Contact Dermatitis to Ophthalmic Solutions: An Update.

Eyelid and periorbital dermatitis remains a distressing and recalcitrant disease. Contact dermatitis remains the most common cause of eyelid and periorbital dermatitis. Ophthalmic solutions used in the treatment of ophthalmic conditions can often be the cause. This article is an update of our previous study, summarizing the contact allergens involved and the new test concentrations reported to investigate through patch testing. New insights found during the review are also documented.

Differentiating Categories of Violent Adolescent Offending and the Associated Risks in Police and Youth Offending Service Records.

Historical risk assessment forms for a sample of 173 males with a history of violent offending and under supervision by Merseyside Youth Offending Services (YOS) were investigated. Subsequent arrest records were scrutinised in order to obtain a better understanding of the relationship of social and psychological risk factors to offending behavior. The mean age of the sample at the point of contact with YOS was 16.01 (SD = 1.37) with a range between 12 and 18 years. Assault was associated with solo expressive offending, a history of domestic violence, low school attendance and an inability to control impulsivity and aggression. Robbery was associated instrumental and escalated violent offending, psychological disorders, and deviant groups, including family criminal involvement. Risk assessments by professionals and the young people indicated that substance misuse co-occurred with robbery. The findings suggest that solo offenders commit the majority of violent offences and that targeted interventions should distinguish between expressive and instrumental offending.

Leadership walkrounds in mental health care.

Patient safety leadership walkrounds are designed to assist healthcare leaders to improve patient safety. At 2gether Foundation Trust, walkrounds have been developed in mental health settings. They ensure that executives are informed firsthand about the safety concerns of frontline staff, while ensuring staff are listened to and supported when issues of safety are raised. Patient safety and quality improvements have been implemented over time through this process.

Using compliments to measure quality.

Collecting positive feedback can increase nurses' confidence, show improvements in performance and provide a baseline for measuring patient satisfaction. This article describes how nurses on a dementia assessment ward designed, implemented and evaluated a way of collecting compliments, changing staff attitudes to receiving feedback.