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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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Working Towards A Greener NHS: Improving How We Provide Discharge Information to Families
Written and verbal information given to parents on discharge is often inconsistent, potentially leading to increased parental anxiety, and either inappropriate re-attendance or future delayed presentations. Written information is easily lost or forgotten, and printing large volumes of paper leaflets has an unnecessary negative environmental impact. We designed a poster for display in clinical areas […]
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Improving the Efficiency of a Treatment Room in a London Tertiary Children’s Hospital
Improvement in equipment gathering efficiency could reduce pre-procedure anxiety faced by patients and parents, reduce delays in time-critical situations where IV access is needed urgently and save crucial time and money. Simple interventions were introduced to reduce the median total time for healthcare professionals to collect essential paediatric IV cannulation items from the treatment room […]
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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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Learning from the Deaths of Children and Young People (National Hub): Using Evidence to Deliver Change and Improve Outcomes
Scotland has a higher mortality rate for under 18s than any other Western European country, with over 300 children and young people dying every year. It is estimated that around a quarter of those deaths could be prevented. The Scottish Government requested a system be established for reviewing and learning from the circumstances surrounding the […]
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Using SERVO Control as Part of Normothermia Bundle in a Tertiary Neonatal Unit
Hypothermia has high correlation with neonatal mortality and maintenance of normothermia is a key quality indicator of neonatal care. Recent National Neonatal Audit Programme data has shown that only 67.9% of preterm neonates (<32 weeks GA) born in our hospital were normothermic (36.5-37.5) on admission to the neonatal unit. SERVO control was incorporated in to […]
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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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Introducing a Remote Cross-Specialty Medical Handover at a Tertiary Paediatric Hospital
At Alder Hey, 9 specialty teams hand over to an on-call team. Following feedback from an Health Education England quality review, which highlighted poor attendance, variation in levels of consultant engagement and limited educational opportunities, a trainee-led improvement programme was developed using guidance from the British Medical Association and National Patient Safety Agency. Data from […]
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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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Whisper Down the Lane
Advanced Paediatric Life Support teaches us the importance of clear and accurate team communication when it comes to stabilising the acutely unwell child. Anecdotally our team had noted that verbal communication wearing FFP3 masks was challenging. Concerned that this posed a potential risk to our patients, we utilised well-known children’s games to pre-emptively explore the […]
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Newborn and Infant Physical Examination: Quality Improvement in the English Newborn Screening Pathway
The Newborn and Infant Physical Examination (NIPE) screening programme screens newborn babies within 72 hours of birth in England for congenital heart disease, congenital cataracts, developmental dysplasia of the hip, and bilateral or unilateral undescended testes. Completion of NIPE screening is managed on the national NIPE IT system SMaRT4NIPE (S4N) implemented in all 136 maternity […]
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Improving Awareness of Staff Wellbeing in a Paediatric Haematology/Oncology Unit
The COVID-19 pandemic has impacted our lives personally and professionally, and the wellbeing of healthcare staff is a key priority. Our aim was to increase awareness of, and engagement in, wellbeing, and to embed it within our department. We undertook a number of small PDSA projects; conducting an online staff survey and introducing weekly themed […]
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