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Diagnosis and Management of Urinary Tract Infection in Under 16s: Accordance with NICE CG54
Urinary tract infection (UTIs) are a common and potentially serious bacterial infection in children. Our aim was to audit the compliance of UTI diagnosis and management to the standards set out in NICE CG541 and identify areas for improvement. Targeted teaching sessions and aide-memoires were developed, with improved compliance in urine culture, antibiotics prescribing and DMSA […]
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PIP: One Paediatric Department’s Quality Improvement Journey
The Paediatric Improvement Plan (PIP) is a 12 workstream plan covering the main paediatric areas in the hospital as well as key themes such as medicines management. Objectives included documentation of policies and practices; ensuring nursing training competencies were met, documented and used to facilitate safe rostering; standardising paperwork and practices; and improving governance communication. […]
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Management of Croup: A Quality Improvement Project
In 2019, following anecdotal reports of high numbers of croup admissions receiving nebulised adrenaline, we carried out a QI project of acute croup management in the Oxford Children’s Hospital. Interventions were developed to improve clinical knowledge of croup management and enhance support structures for staff treating croup patients. Following intervention in Autumn 2020, 32 patients […]
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An Integrated Seizure Care Pathway
We observed there had been a lack of uniformity in the acute care received by children admitted with suspected epileptic seizures to our paediatric ward, especially out of normal working hours. The areas that particularly needed improvement were history taking, arranging appropriate investigations, and safety advice to parents/patients on discharge. Therefore, we developed and implemented […]
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A Haven for Fatigue: Standardising First Outpatient Visit Experience for Young People with Chronic Fatigue Syndrome
An improvement project with an aim that all patients with Chronic Fatigue Syndrome (CFS/ME) who attend for their first clinic visit to the service will have a standardised approach to the interventions offered to them by August 2020. Change ideas included a new user friendly patient assessment form used as a template on the e-record system, […]
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Working Towards A Greener NHS: Improving How We Provide Discharge Information to Families
Written and verbal information given to parents on discharge is often inconsistent, potentially leading to increased parental anxiety, and either inappropriate re-attendance or future delayed presentations. Written information is easily lost or forgotten, and printing large volumes of paper leaflets has an unnecessary negative environmental impact. We designed a poster for display in clinical areas […]
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Improving the Efficiency of a Treatment Room in a London Tertiary Children’s Hospital
Improvement in equipment gathering efficiency could reduce pre-procedure anxiety faced by patients and parents, reduce delays in time-critical situations where IV access is needed urgently and save crucial time and money. Simple interventions were introduced to reduce the median total time for healthcare professionals to collect essential paediatric IV cannulation items from the treatment room […]
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Cooling for Transfer: An Integrated Care Pathway for London (CoolTrip)
The London Neonatal Transfer Service uplifts over a hundred babies each year for cooling treatment for hypoxic ischaemic encephalopathy. In line with the recommendations from the British Association of Perinatal Medicine framework ‘Therapeutic hypothermia for neonatal encephalopathy’, a timely referral and transfer process with accurate information was necessary. We present the key findings of our […]
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Using SERVO Control as Part of Normothermia Bundle in a Tertiary Neonatal Unit
Hypothermia has high correlation with neonatal mortality and maintenance of normothermia is a key quality indicator of neonatal care. Recent National Neonatal Audit Programme data has shown that only 67.9% of preterm neonates (<32 weeks GA) born in our hospital were normothermic (36.5-37.5) on admission to the neonatal unit. SERVO control was incorporated in to […]
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Introducing a Remote Cross-Specialty Medical Handover at a Tertiary Paediatric Hospital
At Alder Hey, 9 specialty teams hand over to an on-call team. Following feedback from an Health Education England quality review, which highlighted poor attendance, variation in levels of consultant engagement and limited educational opportunities, a trainee-led improvement programme was developed using guidance from the British Medical Association and National Patient Safety Agency. Data from […]
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Newborn and Infant Physical Examination: Quality Improvement in the English Newborn Screening Pathway
The Newborn and Infant Physical Examination (NIPE) screening programme screens newborn babies within 72 hours of birth in England for congenital heart disease, congenital cataracts, developmental dysplasia of the hip, and bilateral or unilateral undescended testes. Completion of NIPE screening is managed on the national NIPE IT system SMaRT4NIPE (S4N) implemented in all 136 maternity […]
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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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