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Current Projects

We support a large range of projects across all areas of the hospital.
There are currently 65 ongoing projects supported by the QI team. 
There are 8 sustained projects supported by our team.
Updated January 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- Improve documentation on admission: Improving documentation on admission for paediatric patients.
  • Ten Minute Conversation: Improving co-ordination and communication within the Adult cardiac arrest team by implementing a short daily briefing.

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.
  • Bleep Sheet: Using a simple document to record all bleeps in order to allow better prioritisation of tasks for surgical junior doctors.
  • 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.
  • 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.
  • IV Fluids: Improving prescription of IV fluids.
  • Level 1 Pathway: Introducing a new pathway for patients who at risk of deterioration on the admission wards.
  • Mandatory Training: Improving training compliance of Junior Doctors in the surgery division. 
  • Manual Vacuum Aspiration: Introduction of Manual Vacuum Aspiration at NGH as an alternative to inpatient surgical management of miscarriage.
  • Medical Education for Core Trainees: Introduction of a webpage to record all relevant information for Core Medical Trainees.
  • 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.
  • Stroke patient updates: Development of a document to provide a more robust and consistent standard of update to relatives and carers of stroke patients.
  • 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 introduction of verbal handover. 
Consultant-led Projects
  • Diabetes: Improving the care of young people with type 1 diabetes undergoing transition
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.
  • Endoscopy turnaround times: Increasing the number of patients seen in endoscopy
  • FIT team: Improving nurses, medics and AHP staff knowledge of safety in the trust.
  • Hand therapy: Reducing DNA rate for all referrals in hand therapy.
  • Magic Nurse: Improving nurses attendance at bedside ward rounds on the stroke unit.
  • MMTs on validation: Reducing the turnaround time to process non-stock requests.
  • 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.
  • Prophylactic decolonisation prescribing: Improving compliance to prophylactic topical decolonisation prescribing.
  • 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.
  • Incontinence pads: Reducing the number of moisture lesions by introducing an alternative to net knickers.
  • 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
  • Daily Plan: Trialling a daily patient diary on a medical ward to improve patient awareness of their care plan.
Pascal Safety Culture Improvement Work
  • ED Clinical Observation Area
  • Rapid assessment for minor paediatric patients
  • Addressing staff burnout and improving staff support
  • Addressing the 'blame culture' in Maternity
  • Improving communication across the Maternity service
  • Improving staff support and addressing burnout in the service
  • Improving perception of the senior managers in Maternity
SU2S projects
  • The 17 Sign up To Safety projects are reported in our biannual reports.

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