CATCH Trial results

The CATCH trial which compared the incidence of bloodstream infections in children with heparin bonded, antibiotic coated and standard central venous lines has now been published by the Lancet via online first. This paper can be viewed here.

Implementing the SEND Reforms together

A national conference for Clinical Commissioning Groups and Parent Carer Forums

14th March 2016 – Congress Centre, London
On behalf of NHS England, the National Network of Parent Carer Forums and Contact a Family, I would like to invite you to join us at this free event:

The day will:
· Highlight the commitment of the Department of Health and NHS England to improving the outcomes of children with special educational needs and disabilities

· Provide guidance to Clinical Commissioning Groups on delivering the SEND Reforms and the new duties introduced by the Children and Families Act 2014

· Introduce how the National Network of Parent Carer Forums can support CCGs to deliver the SEND reforms through co-production with parent carers

More information: Implementing the SEND Reforms together

Please book a place via helen [dot] reid [at] cafamily [dot] org [dot] uk


Important Consultation: Emergency Care & Treatment Plan (ECTP)

The Resus Council (UK) and Royal Medical & Nursing colleges have collaborated to produce a proposal for a new unified document to be completed for all people, of any age, who might require, or might be thought to require, a modified end of life plan.

The document is intended to carry enough information to help direct the care in an acute collapse and also direct the clinical teams towards more definitive information in less acute situations. It is intended to complement, not replace, existing paperwork such as the CYPACP or Deciding Right.

The draft proposals have now been opened for public consultation and are available here.

This could provide a really useful standard approach to enhance safe practice – please have a look and feed back your comments.


We are experimenting with different ways to discuss issues, share information and provide notifications. Telegram is an app available on smartphones and PCs that seems to offer an interesting tool for all of these purposes.

Click here for more information!

Website update and additions

The MiST website has been extensively reorganised. Hopefully navigation is now simpler by providing all of the resources associated with a particular safety theme under the same tab.

Areas are also under development for specific disciplines enabling rapid navigation toward resources specifically tailor for those areas. Please browse the areas assigned to other disciplines as they may provide you with an alternative view that informs your own practice.

Please also let us know if there are areas that you feel could be further enhanced, if you have additional resources others may benefit from, or if you find any typo’s or broken links!

Please contact us by email with your comments here.

End of Year Data CLABSI (December 17)

Data presented at January MiST meeting.

All seven units submitting data continue to show improvement.

CLABSI Jan 16.001

Interventions introduced by units include coated lines, body washes, biopatches, bionectors & parafilm.

There was a perception at the meeting that the most significant reduction followed the introduction of biopatches.

Future pans:

  1. Units using biopatches planning will combine run rate data for future publication.
  2. All units to be surveyed to establish a table of active interventions to place above table in greater context.
  3. Further units expected to submit data in 2016

Dublin MiST Meeting Agenda

Making it Safer Together (MiST) – The Dublin Experience!

9th of July 2015, CMRF Conference Centre – Our Lady’s Childrens Hospital

Thursday 9th July

11:00 – 13:00 MiST Meeting

  1. Apologies
  2. Minutes from last meeting
  3. Matters Arising
    1. Update from units
    2. Trash the Tubes
    3. Data submission schedule
  5. Medication Incidents
    1. MERP implementation
  6. Inter-unit M&M collaboration
  7. Paediatric HSMR
  8. AOB



14:00 -17:00 Workshop

  1. The year ahead – brainstorm
    1. Quick wins for ADEs?
    2. Promoting TTT widely

Continuation of Readmissions or alternative measures? 

  1. Implementation of safety initiatives

“Stealing shamelessly” – the implementation of safety initiatives; what has worked, what has failed, sharing, learning and shamelessly stealing from each other to better patient care!

Time Title Speaker


Quality in Action


15.00  – 15.15 Recipe for a Quality Team Tracey Wall

Divisional Nurse Manager

15.15 – 15.30 Quality Initiatives in OLCHC Marie Conlon

CNM III, Quality Dept.

15.30 – 15.45 Care Bundles Paula McGrath

CNM II, Quality Dept.

15.45 – 16.00 Spend a little, Save a lot Tara Keogh

CNM II, St. Peters Ward

16.00 – 16.45   Dr. Cathy McMahon,



  1. Maintenance of new practices

“Making it Stick” – once safety initiatives are introduced, how do we make them sticky!

Evening – Meal out

MiST visit Friday 10th of July 2015

Time Title Speaker
10.00 – 11.00 PEWS Dr. John Fitzsimons
11.00 – 13.00 Visit/Tour clinical areas Tracey Wall

Divisional Nurse Manager

13.00 – 14.00 Grand Round Dr. Peter Marc Fortune


Download the Agenda as a .doc file – Dublin_Agenda 9th -10th July 2015

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