A new version of the ERICA tool to facilitate impact assessments of radioactivity on wild plants and animals

A new version of the ERICA Tool (version 1.2) was released in November 2014; this constitutes the first major update of the Tool since release in 2007. The key features of the update are presented in this article. Of particular note are new transfer databases extracted from an international compilation of concentration ratios (CRwo-media) and the modification of ‘extrapolation’ approaches used to select transfer data in cases where information is not available. Bayesian updating approaches have been used in some cases to draw on relevant information that would otherwise have been excluded in the process of deriving CRwo-media statistics. All of these efforts have in turn led to the requirement to update Environmental Media Concentration Limits (EMCLs) used in Tier 1 assessments. Some of the significant changes with regard to EMCLs are highlighte

Addressing current knowledge gaps on radionuclide transfer to reptiles

Model intercomparison exercises have identified radionuclide transfer predictions as the greatest source of uncertainty in biota dose assessments. One wildlife group for which few transfer data exist is reptiles. Given that reptiles are an important, and often protected, component of many ecosystems and that assessments of radiation impact on ecosystems are becoming increasingly necessary due to the current nuclear renaissance, there is a need to further develop our current database on transfer to reptiles or find alternative approaches to estimate reptile transfer parameters. Three approaches that have the potential to increase the availability of parameters to predict radionuclide transfer to reptiles are the use of non-lethal sampling techniques, phylogenetic relationships and allometric relationships. Non-lethal sampling is an attractive long term option for deriving transfer parameters, but the derivation of phylogenetic and allometric relationships could provide ways of predicting transfer in the interim

The implementation of NICE guidance on venous thromboembolism risk assessment and prophylaxis: A before- after observational study to assess the impact on patient safety across four hospitals in England.

Exact publication date to be confirmed.Introduction: Venous thromboembolism (VTE) is a major cause of morbidity and mortality in hospitalised patients. VTE prevention has been identified as a major health need internationally to improve patient safety. A National Institute for Health and Clinical Excellence (NICE) guideline was issued in February 2010. Its key priorities were to assess patients for risk of VTE on admission to hospital, assess patients for bleeding risk and evaluate the risks and benefits of prescribing VTE prophylaxis. Objectives: To evaluate the implementation of NICE guidance and its impact on patient safety. Design: Before and after observational study design was used to investigate changes in VTE risk assessment documentation and inappropriate prescribing of prophylaxis between the year prior to (2009) and the year following (2010) the implementation of NICE guidance. A total of 816 patients were sampled in each year in four hospitals in the NHS South region. Results: The percentage of patients for whom a VTE risk assessment was documented increased from 51.5% (210/408) in 2009 to 79.2% (323/408) in 2010; difference 27.7% (95% CI: 21.4% to 33.9%; p<0.001). There was little evidence of change in the percentage who were prescribed prophylaxis amongst patients without a risk assessment (71.7% (142/198) in 2009 and 68.2% (58/85) in 2010; difference -3.5%% (95% CI: -15.2% to 8.2%; p =0.56) nor the percentage who were prescribed low molecular weight heparin amongst patients with a contraindication (14% (4/28) in 2009 and 15% (6/41) in 2010; RD = 0.3% (95% CI: -16.5% to 17.2%; p =0.97). Conclusions: The documentation of risk assessment improved following the implementation of NICE guidance but this did not lead to improved patient safety when prescribing prophylaxis