This innovative Quality Improvement, Patient Safety and Research trial aims to improve care after hip and knee replacement in two evidence based domains:

QIST: Anaemia

 To improve: Transfusion, Critical Care Admission, Length of Stay, Readmissions 

QIST: Infection

 ​To improve: MSSA hip and knee replacement infection rates 

The purpose of the Quality Improvement in Surgical Teams Collaborative is to improve the quality of care delivered to patients requiring joint replacement surgery by introducing two complimentary care-bundles for mild anaemia and MSSA into routine clinical practice. It comes through the preoperative treatment of mild anaemia and decolonisation of carriers of Methicillin Sensitive Staphylococcus aureus (MSSA). For further information on the QIST trial contact


“Very informative and interesting day. New ideas and challenges to our regimes. Lots of information to take back to hospital.”