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Prescription of Paracetamol as an Antipyretic in Paediatrics: Analysis of Practices in a National Teaching Hospital
Prescriptions of paracetamol for paediatric inpatients at Mater Dei Hospital, a national acute and teaching hospital in Malta, were analysed for sources of error with the British National Formulary for Children used to establish the correct prescribing standard. 54.5% of prescriptions we found to not follow the correct standard leading to incorrect dosing. Of these […]
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CRIT: Children Receiving Immunosuppressive Therapy – A Cross-specialty Review of Practice at a Tertiary Children’s Hospital
Immunosuppression is integral to the management of a wide range of childhood illness. Multiple paediatric sub-specialities initiate and monitor different immunosuppressive therapies. We undertook a review to understand existing variations in care.
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Reducing Paracetamol Errors in Children
A paediatric multidisciplinary team work together to reduce the number of paracetamol errors reported in clinical areas by staging a number of interventions based on the reported incident trends
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Improving Efficacy of Hydroxycarbamide Prescriptions in Paediatric Sickle Cell Disease
A QI project in a district general hospital, introducing a reliable, sustainable method of monitoring blood results to facilitate effective dose-adjustments of Hydroxycarbamide in children with sickle-cell disease.
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Inter-professional Tripartite Alliance to Reduce Medication Errors in Children
As part of this project, we aimed to reduce the incidence and severity of medication errors on paediatric wards. We achieved this by creating a tripartite alliance between medicine, nursing and pharmacology.
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Providing Individualised Feedback to Improve the Rates of Prescription Errors
This summarises a quality improvement project which was established to reduce the rates of prescription errors by providing doctors with individualised feedback.
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Evaluating the Impact of Pre-Prepared Neonatal Intubation Premedication Kits
In January 2018, neonatal intubation premedication kits containing atropine, suxamethonium and fentanyl were introduced alongside the implementation of dose-banding for these medicines according to patient’s weight, irrespective of the patient’s gestation. A button on the electronic prescribing system was created which automatically populates the drug chart with doses based on the patient’s weight. Seven kits […]
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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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‘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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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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Improving Nutritional Intake in Extremely Preterm Infants in the First Week of Life
By making changes to our parenteral nutrition formulation and monitoring, we were able to demonstrate an improvement in calorie and protein intake in preterm infants of less than 28 weeks gestation in the first week of life.
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