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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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Improving Paediatric Prescribing Through Use Of An Electronic Prescribing System
Paediatric prescriptions are almost 50% more likely to contain an error than adult orders. The risk of prescription error is further increased when prescribing for malignant disease. In April 2012, the National Cancer Registration and Analysis Service (NCRAS) launched the world’s first national Systemic Anti-Cancer Therapy (SACT) database. Since 2014 it has been mandatory for […]
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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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RCPCH QI Diabetes Collaborative: Improving the Clinic Experience
In recent years Gloucestershire Paediatric Diabetes Team have implemented many changes like carbohydrate counting from diagnosis, annual review clinics and family events but we realised that patient engagement and experience is very essential to improve their health outcomes. We aim to improve the clinic experience for patients, their families and staff, based on their own […]
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Implementation of A Multidisciplinary Weekly Safety Briefing in A Tertiary Paediatric Cardiothoracic Transplant Unit
A quality improvement project designed to provide a platform for pan-departmental communication to improve efficiency, safety and patient care in a tertiary paediatric cardiothoracic unit.
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Sustained Enhancement of Team Learning Two Years After Implementing a Simple Initiative
We hope to demonstrate by example how a very simple initiative can achieve success and longevity in promoting a culture of team learning, quality improvement and patient safety in a busy paediatric centre.
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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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Neo-train Quality Improvement Initiative to Improve EOSIN (Early Onset Sepsis in Neonates) Care as per NICE Recommendation
Average time of antibiotic administration improved from 120 minutes to 90 minutes. Success of the Neo-train Quality Improvement initiative was its use of a multidisciplinary team approach to design and deliver the implementation program.
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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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Implementation of a Prolonged Neonatal Jaundice Pathway: A Quality Improvement Initiative
I undertook a retrospective data collection Audit in May 2019 to review the PNJ referral pathway implemented in 2015. The data I found supports the success of this program with a marked reduction in unnecessary referrals to Neonatal Clinic.
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Think Magnesium: Concerted Multidisciplinary Improvement Initiative to Increase Antenatal Magnesium Uptake in Less Than 30-week Preterm Births
Maternal administration of magnesium sulfate reduces risk of cerebral palsy by 30 % in < 30 week babies. Despite national guidance, compliance at our centre was poor in 2016. Our work entails a concerted multidisciplinary effort to improve this.
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National Impact of RCPCH Best Practice Guide on Timing of Detection of Cleft Palate – Time to Adopt Successful Local Quality Improvement Initiatives
Impact of the RCPCH Best Practice Guide to examination of the palate on rates of delayed detection of cleft palate in the UK, including details of a Quality Improvement Project at Medway Hospital, Kent to improve early detection. This poster has an additional audio link, please see here.
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