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Improving the Quality and Safety of the Paediatric Team Handover
Guidance on clinical handover states that handover of care is one of the most perilous procedures in medicine and can be a significant contributory factor to subsequent error and harm to patients if done improperly. Baseline measurement showed a median 36% compliance with safe handover guidance. Following the addition of safety briefing points to the […]
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Using Multidisciplinary Simulation to Learn How to Safely Facilitate Radiological Imaging for Ventilated Neonates
Prior to 2019, MRI for ventilated neonates required a dedicated neonatal transport team to transfer patients to a tertiary centre for imaging and then repatriate the patient. A multi professional, inter specialty in situ simulation was conducted to enable transport of a ventilated neonate from the neonatal unit to MRI within the Trust. The simulation […]
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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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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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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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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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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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Keep Calm and Intubate: Neonatal Intubation Safety Checklists Reduce Anxiety and Increase Safety
Our project launched intubation safety checklists in our level 2 Neonatal Unit in a District General Hospital, to improve safety and documentation and reduce stress of neonatal intubations.
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Safe and Timely Step-down From an Internal PICU: A Patient Safety Priority But One Full of Challenges
Introduction of handover templates for the hospital patient management system have improved communication and documentation of discharge plans from PICU doctors to paediatric ward teams, thereby increasing patient safety and continuity of care.
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Time for a KitKat? An Analysis of Night Shift Break Habits in Junior Doctors at Evelina London
Our project looked at the night shift break taking habits of junior doctors in speciality and general teams. We identified barriers to break taking through a baseline survey and then implemented interventions to improve the level of break taking.
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Prolonged Jaundice Clinic: Are We Doing Too Many Tests?
This was a project which aimed to rationalise and reduce the number of investigations and potentially unnecessary repeat tests being carried out in our prolonged jaundice clinic.
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