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Comparison of Central Line Associated Blood Stream Infections In The Pediatric Intensive Care And Hemat-Oncology Unit In A Tertiary Care Hospital
Central line associated bloodstream infections (CLABSIs) are a major hospital acquired infection (HAI) leading to an increase in morbidity and mortality in pediatric patients. The major usage of central venous catheters are observed in the pediatric intensive care unit (PICU) and the hemat-oncology (HO) unit, among children requiring prolonged IV medications and repeated sampling. The […]
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Reflection and Learning from Six Years of Mortality Reviews: A District General Hospital’s Experience
This project identifies common learning points from a series of mortality reviews and describes actionable changes implemented that will improve patient care.
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Parental Concern Within PEWS: Auditing and Exploring Current Practice
There is great variation in Paediatric Early Warning Scores (PEWS) across the country, with 47 different parameters used in various combinations and a new national standardised tool in development. One parameter that is not always used is parental concern and our audit and questionnaire of staff and parents/carers showed there is considerable scope to improve […]
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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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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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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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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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Thematic Analysis of the Experiences of Parents and Carers of Children in Hospital
Positive experiences in hospital are important indicators of healthcare quality which is a fundamental aspect of practising medicine. The aim of this project was to investigate the experience of parents and carers of children in hospital and gather their suggestions on how to alleviate potential concerns. Competent, caring and honest staff made parents feel involved […]
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