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‘Cook and Count’ – Virtual Cooking Classes and Carbohydrate Counting for Young People
In the past, diabetes education had been conducted face-to-face which was not possible in times of COVID-19. Our team dietician decided to run virtual cooking and carbohydrate counting sessions via Zoom with a specialist nurse joining separately from their own kitchens, targeting patients in the 8 to 12 years age bracket and their parents/carers supervising […]
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‘NICE-otonic’ Fluids: Isotonic Maintenance IV Fluids in Infants Under 3 Months: A Quality Improvement Project
What is the secret to improving adherence to NICE isotonic IV fluid prescriptions? And is 0.9% saline even safe in infants <3 months or does it cause hypernatraemia? A three-QI cycle finds out the answers to these and other questions.
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“Pick Up The Phone” – A Multidisciplinary Team Quality Improvement Project into the Use of and Access to Telephone Interpreter Services within Perinatal Care
Good communication is key in all medical settings, and the link between language barriers and poor medical outcomes has been well documented. Use of, and easy access to translator services is essential for patients with limited english proficiency.
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“There’s No Place Like Home”: Reducing Paediatric Discharge Steps
It is widely acknowledged that the traditional system of using the hospital dispensary for completion of a patient’s discharge prescription is a “time consuming and inefficient process”. In Antrim Area Hospital, the majority of discharge prescriptions are completed at ward level. Ward level dispensing has helped to expedite the discharge process thus making beds available […]
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8 High Impact Interventions: A Regional Survey of Trainee Experience
This poster summarises the results of a regional survey of trainee experience which was based on the ‘8 High Impact Actions to improve the Working Environment for Junior Doctors’ report published by NHS improvement.
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A Haven for Fatigue: Standardising First Outpatient Visit Experience for Young People with Chronic Fatigue Syndrome
An improvement project with an aim that all patients with Chronic Fatigue Syndrome (CFS/ME) who attend for their first clinic visit to the service will have a standardised approach to the interventions offered to them by August 2020. Change ideas included a new user friendly patient assessment form used as a template on the e-record system, […]
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A Moment For Change – Addressing Parental Smoking in the Paediatric Emergency Department
Everyday in A+E, children are attending with serious and life threatening breathing problems which we know are adversely affected by third-hand smoking within the home. The project aimed to have smoking status asked and documented in all respiratory cases presenting through A+E and for smoking cessation advice to be given to every case where a […]
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A QI Project to Introduce Point of Care CRP Testing for Asymptomatic Babies Receiving Antibiotics on the Postnatal Ward
We looked at our cohort of term babies who were screened and treated for infection based on risk factors alone. We looked to see if by using a point of care CRP test for the 18-24h repeat CRP we could improve their management and care.
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A Qualitative Audit of Paediatric Patients and Carer’s Experiences of Urgent and Emergency Care
This poster outlines a qualitative audit of family experiences of emergency care at a major north-east teaching hospital in 2019. The results have since been used in teaching in efforts to improve safety and quality of communication in paediatric ED.
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An Integrated Seizure Care Pathway
We observed there had been a lack of uniformity in the acute care received by children admitted with suspected epileptic seizures to our paediatric ward, especially out of normal working hours. The areas that particularly needed improvement were history taking, arranging appropriate investigations, and safety advice to parents/patients on discharge. Therefore, we developed and implemented […]
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Are Diagnostic Therapeutic Pathways Really Effective?
Diagnostic therapeutic pathways (DTP) are aimed to improve quality and efficiency of care. They define the best medical decision for each scenario, based on systematic literature review. But can you prove that DTP determine concrete savings?
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Are We Facing the Future? A Retrospective Audit of Acute General Paediatric Admissions at a Regional Paediatric Hospital
We present results of our retrospective audit, assessing whether RCPCH ‘Facing the Future’: Standards 2, 3 & 5 are being achieved at our tertiary paediatric hospital, and if ongoing service changes have improved performance against these Standards.
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