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Open Access for Children in Oxfordshire using Local OA-Team Support (OATS)
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Oxygen Saturation Targeting in Infants on the Neonatal Unit
Pulse oximetry used in the neonatal period helps monitor and reduce the risks of hypoxaemia and hyperoxaemia. An audit reviewed current practice of prescribing oxygen and monitoring oxygen saturation in the neonatal unit at Southend University Hospital, a Level 2 unit with 18 cots. Departmental teaching of guidelines, introduction of standardised prescribing stickers in the […]
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Paediatric Aftercare Team Introduction
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Paediatric Burn Care: The Adequacy of Cool Running Water First Aid
Appropriate initial management of paediatric thermal burns is key to the prevention and reduction of complications including scarring, chronic pain and sensory disturbance. Guidelines recommend all patients receive 20 minutes of cool running water up to 3 hours following injury. A retrospective study of patients presenting with thermal burns in a three-month period in 2019 […]
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Paediatric Rapid Reviews: Do They Enable Timely Patient Review and Appropriate Escalation?
Rapid reviews (RRs) were introduced in Bristol Royal Hospital for Children (BRHC) in 2017 as part of a Trust-wide patient safety initiative. RRs aim to improve the rapid assessment and expectant management of unwell patients, and prevent unrecognised deterioration on the wards. All RR calls in 2018 and 2019 were reviewed using hospital switchboard and […]
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Parental Concern Within PEWS: Auditing and Exploring Current Practice
There is great variation in Paediatric Early Warning Scores (PEWS) across the country, with 47 different parameters used in various combinations and a new national standardised tool in development. One parameter that is not always used is parental concern and our audit and questionnaire of staff and parents/carers showed there is considerable scope to improve […]
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Parental Perceptions on Childhood Vaccination and Vaccines Uptake
In 2019 WHO listed vaccine hesitancy as one of the top ten threats to global health and there was evidence of reduced uptake of routine immunisation in the local population of East Lancashire Hospital Trust. Baseline data was collected via anonymous questionnaire from parents at COAU and on the Children’s Ward. Results showed parents were […]
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Patient Navigator for The Office for Rare Conditions: A progress update
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Patient Safety & Staff Support; Voices From The Frontline
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PIP: One Paediatric Department’s Quality Improvement Journey
The Paediatric Improvement Plan (PIP) is a 12 workstream plan covering the main paediatric areas in the hospital as well as key themes such as medicines management. Objectives included documentation of policies and practices; ensuring nursing training competencies were met, documented and used to facilitate safe rostering; standardising paperwork and practices; and improving governance communication. […]
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Prescription of Paracetamol as an Antipyretic in Paediatrics: Analysis of Practices in a National Teaching Hospital
Prescriptions of paracetamol for paediatric inpatients at Mater Dei Hospital, a national acute and teaching hospital in Malta, were analysed for sources of error with the British National Formulary for Children used to establish the correct prescribing standard. 54.5% of prescriptions we found to not follow the correct standard leading to incorrect dosing. Of these […]
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Preventing unplanned extubations in a tertiary neonatal intensive care unit: Quality Improvement project
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