Safety
A focus on improving patient safety including resources and projects on safety culture, human factors, situational awareness, event reporting and preventing deterioration.
Key resources
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Situation Awareness for Everyone
Situation awareness requires a shared understanding of what is happening. In a healthcare setting, this needs tools and techniques together with non-hierarchical information and communication.
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Safe System Framework
A safer system can work in partnership with families and patients, develop a patient safety culture and support ongoing learning to aim to improve recognising and responding to children at risk of deterioration.
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S.A.F.E Team Perspectives
S.A.F.E teams have shown how the safety huddle can enable healthcare professionals to communicate effectively, and recognise and respond to the deteriorating child in a timely way.
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Projects
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Learning from PICU transfers from a Paediatric Emergency Department and Paediatric ward
Establishing a monthly multi-disciplinary analysis of all paediatric cases transferred from the paediatric emergency department and paediatric ward to PICU.
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Augmenting the Safety Netting Process and Reducing Unnecessary Re-Presentations
Identifying areas for improving the safety netting process and the scale of unnecessary re-presentations to implement changes to reduce re-presentations to PAU.
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Safely Reducing Empirical Antibiotic Administration on Postnatal Wards
Incorporating the Kaiser Permanente Sepsis Risk Calculator (KP-SRC) into a new guideline to aid in decision-making for babies on postnatal wards with Early Onset Neonatal Sepsis risk factors.
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Improving Early Thermal Care for Preterm Infants
Joint maternal-neonatal safety collaborative projects to increase the number of preterm neonates admitted on to a neonatal unit with an admission temperature between 36.5°C to 37.5°C.
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Implementing Multidisciplinary Ward Safety Huddles To Improve Situation Awareness
Improving patient safety on a general paediatric ward 6N at the Royal Free Hospital London, a pilot site for the national Situational Awareness for Everyone Programme.
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Reducing Necrotising Enterocolitis: A Quality Improvement Initiative
Raising awareness of the risk factors linked to necrotising enterocolitis to decrease its incidence on a neonatal unit at West Hertfordshire NHS Trust.
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Neurotic About Notes: A Quality Improvement Project to Improve Note Safety
Reducing the incidence of notes being incorrectly stored away from a secure trolley on the paediatric ward using peer champions and staff posters.
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The Rate of Babies Born Less Than 27 Weeks Gestation with NICU On Site
A multi-site project to improve East of England Network's rate of babies born at less than 27 weeks gestation in a maternity unit with a NICU on site, in line with the national average.
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The ‘Achieving Clinical Excellence’ Newsletter
Creation of regular newsletters sharing learning from morbidity and mortality meetings in a concise and engaging way for all members of the paediatric multidisciplinary team.
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Using Quality Improvement Methodology to Reduce Central Line Associated Blood Stream Infections
Reducing harm from Central Line Associated Blood Stream Infection as part of the Scottish Patient Safety Programme and Maternal & Children’s Quality Improvement Collaborative.
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Medicines Optimisation in Specialist Schools
A relatively new area for medicines optimisation where pharmacy workforce transformation can make a huge impact to support, tackle and raise awareness of health inequalities in the special education needs or disabilities sector, with a particular focus on improving medication safety standards and processes at school.
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