Final Report on the Review of the Home Accident Prevention Strategy Action Plan 2004-2009 (PDF 147KB)

Report on the Review of the Home Accident Prevention Strategy & Action Plan 2004-09

Final Report Review of DHSSPS Training Support Funding For Social Care Voluntary Organisations February 2011 (PDF 368KB)

Review of DHSSPS Training Support Funding Programme For Social Care Voluntary Organisations

Shooting up 2009 revised final

Shooting Up Infections among injecting drug users in the united Kingdom 2008 - An update 2009

Independent Review of Autism Services final report (PDF 565 KB)

Independent Review of Autism Services final report

NI 2007 Sight Test Survey Final Report (PDF 715KB)

2007 Sight Test Survey Report

Nursing Needs Assessment Tool User Guide 2006 (PDF 207 KB)

The user guide describes how to undertake an assessment using the nursing needs assessment tool.

Regional Redesign of Community Nursing Project Final Report (PDF 467 KB)

Report on the regional redesign of community nursing project by Deloitte

Relation between intraoperative EMG values and final pedicle screw position as seen on CT images

Introduction: Intraoperative EMG based neurophysiological monitoring is increasingly used to assist pedicle screw insertion. We carried out a study comparing the final screw position in the pedicle measured on CT images in relation to its corresponding intraoperative muscle compound action potential (CMAP) values. Material and methods: A total of 189 screws were inserted in thoracolumbar spines of 31 patients during instrumented fusion under EMG control. An observer, blinded to the CMAP value, assessed the horizontal and vertical 'screw edge to pedicle edge' distance perpendicular to the longitudinal axis of the screw on reformatted CT reconstructions using OsiriX software. These distances were analysed with their corresponding CMAP values. Data from 62 thoracic and 127 lumbar screws were processed separately. Interobserver reliability of distance measurements was assessed. Results: No patient suffered neurological injury secondary to screw insertion. Distance measurements were reliable (paired t-test, P = 0.13/0.98 horizontal/vertical). Two screws had their position altered due to low CMAP values suggesting close proximity of nerve tissue. Seventy five percent of screws had CMAP results above 10mA and had an average distance of 0.35cm (SD 0.23) horizontally and 0.46cm (SD 0.26) vertically from the pedicle edge. Additional 12% had a distance from the edge of the pedicle less than 0mm indicating cortical breach but had CMAP values above 10mA. A poor correlation between CMAP values and screw position was found. Discussion: In this study CMAP values above 10mA indicated correct screw position in the majority of cases. The zone of 10-20mA CMAP carries highest risk of a misplaced screw despite high CMAP value (17% of screws this CMAP range). In order to improve accuracy of EMG predictive value further research is warranted including improvement of probing techniques.

Review of Children First - Final Report

Review of Children First - Final Report

Nursing & Midwifery Workforce Planning - Final Report Sept 05 (PDF 239 KB)

Nursing & Midwifery Workforce Planning - Final Report Sept 05