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Introduction: Implementation of interprofessional education (IPE) is recognised as challenging, and well-designed programs can have differing levels of success depending on implementation quality. The aim of this review was to summarise the evidence for implementation of IPE, and identify challenges and key lessons to guide faculty in IPE implementation. Methods: Five stage scoping review of methodological characteristics, implementation components, challenges and key lessons in primary studies in IPE. Thematic analysis using a framework of micro (teaching), meso (institutional), and macro (systemic) level education factors was used to synthesise challenges and key lessons. Results: Twenty-seven primary studies were included in this review. Studies were predominantly descriptive in design and implementation components inconsistently reported. IPE was mostly integrated into curricula, optional, involved group learning, and used combinations of interactive and didactic approaches. Micro level implementation factors (socialisation issues, learning context, and faculty development), meso level implementation factors (leadership and resources, administrative processes), and macro level implementation factors (education system, government policies, social and cultural values) were extrapolated. Sustainability was identified as an additional factor in IPE implementation. Conclusion: Lack of complete detailed reporting limits evidence of IPE implementation, however, this review highlighted challenges and yielded key lessons to guide faculty in the implementation of IPE.

Summary: Background: This audit was conducted as it was noted that intravenous fluid therapy (IVFT) was not as precise as anticipated. The aim was to enhance the precision of IVFT given to patients. Objectives: To (1) quantify the discrepancies in intravenous fluid administered to patients compared to prescribed volumes; (2) investigate causative factors, and develop an action plan to improve care quality and (3) assess the effectiveness of implemented changes. Study design: A clinical audit was conducted. Clinical notes from horses receiving IVFT from January to June 2020 were analysed. Methods of improvement were discussed and implemented and a re‐audit was then conducted from January to June 2021. Methods: A 24‐h period was divided into a day‐time period from 08:00 AM to 18:00 PM and a night period from 18:00 PM to 08:00 AM and the prescribed fluid volume was compared to the actual volume administered to ICU patients during these periods. For the re‐audit, modifications were made, including the use of a modified analogue scale to quantify the remaining fluid volume in the bags, and revised recording sheets for intensive care and fluid therapy. Results: In 2020, 19/73 horses had records eligible for analysis. Horses received within 5 L of the prescribed volume in 14/53 (26%) time periods recorded. In 2021, 88/105 horses were eligible for data analysis. Horses received within 5 L of the prescribed volume in 156/220 (71%) time periods recorded. The Mann–Whitney U test was used to compare the difference in fluid volume prescribed and received between 2020 and 2021. The obtained p value of 0.0001295 revealed a significant difference between the 2 years, suggesting that the observed variation in fluid volume was not by chance. Conclusions: The clinical audit facilitated demonstrable improvement and enhanced the standard of care. [ABSTRACT FROM AUTHOR]

Background: People diagnosed with dementia are at greater risk of falls. Given the increasing incidence of dementia globally, high quality and methodologically rigorous research is needed to inform evidence-based practice initiatives. Aims: To describe the published literature related to describing, reducing or preventing fall incidences for people living with dementia including: (1) trends in the total number of intervention and non-intervention studies between 1997 and 2016; (2) the methodological quality of identified intervention studies; and (3) the effectiveness of interventions designed to reduce the incidence of falls among people living with dementia. Methods: A systematic review of five databases was conducted to identify studies reporting any aspect of falls incidence for people with a diagnosis of dementia. Studies meeting the eligibility criteria were coded as intervention or non-intervention studies. Intervention studies were assessed using Cochrane's Effective Practice and Organisation of Care tool. Data about the effectiveness of interventions meeting Effective Practice and Organisation of Care criteria were extracted. Results: Seventy-two eligible studies were identified; 57 were non-intervention studies, and 15 were intervention studies. The number of published studies increased between 1997 and 2016, peaking in 2013 (n = 10). Of the 15 intervention studies, seven studies met Effective Practice and Organisation of Care design criteria with one study rated low risk on all eight Effective Practice and Organisation of Care risk of bias domains. One high-risk exercise-based intervention study demonstrated a significant reduction in falls among people living with dementia. Conclusions: There is currently insufficient evidence to endorse any intervention to reduce falls for people living with dementia in any setting. More high-quality intervention studies are needed. [ABSTRACT FROM AUTHOR]