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Building Alliances and Conversations for Integrated Child Health
This year-long project focused on children with complex needs in North and Central London as a collaboration between healthcare sectors, initiated by Great Ormond Street Hospital and Primary Care Health Education England. Interviews, multi-disciplinary focus groups and a large multi-system collaborative workshop were held with parents, cross-sector clinicians, government bodies and management leads from different […]
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Can Electronic Order Sets Reduce Delays in Prescribing Medications on Admission To PICU?
University Hospitals Bristol has been using the Philips ICCA electronic prescribing system across all adult, paediatric and neonatal critical care services since 2016. The “order set” function had not been used on PICU prior to this project. The PICU quality improvement group decided to explore the benefits of the order set function with the aim […]
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Cooling for Transfer: An Integrated Care Pathway for London (CoolTrip)
The London Neonatal Transfer Service uplifts over a hundred babies each year for cooling treatment for hypoxic ischaemic encephalopathy. In line with the recommendations from the British Association of Perinatal Medicine framework ‘Therapeutic hypothermia for neonatal encephalopathy’, a timely referral and transfer process with accurate information was necessary. We present the key findings of our […]
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CRIT: Children Receiving Immunosuppressive Therapy – A Cross-specialty Review of Practice at a Tertiary Children’s Hospital
Immunosuppression is integral to the management of a wide range of childhood illness. Multiple paediatric sub-specialities initiate and monitor different immunosuppressive therapies. We undertook a review to understand existing variations in care.
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Diagnosis and Management of Urinary Tract Infection in Under 16s: Accordance with NICE CG54
Urinary tract infection (UTIs) are a common and potentially serious bacterial infection in children. Our aim was to audit the compliance of UTI diagnosis and management to the standards set out in NICE CG541 and identify areas for improvement. Targeted teaching sessions and aide-memoires were developed, with improved compliance in urine culture, antibiotics prescribing and DMSA […]
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DRUGGLE: A Prescribing Safety Quality Improvement Project
Our project shows how introducing regular prescribing safety huddles and engaging with the multidisciplinary team can help us improve our prescribing culture and help reduce prescribing errors.
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Efforts to Increase Early Detection of Obese and Overweight Children in General Paediatric Clinics
QI poster from the General Paediatrics at Hamad General Hospital in Qatar, aimed at increasing recognition of children with High BMI (above 85th percentile for age and gender), aged 2 -14 years, visiting the clinic for reasons other than obesity.
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Embedding Cultural Change: A Junior-led Approach to Quality & Safety at a District General Hospital
This poster outlines an initiative to embed quality and safety in a DGH neonatal unit by getting junior doctors to lead patient safety efforts. The project has run for multiple rotations and is now sustainably embedded into core departmental business.
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Evaluating the Impact of Pre-Prepared Neonatal Intubation Premedication Kits
In January 2018, neonatal intubation premedication kits containing atropine, suxamethonium and fentanyl were introduced alongside the implementation of dose-banding for these medicines according to patient’s weight, irrespective of the patient’s gestation. A button on the electronic prescribing system was created which automatically populates the drug chart with doses based on the patient’s weight. Seven kits […]
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Evaluation of Burnout in Paediatric Staff: A Welsh Prevalence Study
Burnout in paediatric staff across Wales was assessed using the Oldenburg Burnout Inventory and Likert scales. Weekly team wellbeing sessions were initiated and any suggestions for health board improvements were fed back to the management teams.
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Exploring New Ways of Working in the Neonatal Unit
This project was commissioned by the London School of Paediatrics/Health Education England to explore new ways of working within neonatal units across London with an aim to provide collaborative recommendations on ways to reduce the dependence of service delivery on the paediatric medical workforce by providing a more stable, mixed, neonatal workforce. There was a […]
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Forward Thinking: Seeking Alternatives to Bleeps
A quality improvement project to reduce the number of bleeps for non-urgent tasks using a novel, secure messaging platform. It is effective but there are challenges with IT infrastructure and information and data governance considerations.
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