Nursing times
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Outpatient medical management of first trimester miscarriage was introduced at the Royal Infirmary of Edinburgh in 2009 after a number of trials found it to be a safe and effective approach. An audit showed positive results, in terms of both treatment success and patient satisfaction. This approach appears to be more successful than inpatient management.
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A team of palliative care clinical nurse specialists at the Phyllis Tuckwell Hospice in Farnham, Surrey, set up a hospice based outpatient clinic to improve services for patients with cancer. This article examines how the team used clinical audit, a staff questionnaire and patient feedback to evaluate the service and make recommendations for the future development of the clinic.
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Diabetes services in Milton Keynes were being duplicated and a need to coordinate services in local primary care settings was identified. This article explores how nurse led clinical commissioning is improving services for patients with diabetes in the area. It examines the practical challenges of the service redesign, how personalised care planning for people with diabetes can improve quality of care, and the benefits for nurses of becoming involved in clinical commissioning.