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Current Quality Improvement Projects

We support a large range of projects across all areas of the hospital.

There are currently 49 ongoing projects supported by the QI team. 

There are 10 sustained projects supported by our team.

Updated February 2018

Sustained projects

These are projects which have been completed, and have shown sustained improvement in their areas. A new process to check sustainment of each project started in 2017.

  • AKI - Nursing knowledge of acute kidney injury (AKI): Raising awareness of AKI amongst nursing staff.
  • Atrial fibrillation in ED: Improving management of patients presenting to A&E with isolated Atrial Fibrillation by developing a new pathway for Atrial Fibrillation in the Emergency Department.
  • CRISIS quality of referrals: Improving the quality of referrals to the Emergency Mental Health team at Northamptonshire Healthcare Foundation Trust
  • Gynae Emergency Bags: Reducing the time taken to commence examination for a gynae emergency through the introduction of an emergency grab bag.
  • Jaundice Clinic: Reducing the average wait time for urgent appointments in the childrens department by introducing a new SHO-led clinic for babies with prolonged jaundice
  • Omnicell:  Introduction of Omnicell single dose cabinets Improving the efficiency of medication on a medical ward.
  • Paediatric Clerking Pro forma: Improving documentation on admission for paediatric patients
  • Postpartum Haemorrhage rates: Reducing the frequency of postpartum haemorrhage > 1500 mL in NGH.
  • Ten Minute Conversation: Improving co-ordination and communication within the adult cardiac arrest team by implementing a short daily briefing.
  • Topical Prophylaxis Compliance in Surgery: Improving topical prophylactic prescription in surgery to reduce the incidence of infection.


Ongoing Projects

Junior Doctor Led

  • Anaemia pathway in ED: Reducing the admissions for patients presenting with symptomatic chronic-onset anaemia requiring blood transfusions.
  • Analgesia in ED: Reducing the number of patients receiving multiple doses of nurse controlled opiate analgesia in ED.
  • Antibiotic drug prescription duration: Improving documentation of the duration antibiotics are prescribed for on the admissions unit.
  • Blood culture contamination: Reducing the number of contaminated blood cultures taken across the hospital.
  • Blood tests from EMAS: EMAS (ambulance) crew will collect bloods for patients with a cannula in situ, to reduce the wait time for results in ED.
  • Concussion screening: Introducing a screening tool for concussions in A&E.
  • Dermatology Consent: Reducing the number of overrrun clinics and lists, as well as the number of rearranged appointments by obtaining consent for a procedure in a previous clinic
  • Dr Toolbox: Improving rotation for foundation doctors through the incorporation of handover survival guides on the Dr Toolbox app.
  • Doctors Initiative: Improving the professional lives of attending trust doctors.
  • Documentation of Assessment of Unwell Surgical patients: Improving the documentation of unwell surgical patients
  • eDNs: Improving the completion rate of electronic discharge notifications (eDNs) in Day Surgery and Manfield Surgery units.
  • Gynae - taking responsibility for tests: Ensuring tests and investigations for gynae patients in A&E are followed up by junior doctors.
  • HDU handover: Introducing a handover pro forma for patients admitted to HDU after an operation, to improve their management.
  • Level 1 Pathway: Introducing a new pathway for patients who at risk of deterioration on the admission wards.
  • Manual Vacuum Aspiration: Introduction of Manual Vacuum Aspiration at NGH as an alternative to inpatient surgical management of miscarriage.
  • MUST score compliance: Improving referrals to the dietician for malnourished patients on Collingtree ward.
  • Nurse Authorisation of Bloods in Haematology: To To have 50% of transfusion-dependent patients with MDS to have nurse-led authorisation of blood products within the haematology day unit by July 2018
  • Oxygen therapy: Ensuring patients on oxygen therapy have an appropriate prescription and documented saturation range.
  • Pleural procedures: For at least 80% of all patients undergoing pleural puncture in A&E to leave the department with a care plan in place, by May 2018
  • Right Iliac Fossa Pain pathway: Introducing a new pathway for management of patients presenting with right iliac fossa pain to NGH.
  • Rituximab infusion: Reducing the length of stay for patients who receive Rituxamib, through the introduction of an accelerated infusion.
  • Sick Day guidance in primary care: Informing patients about sick day guidance, to stop nephrotoxic medication during dehydrating illnesses in order to avoid development of AKI.
  • Stock Management: Introduction of a stock management tool in GP practices to ensure all equipment is available and in date.
  • Time Critical Medicines: Improving the prescription rate of time-critical medicines in A&E and the assessment units
  • Treatment Room: reducing the time spent collecting equipment for procedures through the introduction of prepared trays and equipment packs.
  • Verbal handover for junior doctor rotation: Improving junior doctors preparedness and reducing stress with the itroduction of verbal handover. 


Consultant-led Projects

  • Anaesthetic Patient Education: Improving patient knowledge of the role of anaesthetists before, during and after surgery.


Nursing & Midwifery or Allied Health Professional Led projects

  • AKI - Improving monitoring of patients with acute kidney injury: Improving awareness of patients with AKI on creaton ward, and ensuring fluid output and urine dip analysis are recorded correctly.
  • Buddy Ward system: Reducing the number of cardiac arrests calls coded as preventable on the medical admissions unit.
  • Disease modifying therapy: Increasing knowledge of disease modifying therapy amongst doctors, nurses and pharmacists.
  • Drug library: Reducing the number of medication safety administration errors in critical care.
  • Hand therapy: Reducing DNA rate for all referrals in hand therapy.
  • Paediatric/Infant Basic Life Support leaflet: producing a new leaflet for parents to use so they know how to perform basic life support.
  • Point of Care Simulation - EAU/Benham: Evaluating the impact of point of care simulation on team work and communication on the medical admissions unit.
  • Prompt observation of deteriorating patients: Improving nursing awareness and knowledge of deteriorating patients so they are able to escalate to the critical care outreach team as soon as possible.
  • Ultrasound referrals: Reducing the number of rejected (and inappropriate) referrals to NGH from GPs.


MDT projects

  • Patient Safety App: Introduction of a new patient safety app and alert system allowing patients / carers to report real-time data on patient safety.


Support Led projects

  • Food waste:  Reducing the number of uneaten meals on the stroke ward by offering alternative menus and better access to food.
  • Lung MDT: Improving the perceived effectiveness of lung multidiscplinary team meeting.
  • T 34 Pumps: Reduce the number of 'lost in action' T34 pumps, used for end of life care.


Patient Led projects

  • AKI patient leaflet: Designing a new patient information leaflet for Acute Kidney Injury


Pascal Safety Culture Improvement Work

  • ED Clinical Observation Area
  • Rapid assessment for minor paediatric patients
  • Addressing staff burnout and improving staff support
  • Maternity Advocacy Peer Support


SU2S projects

The 17 Sign up To Safety projects are reported in our biannual reports.


About QI

Meet our team

Current Projects

QI scorecard


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