owners on this mailing list will be invited to participate in the UAT.
The archiving and version control functionality is also progressing well and we will advise on timescales for user acceptance testing shortly.
Tactuum is also progressing with the deep linking to individual toolkits within the mobile RDS app. There are several unknowns around the time and effort required for this work, which will only become clear as the work progresses. So we need to be careful to protect budget for this purpose.
These have all been compiled and effort estimated. Once the redesign work is complete, these will be prioritised in line with the remaining budget. We expect this to take place around late June.
Many thanks to those of you completed the value and impact survey we distributed in February. Here are some key findings from the 65 responses we received.
Figure 1: Impact of RDS on direct delivery of care
Key figures
Figure 2 shows RDS impact to date on delivery of health and care services
Key figures
These data show how RDS is already contributing to NHS reform priorities and supporting delivery of more sustainable care.
Saving time and money
Quality assurance and governance
Service innovation and workforce development
A few examples of toolkits published to live in the last month:
Some of the toolkits the RDS team is currently working on:
Please contact his.decisionsupport@nhs.scot if you would like to learn more about a toolkit. The RDS team will put you in touch with the relevant toolkit lead.
Thanks to all of you who have responded to the retrospective quality audit survey and to the follow up questions. We still have some following up to do, and to work with owners of a further 23 toolkits to complete responses. An interim report is being presented to the HIS Quality and Performance Committee.
Eight clinical services and two public library services are undertaking tests of change to implement the Being a partner in my care app. This app aims to support patients and the public to become active participants in Realistic Medicine. It has a strong focus on personalised, person-centred care and a library of shared decision aids, as well as simple explanations and videoclips to help the public to understand the aims of Realistic Medicine. The tests of change will inform guidance and an implementation model around wider adoption and spread of the app.
With kind regards
Right Decision Service team
Healthcare Improvement Scotland
The muscle that makes up the heart contracts, like every other muscle, in response to electrical impulses spreading across it. An electrocardiogram (ECG) is a representation of the heart's electrical activity recorded from electrodes placed on the patient's skin.
Impulses start at the sinoatrial (SA) node, travel through the atria, causing them to contract (squeeze). Next the signal travels to the atrioventricular (AV) node, through the bundle of His, down the bundle branches and through the Purkinje fibres, causing the ventricles to contract.
P wave = atria contracting
QRC complex = ventricles contracting
T wave = ventricles relax
You will notice that there are only 10 leads that get attached to the patient, therefore how does it get called a 12 lead ECG?
There are:
six chest leads: V1 V2 V3 V4 V5 V6
six limb leads: aVR aVL aVF I II III (the black ground lead does not record, it acts as a filter to background noise)
Lead I is generated from impulses between left arm and right arm
Lead II is generated from impulses between left leg and right arm
Lead III is generated from impulses between left leg and left arm
V1 = 4th intercostal space, right sternal border (red)
V2 = 4th intercostal space, left sternal border (lemon)
V3 = 5th intercostal space, midway between V2 and V4 (green)
V4 = 5th intercostal space, midclavicular line (brown)
V5 = 5th intercostal space, anterior axillary line (black)
V6 = 5th intercostal space, midaxillary line (purple)
NHS Borders clinical guidelines