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Remotely Enhancing Our APLS and CPRR Education in Response to COVID-19
When COVID-19 hit, ALSG had to quickly adapt their education programmes to ensure training was safe and sustainable. The RCPCH endorsed APLS course, and the RCPCH joint Child Protection (CPRR) course, have been adapted and made accessible in a remote environment, allowing for safe delivery of essential training, with learning still very much at the […]
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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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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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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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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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Impact of Implementation of Surgical Pathway for Abdominal Pain on Initial Assessment Time, Investigations and Outcomes
Historically, in our District General Hospitals, paediatric patients with abdominal pain were seen acutely by surgical teams. Patients referred to surgeons with abdominal pain faced a long wait with delays affecting Paediatric Assessment Unit flow and ward capacity. An abdominal pain pathway was implemented in July 2019. 88% of patients with abdominal pain had a […]
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Improving Research Opportunities for Paediatric Trainees
A recent national survey showed only 45% of paediatric consultants participate in research. We designed a survey for paediatric trainees working in a Neonatal Unit, which highlighted several barriers to participation including time constraints and a lack of apparent opportunities, consistent with qualitative research findings. Multiple events were then held over a 6-month period including […]
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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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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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The Preterm Quality of Care (PQoC) group – Using QI Initiatives to Improve Patient Care
Description of 3 initiatives introduced over 2 years on the neonatal unit at the Evelina London Children’s Hospital which greatly improved outcomes of babies born at less than 30 weeks gestation.
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Improving Primary Care Assessment of Children under Five Presenting with Fever
This project aimed to review and improve primary care assessment and management of pyrexia in children under five with the introduction of a succinct and simple electronic template that prompts recording of vital signs as recommended by NICE.
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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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