Annual Report 2010 - St. James's Hospital

More documents

Recommendations

Info

Clinical Directorates I GEMS Mortality 2002 – 10 Lives Saved per Annum 450 R 2 = 0.9322 375 p < 0.0001 300 225 150 91 124 97 75 24 37 0 2003 2004 2005 2006 2007 Year 407 251 172 2008 2009 2010 The graph above shows an estimate of the annual number of lives saved, based on audit of our emergency admissions to medicine database. Breast Care Department St. James’s Hospital Breast Unit was designated as one of the eight specialist centres for Symptomatic Breast Disease Services in Ireland by the NCCP in 2007. This has led to an increase in our catchment area and resulted in a large increase in referrals for the service over the past number of years. The number of new symptomatic patients seen in 2010 was 21% more than 2009. To accommodate the additional demand for services, the number of symptomatic Breast Care’s clinics held during the year was 197. During the year St. James’s Hospital was asked to provide a Family Risk Breast Service to former patients of Tallaght Hospital. In conjunction with the normal on going St. James’s Hospital Family Risk service a total of 1002 patients were seen in addition to the symptomatic service. Despite the increase in clinic attendances and activity levels within the unit Nursing has continued to develop and maintain in-service education and training for all nursing staff. Staff education ethos has been extended to include education within the community for health care professionals involved in follow up care of Breast Cancer patients. The service regularly audits standards by means of Patient Clinical Audits and annual Patient Satisfaction Surveys. The tables/graphs below show how clinic activity symptomatic & family risk has increased since the Breast Clinic was established in 1997. Breast Care Activity 7000 6000 5000 4000 3000 2000 1000 0 7019 No. of patients attended 4977 3965 2745 2888 2437 647 783 813 863 1154 1210 1239 304 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Year Number of Breast Cancers Treated 300 277 250 201 203 200 169 159 160 139 137 140 150 130 100 50 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Year Colorectal Surgery The colorectal surgery service is part of the General Surgery Service.The Colorectal service continued to develop in 2010. St. James’s is a designated cancer centre under the National Cancer Control Programme. The number of colorectal cancers referred to St. James’s hospital in 2010 was 200*. There were 110 tumour resection surgeries and 70 non resection surgeries carried out. In the case of 4% of patient’s, primary treatment was not surgery, a further 4% of patients had colonic stents to alleviate symptoms, and 7% of patient’s primary treatment was endoscopic. Almost 25% of patients presented with advanced (inoperable) or metastatic disease. Mr. Paul McCormick, Consultant Surgeon, joined Mr. B. Mehigan and the colorectal team in March 2010 following the retirement of Mr. R. Stephens. Consultant Surgeon from Tullamore, Mr. Dermot Hehir, performed rectal resections on 9 of his cancer patients in St. James’s. The GI oncology Multidisciplinary team meeting takes place weekly and in 2010 over 467 patients were discussed at this conference. There was an increase of 43% in the workload of the MDT meeting since 2009. Many patients were discussed on multiple occasions. The Colorectal unit provides the highest level specialist registrar training in Coloproctology accredited by the association of Coloproctology of Great Britain and Ireland. 56
Clinical Directorates I GEMS St. James’s continues to submit data for inclusion in the association of Coloproctology of Great Britain and Ireland’s bowel cancer audit. Data from 2009/2010 will be included in their next report due to be published in 2011. The availability of expertise in colorectal stenting in the emergency setting has allowed patients with large bowel obstruction to avoid a colostomy using stenting as a bridge to surgery. The colorectal cancer nurses Delia Flannery and Katrina O’Connor (Acting) continue to provide patient focused care from diagnosis, through treatment and onwards to nurse led surveillance. The follow up clinic workload continued to increase in 2010; 252 patients were seen in the clinic which is almost a 25% increase since 2009. A patient satisfaction survey report was completed in 2010 to assess patient’s opinion of the nurse led clinic. The stoma care department has two full time nurse specialists positions; AnneMarie Stuart, Siobhan Mc Govern (·5) and Anna Fearon (∙5) who provide pre and post operative counselling, care and education to all patients who may potentially require stoma formation. The department received 235 new referrals in 2010. The number of patients seen in their daily nurse led OPD clinics was 509. Renal Dialysis Unit Since Oct 2008 St. James’s Hospital now provide patients with an improved treatment called Online Haemodiafi ltration. The benefi ts of Online Haemodiafi ltration versus standard haemodialysis are: • Online HDF stabilises blood pressure using the process pre dilution. This creates better cardiac stability- therefore suited to the unstable hypotensive, hypervolaemic/pulmonary oedema patient, or patient in ICU Stoma Nursing Department The Stoma nursing Department in St. James’s Hospital provides a responsive, supportive and comprehensive nursing service to patients who have existing stomas or who require stoma formation, or reconstructive bowel and bladder surgery and management of enterocutaneous fi stulae. • Online HDF allows greater blood clearances of Urea and Creatinine due to convective transport in HDF in comparison to diffusion transport in haemodialysis 57
Page 1:
2010 St. James’s Hospital Annual
Page 4 and 5:
contents st james’s hospital Gove
Page 6 and 7:
Governance and Executive I Corporat
Page 8 and 9: Governance and Executive I Consulta
Page 10 and 11: Governance and Executive I Consulta
Page 13 and 14: introduction from the chairman Prof
Page 15 and 16: Corporate Reports I Introduction fr
Page 17 and 18: Corporate Reports I Report from the
Page 19 and 20: Corporate Reports I Report from the
Page 21 and 22: Performance Highlights I Key Activi
Page 23: Performance Highlights I Key Activi
Page 27 and 28: Corporate Division Reports I Financ
Page 29 and 30: Corporate Division Reports I Materi
Page 31 and 32: Corporate Division Reports I Materi
Page 33 and 34: Corporate Division Reports I Human
Page 35 and 36: Corporate Division Reports I Human
Page 37 and 38: Corporate Division Reports I Intern
Page 39 and 40: Corporate Division Reports I Inform
Page 41: Services Division Reports
Page 44 and 45: Clinical Directorates I CResT Cardi
Page 46 and 47: Clinical Directorates I CResT The R
Page 48 and 49: Clinical Directorates I HOPe Inpati
Page 50 and 51: Clinical Directorates I MedEL MedEL
Page 52 and 53: Clinical Directorates I MedEL TUDA
Page 54 and 55: Clinical Directorates I SaMS Staff
Page 56 and 57: Clinical Directorates I SaMS Ophtha
Page 60 and 61: Clinical Directorates I GEMS • On
Page 62 and 63: Clinical Directorates I GEMS The Ba
Page 64 and 65: Clinical Directorates I GEMS with 9
Page 66 and 67: Clinical Directorates I Emergency i
Page 68 and 69: Omega Ms. Patricia Eadie Clinical D
Page 70 and 71: Clinical Directorates I Omega Outpa
Page 72 and 73: Non Directorate Specialities I Depa
Page 74 and 75: Non Directorate Specialities I Psyc
Page 76 and 77: Non Directorate Specialities I Psyc
Page 78 and 79: Clinical Service Directorates I Lab
Page 88 and 89: Clinical Service Directorates I Dia
Page 90 and 91: Clinical Service Directorates I Dia
Page 92 and 93: Clinical Service Directorates I ORI
Page 94 and 95: Clinical Support Services I SCOPe S
Page 96 and 97: Clinical Support Services I SCOPe c
Page 98 and 99: Clinical Support Services I Pharmac
Page 100 and 101: Clinical Support Services I Pharmac
Page 102 and 103: Clinical Support Services I Medical
Page 104 and 105: Clinical Support Services I Medical
Page 106 and 107: Clinical Support Services I General
Page 108 and 109:
Programmes Division Reports I Techn
Page 110 and 111:
Programmes Division Reports I Techn
Page 112 and 113:
General Support Services I Nursing
Page 114 and 115:
General Support Services I Nursing
Page 116 and 117:
General Support Services I Educatio
Page 118 and 119:
116
Page 120 and 121:
118
Page 122 and 123:
Programmes Division Reports I Quali
Page 124 and 125:
The PAC produced two ‘Welcome’
Page 126 and 127:
Programmes Division Reports I Plann
Page 128 and 129:
St. James’s Hospital Foundation I
Page 131 and 132:
Publications Publications MedEL Bor
Page 133 and 134:
Publications Fitzgerald K, Steen G,
Page 135 and 136:
Publications Walsh JB, Lawlor BA. (
Page 137 and 138:
Publications transcription in perip
Page 139 and 140:
Publications White HE, Matejtschuk
Page 141 and 142:
Publications chronic myeloid leukem
Page 143 and 144:
Publications compliance with curren
Page 145 and 146:
Publications P, Morris JC, Mayo K,
Page 148:
The Hospital’s fundamental purpos
show all

Annual Report 2010 - St. James's Hospital

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?