Back to accessibility links

Search Results

90 results found for:
Acute Care
 

Falls prevention in Gunyah, a neurology and oncology ward in Sutherland Hospital

Falls prevention in Gunyah, a neurology and oncology ward in Sutherland Hospital

This project is designed to improve falls prevention in a medical ward in an acute care facility. It identifies the causes of inpatient falls to provide strategies in response.
Sutherland Hospital and Community Health Service
Added: 17 September 2019|Last updated: 1 October 2019
RAPID: Revamping the admission process to inpatient departments

RAPID: Revamping the admission process to inpatient departments

RAPID is a collection of projects that were developed by staff at Shoalhaven Hospital to address a range of issues. These issues contributed to a delayed medical patient journey across three areas: limited bed access, aged care assessment team referral process, fragmented interdisciplinary communication.
Shoalhaven District Memorial Hospital
Added: 26 August 2019|Last updated: 29 August 2019
Paediatric Access Support Service (PASS)

Paediatric Access Support Service (PASS)

The Paediatric Access Support Service (PASS) aims to transfer patients to and from Sydney Children’s Hospitals Network inpatient settings efficiently. This would reduce associated workload, and improve the patient and staff experience.
Sydney Children's Hospital Network
Added: 28 August 2019|Last updated: 29 August 2019
Nurse - Patient Clinical Handover Engagement Huddle

Nurse - Patient Clinical Handover Engagement Huddle

An auditing process at Sydney/Sydney Eye Hospital revealed that patients are not as involved as they could be during the routine bedside handover processes that occur between nursing shifts. A project was established to address this, and in doing so, improve the safety and satisfaction of the patient.
Sydney Hospital and Sydney Eye Hospital
Added: 5 April 2019|Last updated: 22 April 2019
Clinical Patient Flow Rounds

Clinical Patient Flow Rounds

This program evaluates and re-invents St Vincent's Hospital’s weekly rapid discharge rounds model. This is carried out by introducing ward-level clinical leads and creating better documentation around discharge plans. The goal is to improve safe and timely patient discharges.
St Vincent's Hospital
Added: 29 March 2019|Last updated: 12 April 2019
I AM: Identifying and Addressing Malnutrition

I AM: Identifying and Addressing Malnutrition

The I AM Project aims to implement a more sustainable and accurate screening process at Prince of Wales Hospital for patients who are malnourished, or at risk of malnutrition.
Prince of Wales Hospital
Added: 7 December 2018|Last updated: 13 December 2018
Engaging Patients as Partners in Care

Engaging Patients as Partners in Care

This project brings together patients, families, carers and healthcare staff to act as partners in care and treatment planning.
South East Regional Hospital
Added: 4 December 2018|Last updated: 13 December 2018
Optimising Pre-operative Patient Blood Management

Optimising Pre-operative Patient Blood Management

Wollongong Hospital implemented a program to optimise the pre-operative haemoglobin and iron stores of patients undergoing major elective colorectal, upper gastrointestinal tract and orthopaedic surgery. This will prevent avoidable blood transfusions and their complications, along the patient peri-operative journey.
Illawarra Shoalhaven Local Health District
Added: 27 August 2018|Last updated: 30 August 2018
Winter, Spring, Summer and Falls in NSW Ambulance

Winter, Spring, Summer and Falls in NSW Ambulance

NSW Ambulance introduced a falls package to address the year-round problem of falls in people aged 65 and over in the community. It incorporated a new falls risk assessment, protocol, clinical pathway and screening tool for paramedics, as well as education materials for consumers and general practitioners.
NSW Ambulance
Added: 2 May 2018|Last updated: 22 May 2018
The Smallest Things Can Make the Biggest Difference

The Smallest Things Can Make the Biggest Difference

Broken Hill Health Service in Far West Local Health District implemented the person-centred sunflower tool, to improve communication and build a rapport between staff, patients and carers.
Added: 29 January 2018|Last updated: 12 February 2018
The Patient’s Voice

The Patient’s Voice

Nepean Hospital provided patients in a trial ward with a template containing prompts, so they could deliver a handover of their healthcare journey once a day to nursing staff.
Nepean Hospital
Added: 24 May 2017|Last updated: 29 January 2018
What About Us

What About Us

St George Hospital
Added: 27 November 2017|Last updated: 21 December 2017
MediREACH: Improving Medication Safety for Patients

MediREACH: Improving Medication Safety for Patients

Murrumbidgee Local Health District developed a process to ensure all patients have a best possible medication history recorded on admission to hospital.
Murrumbidgee Local Health District
Added: 27 November 2017|Last updated: 15 December 2017
The SIMPLE Project: A Sustainable Inventory Management Process for Lean Environments

The SIMPLE Project: A Sustainable Inventory Management Process for Lean Environments

Sutherland Hospital implemented a new procurement process, to provide staff with efficient access to products that deliver safe patient care in the right place, at the right time.
Sutherland Hospital and Community Health Service
Added: 27 November 2017|Last updated: 15 December 2017
Transit Lounge Remodel

Transit Lounge Remodel

Royal North Shore Hospital designed and implemented an efficient, patient-centred model of care in the transit lounge, which improved patient flow and satisfaction.
Royal North Shore Hospital
Added: 28 November 2017|Last updated: 15 December 2017
Completing the Admission Checklist in Mental Health Rehabilitation Units

Completing the Admission Checklist in Mental Health Rehabilitation Units

Sutherland Hospital Mental Health Rehabilitation Unit implemented new policies and processes for managing admissions, then educated staff on the changes.
Sutherland Hospital and Community Health Service
Added: 27 October 2017|Last updated: 10 November 2017
Confusing Directions: Finding the Right Pathway for People with Delirium

Confusing Directions: Finding the Right Pathway for People with Delirium

Hunter New England Mental Health implemented a new screening tool and staff education to ensure patients with delirium are provided with the right care pathway.
Hunter New England Local Health District
Added: 23 October 2017|Last updated: 6 November 2017
Increasing the Appropriateness of Dietetic Referrals

Increasing the Appropriateness of Dietetic Referrals

This project addressed barriers experienced by nursing staff when using the malnutrition screening tool, by introducing staff education, streamlined education pathways and a cheat sheet for nursing staff.
South East Regional Hospital
Added: 23 August 2017|Last updated: 6 September 2017
Better Flow, Better Journey: Improving Mental Health Acute Care

Better Flow, Better Journey: Improving Mental Health Acute Care

MNCLHD introduced a number of solutions to improve the flow and patient journey through its Mental Health Acute Care Services.
Mid North Coast Local Health District
Added: 23 August 2017|Last updated: 25 August 2017
Improving Patterns of Care for Oncology Inpatients

Improving Patterns of Care for Oncology Inpatients

This project conducted a review of the care delivered to patients admitted to the oncology and palliative care wards at Westmead Hospital. As a result, changes were implemented that aimed to improve the coordination of care, reduce length of stay and streamline the discharge process.
Westmead Hospital
Added: 15 August 2017|Last updated: 25 August 2017
Identifying and Managing Iron Deficiency and Iron Deficiency Anaemia

Identifying and Managing Iron Deficiency and Iron Deficiency Anaemia

MLHD identified an alternative option for iron replacement therapy and developed guidelines to deliver it in the community setting where clinically indicated, in collaboration with patients and carers.
Murrumbidgee Local Health District
Added: 16 August 2017|Last updated: 25 August 2017
Redesigning the Orthodontics Journey

Redesigning the Orthodontics Journey

This project aims to reduce waiting times and improve the quality of care delivered to orthodontic patients at the Sydney Dental Hospital.
Sydney Dental Hospital
Added: 16 August 2017|Last updated: 25 August 2017
Mirrabrook: A Truly Smoke Free Mental Health Inpatient Unit

Mirrabrook: A Truly Smoke Free Mental Health Inpatient Unit

Mirrabrook Mental Health Unit introduced a new policy to help nicotine-dependent consumers quit smoking during their inpatient stay. It was supported by staff training, nicotine replacement therapy and carbon monoxide monitoring.
Shellharbour Hospital
Added: 29 May 2017|Last updated: 16 June 2017
STAT MH: Safe, Timely Access to Mental Health

STAT MH: Safe, Timely Access to Mental Health

This project will implement a number of solutions to reduce clinical variability and length of stay in acute adult mental health inpatient units. These include a new model of care, new care coordination and discharge process, new patient flow and demand management systems, enhanced consumer engagement, and workforce review and development.
South Western Sydney Local Health District
Added: 14 March 2017|Last updated: 28 April 2017
Diverting the Stream

Diverting the Stream

Macksville Hospital developed a 24-month New Graduate Program for nursing staff that involved a 12-week intensive induction period, with clinical exposure and support over the course of the program.
Macksville District Hospital
Added: 13 March 2017|Last updated: 28 April 2017
Identifying the Right Carer or Person to Contact for Patients at Blacktown Hospital

Identifying the Right Carer or Person to Contact for Patients at Blacktown Hospital

Blacktown Hospital educated administration staff on the importance of maintaining accurate contact details in patient records. It also displayed signage in the emergency department to remind families and carers to include their contact details on the patient’s admission form.
Blacktown Mount Druitt Hospital (Blacktown Campus)
Added: 14 March 2017|Last updated: 28 March 2017
In Safe Hands: Structured Interdisciplinary Bedside Rounds

In Safe Hands: Structured Interdisciplinary Bedside Rounds

The structured interdisciplinary bedside rounds (SIBR) project involved a restructuring of the Medical Unit at Orange to allow care to be delivered via daily interdisciplinary patient and family-centred rounds delivered in plain English with collaborative care and goal planning involving patient, family and the multidisciplinary healthcare team.
Orange Health Service
Added: 10 September 2014|Last updated: 11 November 2016
Reducing the Incidence of Omitted Medication Administration

Reducing the Incidence of Omitted Medication Administration

This project improved education and workflow processes around medication administration, to reduce instances where patients either don’t receive their medication or don’t have a documented reason as to why their medication was not administered.
Dubbo Health Service
Added: 10 October 2016|Last updated: 24 October 2016
It’s All in the Delivery: Improving Clinical Documentation in the Community Healthcare Setting

It’s All in the Delivery: Improving Clinical Documentation in the Community Healthcare Setting

The project will identify barriers to compliance and introduce solutions that aim to improve nursing assessments for new admissions at St George Hospital.
South Eastern Sydney Local Health District
Added: 26 September 2016|Last updated: 21 October 2016
Get It Write

Get It Write

The Subjective, Objective, Assessment and Plan (SOAP) methodology was selected as a prescriptive documentation style for use in all nursing progress notes. Staff education and resources were provided to support the implementation of this methodology in clinical practice.
Justice Health and Forensic Mental Health Network
Added: 23 February 2016|Last updated: 17 October 2016
Closing the Loop

Closing the Loop

Prince of Wales Hospital developed a communication pathway that reported incidental findings, unexpected findings and changes to provisional medical imaging reports back to the referring clinician within an agreed timeframe.
Prince of Wales Hospital
Added: 18 March 2016|Last updated: 17 October 2016
Missing Walking Belts and Sticks

Missing Walking Belts and Sticks

Blacktown Hospital implemented a number of processes to track the use and improve the storage of walking belts and sticks in the Stroke and Aged Care Ward.
Western Sydney Local Health District
Added: 13 May 2016|Last updated: 17 October 2016
Reducing Seclusion Use in the Child and Adolescent Psychiatric Inpatient Unit

Reducing Seclusion Use in the Child and Adolescent Psychiatric Inpatient Unit

This project identified and examined the systemic issues leading to the use of seclusion at The Children’s Hospital at Westmead. It implemented preventative strategies to reduce the use of seclusion, including multidisciplinary team care plans, staff education, daily intake and handover meetings, as well as supervision sessions for nursing and allied health staff.
The Children's Hospital at Westmead
Added: 26 September 2016|Last updated: 10 October 2016
My Food Choice: Transforming Patient Food Services

My Food Choice: Transforming Patient Food Services

This project reimagined the way hospital food is delivered to patients in public hospitals, using new workflow processes, menus, staff training and technology, while remaining inside the current budget footprint.
HealthShare NSW
Added: 23 September 2016|Last updated: 10 October 2016
It’s Time: Smoother, Faster Services for Cancer Patients

It’s Time: Smoother, Faster Services for Cancer Patients

This project developed initiatives to reduce waiting time and delays for patients receiving chemotherapy and other treatments in the haematology and oncology units at Concord Cancer Centre, within Concord Repatriation General Hospital. New business processes were developed, patient information brochures distributed, patient education needs reviewed, a staff education ladder developed and minor building and refurbishment works planned.
Concord Repatriation General Hospital
Added: 12 August 2016|Last updated: 19 August 2016
The Very Long Corridor

The Very Long Corridor

Mid North Coast Local Health District developed a clinical guideline that allows stable patients with specific diagnoses to have a direct bed-to-bed transfer from Kempsey District Hospital to Port Macquarie Base Hospital, with contingency plans for situations that may negatively impact the patient.
Mid North Coast Local Health District
Added: 8 August 2016|Last updated: 19 August 2016
The Redesign of General Medicine Services Across The Sydney Children’s Hospitals Network

The Redesign of General Medicine Services Across The Sydney Children’s Hospitals Network

This project reviewed the admission pathway and model of care for admitted general medicine patients, and optimised the workforce structure to improve the delivery of safe, efficient and high-quality care.
Sydney Children's Hospital Network
Added: 12 August 2016|Last updated: 19 August 2016
Please Let Me Out: a standardised capacity testing process for confused patient

Please Let Me Out: a standardised capacity testing process for confused patient

This project developed a standardised capacity testing and guardianship application process for confused patients, with a multidisciplinary approach to support decision making in the hospital environment.
Coffs Harbour Base Hospital
Added: 4 July 2016|Last updated: 19 July 2016
Risky Business

Risky Business

A staff engagement and education process was developed by Bombala Multipurpose Service (MPS) and Delegate MPS, to improve admission documentation for high-risk patients.
Southern NSW Local Health District
Added: 4 July 2016|Last updated: 19 July 2016
Restoration of Voice for Tracheostomy Patients in the Intensive Care Unit

Restoration of Voice for Tracheostomy Patients in the Intensive Care Unit

Royal Prince Alfred Hospital implemented the first randomised controlled trial in the world that demonstrated the benefits of using an in-line speaking valve in an Intensive Care Unit, to restore the voice of mechanically-ventilated tracheostomy patients.
Royal Prince Alfred Hospital
Added: 10 June 2016|Last updated: 27 June 2016
The End of Life Project

The End of Life Project

This project implemented a new End of Life Care Plan at Concord Repatriation General Hospital, including end of life care guidelines, staff education and resources for families and carers.
Sydney Local Health District
Added: 29 April 2016|Last updated: 16 May 2016
One in the Bed

One in the Bed

Broken Hill Base Hospital implemented a streamlined discharge process, a discharge lounge and a Hospital in the Home service, to improve the flow of patients through the emergency department.
Broken Hill Base Hospital
Added: 15 April 2016|Last updated: 28 April 2016
Go With The Flow

Go With The Flow

CCLHD developed a new referral pathway and model of care, to improve access to mental health services in the community.
Central Coast Local Health District
Added: 8 April 2016|Last updated: 28 April 2016
The Many Colours of Blacktown and Mount Druitt

The Many Colours of Blacktown and Mount Druitt

The Arts and Culture Program at Blacktown and Mount Druitt Hospitals creates welcoming and safe spaces by collaborating with local artists and community groups.
Western Sydney Local Health District
Added: 24 February 2016|Last updated: 8 April 2016
Healthy Mouths in Hospital

Healthy Mouths in Hospital

This project implemented a more effective method for cleaning dentures in hospital and delivered education session to staff and patients on the link between oral health and systemic infection.
Southern NSW Local Health District
Added: 18 March 2016|Last updated: 4 April 2016
Nurse Practitioner for Outreach Rapid Response Acute Aged Care Service

Nurse Practitioner for Outreach Rapid Response Acute Aged Care Service

This project implemented a nurse practitioner led service that delivers care to older people in the community within residential aged care facilities or at home.
Mid North Coast Local Health District
Added: 29 February 2016|Last updated: 14 March 2016
Collaborative Care Planning: With Me When It’s About Me

Collaborative Care Planning: With Me When It’s About Me

The Forensic Hospital made changes to its treatment and management plan, introduced the NSW Mental Health Care Plan and conducted staff and patient education on the value of developing a care plan in collaboration with consumers.
Justice Health and Forensic Mental Health Network
Added: 12 February 2016|Last updated: 8 March 2016
No More Loafing Around

No More Loafing Around

The Elouera Unit promoted healthy weight through education and review of the meal provision program, in collaboration with patients.
Justice Health and Forensic Mental Health Network
Added: 19 February 2016|Last updated: 4 March 2016
Preventing Catheter-Associated Urinary Tract Infections

Preventing Catheter-Associated Urinary Tract Infections

This project developed nurse-led protocols for the insertion, removal and management of indwelling urinary catheters at John Hunter Hospital.
Hunter New England Local Health District
Added: 8 February 2016|Last updated: 26 February 2016
Transforming Acute Stroke Care Locally and Globally

Transforming Acute Stroke Care Locally and Globally

John Hunter Hospital implemented advanced computed tomography (CT) imaging, which allows patient profiling, prognostic accuracy and personalised acute stroke care.
John Hunter Hospital
Added: 18 January 2016|Last updated: 1 February 2016
Don’t Restrict My Ability: Improving Care and Communication for Restricted Weight Bearing Patients

Don’t Restrict My Ability: Improving Care and Communication for Restricted Weight Bearing Patients

This project aimed to improve the patient flow of restricted weight bearing (RWB) patients through the acute orthopaedic service, by implementing a reconditioning program that optimised recovery following surgery. Communication processes were also incorporated into the model of care, to keep patients informed and improve their experience.
Concord Repatriation General Hospital
Added: 27 November 2015|Last updated: 3 December 2015
Eloura CARES: Collaborate, Acknowledge, Respect, Empower, Strengthen

Eloura CARES: Collaborate, Acknowledge, Respect, Empower, Strengthen

Shellharbour Hospital developed a model of care that provides engaging, therapeutic, recovery-orientated mental health services to consumers, their carers and families.
Shellharbour Hospital
Added: 30 November 2015|Last updated: 3 December 2015
The Safety Huddle: Preventing repeat falls and near miss falls

The Safety Huddle: Preventing repeat falls and near miss falls

Camden Hospital implemented a multidisciplinary review meeting (Safety Huddle) following all inpatient falls and near miss falls, which developed strategies in consultation with the patient to prevent the incident from reoccurring.
Camden Hospital
Added: 23 October 2015|Last updated: 9 November 2015
Triple CCC Project - Care, Communication, Coordinate

Triple CCC Project - Care, Communication, Coordinate

The project team redesigned and implemented a new care coordination model which has transformed care delivery on the medical respiratory ward, improving safety, patient, carer and staff satisfaction.
Shellharbour Hospital
Added: 7 August 2015|Last updated: 4 November 2015
Improving Management of Long Stay Patients

Improving Management of Long Stay Patients

Liverpool Hospital implemented a sustainable process for monitoring, management and early escalation of long stay patients. The goal was to provide a structure for helping clinical teams develop appropriate and high-quality patient management plans.
Liverpool Hospital
Added: 8 July 2015|Last updated: 4 November 2015
Seamless Transitions: The Pathway Home

Seamless Transitions: The Pathway Home

Royal North Shore Hospital redesigned the process of transferring information from the hospital to primary and community health services, including reintroducing a transfer of care risk screening tool and expanding the acute and post-acute care liaison role.
Royal North Shore Hospital
Added: 12 October 2015|Last updated: 27 October 2015
Falls Prevention Assessment in Occupational Therapy

Falls Prevention Assessment in Occupational Therapy

This project developed guidelines and resources to improve occupational therapist staff compliance with departmental protocols in place at Blacktown Mount Druitt Hospital.
Western Sydney Local Health District
Added: 9 October 2015|Last updated: 23 October 2015
Improving the Accuracy of Electronic Patient Records

Improving the Accuracy of Electronic Patient Records

This project implemented training and staff communication to improve the accuracy and amount of data collected in the electronic patient record, with a focus on pathology International Classification of Diseases (ICD) code, disease stage, tumour laterality, date of diagnosis, performance status and acute radiation toxicity.
Crown Princess Mary Cancer Centre
Added: 8 October 2015|Last updated: 22 October 2015
Coordinated Discharge Package in Medical Assessment Units

Coordinated Discharge Package in Medical Assessment Units

This project provided a Coordinated Discharge Package, including a discharge summary and follow-up call, to patients discharged from Medical Assessment Units (MAUs) at Coffs Harbour Health Campus.
Coffs Harbour Base Hospital
Added: 8 October 2015|Last updated: 22 October 2015
Improving Clinical Communication at the Aged Care Emergency Service

Improving Clinical Communication at the Aged Care Emergency Service

This project trained residential aged care facility and emergency department staff in the Identify, Situation, Background, Assessment and Recommendation (ISBAR) clinical handover tool to enhance the effectiveness of the Aged Care Emergency (ACE) service.
Hunter New England Local Health DistrictHunter New England and Central Coast Primary Health Network
Added: 6 October 2015|Last updated: 21 October 2015
Appropriate Pressure Prevention Loan Equipment (APPLE) Project

Appropriate Pressure Prevention Loan Equipment (APPLE) Project

The APPLE project developed a new process to obtain and store Alternating Pressure Air Mattresses at Orange Health Service. Patients identified at ‘high risk’, those who have an existing pressure injury and/or those who are clinically indicated, are provided with pressure relieving equipment in a timely manner.
Western NSW Local Health District
Added: 21 September 2015|Last updated: 20 October 2015
Time to Get Active

Time to Get Active

The group activity program was expanded and used evidence based practice to inform the content and structure of the program. The new program includes tai chi and yoga, social and cognitive stimulus activities including afternoon tea, an outdoor/community access group, an indoor walking group, a standing exercise group and interactive games
Woy Woy Public Hospital
Added: 15 July 2015|Last updated: 29 July 2015
Patient Safety Starts with ME

Patient Safety Starts with ME

This project installed a patient safety board and innovation board to engage staff in the process and allow patients and visitors to see how clinical practice impacts on safety and quality.
Hastings Macleay Clinical Network
Added: 13 July 2015|Last updated: 28 July 2015
The Future of Service Cohesion

The Future of Service Cohesion

This project developed an integrated model of care that facilitated early discharge from inpatient units and transferred care back to the community, with home-based treatments provided by an Acute Care Team.
Croydon Community Health Centre, Concord Centre for Mental Health
Added: 25 May 2015|Last updated: 9 June 2015
Quality in Acute Stroke Care Implementation Project (QASCIP)

Quality in Acute Stroke Care Implementation Project (QASCIP)

Following results of a successful trial, the QASCIP implemented three clinical protocols to manage fever, hyperglycaemia and swallowing in stroke (the Fever, Sugar, Swallow (FeSS) clinical protocols). The Nursing Research Institute partnered with the ACI, 15 local health districts, clinicians and the National Stroke Foundation to implement the FeSS clinical protocols in all 36 NSW stroke services.
St Vincent's Health Network
Added: 27 May 2015|Last updated: 27 May 2015
Smoothing the Way for Central Venous Access Device Insertions: Reducing road-bumps for cancer patients

Smoothing the Way for Central Venous Access Device Insertions: Reducing road-bumps for cancer patients

Approximately 50 CVADs are inserted per month by CVAD Procedural Clinical Nurse Consultants (CNC) at SVH. By implementing small-scale changes within the hospital, SVH has been able to reduce the usual incident rate for CVAD patient bookings from one in five at the beginning of 2014, to one in 20 by the end of the year.
St Vincent's Hospital
Added: 4 May 2015|Last updated: 18 May 2015
Diet Changes

Diet Changes

Patients transition through their episode of care and often require changes to their diets based on allergies, intolerances, procedural and/or diagnostic requirements. Clinicians often become confused by the diet choices available and do not assess the patient’s diet history due to a lack of understanding on the impact that an incorrect diet can have on the patient. This project aimed to investigate the causes of the errors and develop solutions that were systematic, achievable and sustainable....
Gosford Hospital
Added: 31 March 2015|Last updated: 15 May 2015
Multidisciplinary Teams in Focus: Improving the Journey of the Person with Complex Needs

Multidisciplinary Teams in Focus: Improving the Journey of the Person with Complex Needs

This project aims to enhance multidisciplinary teamwork in a rural hospital, by ensuring that acute ward and community health staff participate in care planning for admitted patients and improve the interface between the acute settings and community health services.
Deniliquin Health Service
Added: 4 May 2015|Last updated: 4 May 2015
A Pain in the Gut

A Pain in the Gut

This project will audit the medical records of Australian Refined Diagnostic Reference Group G70 – Other Digestive System Disorders patients at Gosford Hospital to investigate the reasons for increasing length of stay and implement strategies to decrease this rate.
Gosford Hospital
Added: 16 April 2015|Last updated: 23 April 2015
Ready, Set, Go! Effective Discharge Planning at St Vincent’s Hospital

Ready, Set, Go! Effective Discharge Planning at St Vincent’s Hospital

This project implemented a range of tools to reduce discharge delays at every stage of the patient journey, reducing length of stay and improving patient satisfaction and access to inpatient beds.
St Vincent's Hospital
Added: 20 April 2015|Last updated: 22 April 2015
Coordinating Mental Health Transfer of Care

Coordinating Mental Health Transfer of Care

Essential to seamless transfer of care is the engagement of and communication with relevant clinicians from the inpatient and community settings, as well as the consumer or carer during discharge planning. This project has highlighted the real issues underlying care coordination, which have persisted and become more complex as local services have evolved. An objective analysis of these issues has occurred with focused strategies and an implementation plan that places the patient at the centre of care....
Murrumbidgee Local Health District
Added: 31 March 2015|Last updated: 17 April 2015
Kitted Out for Blood Cultures

Kitted Out for Blood Cultures

To reduce blood culture contamination rates at Campbelltown Hospital, a blood culture kit was introduced to the adult departments. The project foundation is built on getting it right the first time and reducing unwarranted clinical variation by implementing one standardised kit with one set of instructions. This has embedded better practice focusing on aseptic technique.
Campbelltown Hospital
Added: 11 February 2015|Last updated: 16 February 2015
Geriatric Rapid Acute Care Evaluation (GRACE) Model of Care

Geriatric Rapid Acute Care Evaluation (GRACE) Model of Care

Under the GRACE model hospital staff work in collaboration with general practitioners and aged care facilities to avoid hospital admissions and reduce access block and length of stay for older patients at Hornsby Ku-ring-gai hospital.
Northern Sydney Local Health District
Added: 16 September 2013|Last updated: 9 January 2015
Acute Care of the Elderly (ACE) Model of Care

Acute Care of the Elderly (ACE) Model of Care

ACE is a shared care model between physicians, geriatricians and their teams. It integrates comprehensive geriatric assessment into the optimal medical and nursing care of patients in a multidisciplinary environment.
Northern Sydney Local Health District
Added: 16 August 2013|Last updated: 9 January 2015
Electronic Patient Journey Boards

Electronic Patient Journey Boards

The Electronic Patient Journey Board is a highly visible interactive touch screen, able to feed data directly from the electronic medical record and patient administration system. It is designed to facilitate multidisciplinary handover meetings with information displayed in a highly visual medium with graphic icons and colour schemes to discretely share clinical, financial and demographic information.
Central Coast Local Health District
Added: 17 December 2014|Last updated: 17 December 2014
Stepping Home with Cellulitis

Stepping Home with Cellulitis

Stepping Home with Cellulitis results in reduced length of stay for patients admitted to RNSH with Cellulitis through implementation of a clinical pathway.
Royal North Shore Hospital
Added: 4 December 2014|Last updated: 8 December 2014
Heart to Heart: Partnering Patients with their Healthcare

Heart to Heart: Partnering Patients with their Healthcare

This project aims to work with acute, community and primary care services to better support patients with chronic heart failure to live well, at home.
Blacktown Mount Druitt Hospital (Blacktown Campus)Blacktown Mount Druitt Hospital (Mount Druitt Campus)
Added: 5 December 2014|Last updated: 8 December 2014
Far West Mental Health Recovery Centre

Far West Mental Health Recovery Centre

The Far West Mental Health Recovery Centre (FWMHRC) is public mental health admission facility to be operated in partnership with a Community Managed Organisation (CMO) in NSW. The FWMHRC is a 10-bed unit in the grounds of Broken Hill Health Service. It provides step-up step-down care to people requiring support to overcome mental ill health. The inclusion of the FWMHRC into the spectrum of integrated mental health and drug and alcohol programs in Far West NSW has solved a number...
Neami National
Added: 23 October 2014|Last updated: 23 October 2014
Outpatient and Visitor Buggy

Outpatient and Visitor Buggy

The outpatient and visitor buggies provide less mobile patients and visitors with a safe, accessible and enjoyable method of transport along main pedestrian corridors of Westmead Hospital while maintaining dignity and respect. Volunteers at Westmead Hospital recognised that many less physically mobile outpatients and visitors experienced difficulties walking from the main entrances of the hospital to their destinations, over 200 metres away. Transport by orderlies using wheelchairs was not suitable for many of these people. After an extensive planning and...
Westmead Hospital
Added: 9 April 2013|Last updated: 16 October 2014
Advanced Care Planning in the Ballina Renal Service

Advanced Care Planning in the Ballina Renal Service

The Ballina Haemodialysis Unit is a seven chair satellite facility providing 84 dialysis treatments weekly. The majority of 28 patients are aged 70 years or older with comorbidities including diabetes, cardiac, cardiovascular and haematological conditions. The aim of the project was to raise the awareness among our patients of Advance Care Directives (ACDs) and to reach a compliance of 80% by Christmas 2010. We have now achieved 84% compliance with the NSW Health ACD Policy. Implementation of the policy required...
Ballina District Hospital
Added: 28 August 2013|Last updated: 10 October 2014
Aged Care Therapeutic Interventions by Volunteers

Aged Care Therapeutic Interventions by Volunteers

The ACTIVe Program on the Acute Aged Care Ward at Royal Prince Alfred Hospital was designed to improve the hospital experience of older patients. Elderly hospitalised patients can experience a decline in their physical and mental abilities. This can make it difficult for them to fully recover from illness and return to their previous ability to function. Trained volunteers providing therapeutic interventions can reduce the consequences of delirium and assist in maintaining patient cognition and physical functioning. Volunteers play an...
Royal Prince Alfred Hospital
Added: 31 January 2012|Last updated: 10 October 2014
Someone’s Sleeping in My Bed

Someone’s Sleeping in My Bed

To review and streamline the discharge process on an acute medical and surgical ward in order to reduce waiting times for patients at all stages of their hospital journey.
Prince of Wales Hospital
Added: 19 August 2014|Last updated: 10 October 2014
Addiction Inpatient Redesign Project

Addiction Inpatient Redesign Project

The project aims to streamline the admission process to the two drug health wards. From admission, staff will work with the patient to develop a comprehensive care plan for their discharge back to the community, ensuring access to education and services to help keep them well. This will in turn reduce the number who are readmitted after relapse and help to keep people healthy in their community....
Concord Repatriation General Hospital
Added: 19 August 2014|Last updated: 10 October 2014
Wellness, Independence, Self-actualisation and Rehabilitation Program

Wellness, Independence, Self-actualisation and Rehabilitation Program

The project aimed to design and implement a model of care for the Wagga Wagga Mental Health Sub-Acute Unit. The decision was made to design a new service model rather than adopt an existing model of care used by another District or service. The model created was based on feedback from consumers, families, carers, mental health staff and staff of other service partners. The model reflects the unique needs of the District. It is a product of what stakeholders within...
Wagga Wagga Base Hospital
Added: 1 August 2014|Last updated: 9 October 2014
Stranded Sam to the Rescue of Long Stay Patients

Stranded Sam to the Rescue of Long Stay Patients

"Stranded Sam" is an organisation wide communication strategy. The strategy aimed to: build understanding of factors that keep patients in hospital longer than their acute illness and the impact on the patient and the hospital when care is not coordinated, increase the visibility and transparency of waste within the hospital and engage key stakeholders and support the change management project.
St Vincent's Hospital
Added: 13 July 2012|Last updated: 30 September 2014
Neurosciences Length of Stay Project

Neurosciences Length of Stay Project

The Prince of Wales Hospital (POWH) is a tertiary hospital and a Neurosciences hub, providing specialist Neurology and Neurosurgery services. It was identified that length of stay (LoS) for neurosciences patients at the POWH was above the state benchmark. A multidisciplinary project was undertaken to explore opportunities to optimise the patient journey and improve access to services and reduce LoS. Evaluation reveals impressive results with improved access to beds due to patient flow, enhanced coordination of care more than 20%...
Prince of Wales Hospital
Added: 1 October 2013|Last updated: 30 September 2014
Discharge on Time ... Every Time

Discharge on Time ... Every Time

This project at Nepean Hospital aims to improve the flow of patients throughout the hospital, thus improving the overall patient journey by: increasing the number of discharges by 10am to 30% hospital wide within a 12 month period realigning the mismatch between discharge and admission times within 12 months increasing the confidence and satisfaction of patients, carers and staff regarding the discharge date and time within a 12 month period....
Nepean Blue Mountains Local Health District
Added: 25 July 2013|Last updated: 30 September 2014
Electronic Bug Management

Electronic Bug Management

The Children's Hospital at Westmead (CHW) developed an electronic multi-resistant organism (MRO) flagging and information system, an infection control note in the Electronic Medical Record (EMR) and an individualised electronic MRO care plan which includes input from families. These are all available in the Patient Management System and the EMR for round the clock accessibility in order to ensure continuity of safe care. In addition, 556 Multi Resistant Staphylococcus aureus (MRSA) positive patients had their MRO status reviewed for clearance,...
The Children's Hospital at Westmead
Added: 13 May 2013|Last updated: 30 September 2014
Nambucca Valley Registered Nurse Collaboration Graduate Program

Nambucca Valley Registered Nurse Collaboration Graduate Program

The program is a nursing staff recruitment and retention strategy for the Nambucca Valley. It is designed to attract new graduate Registered Nurses (RNs) to the Nambucca Valley by assisting their transition from study to nursing practice and offering exposure to a variety of settings as potential future career pathways. Two six-month rotations are completed in aged care and acute care settings. The program involves education, skills development and professional development support....
Nambucca Valley Care
Added: 1 January 2014|Last updated: 26 September 2014
Kids Acute Liaison in Mental Health

Kids Acute Liaison in Mental Health

The Kids Acute Liaison in Mental Health (KALM) project established a clear pathway and guideline for all Mental Health presentations to the Emergency Department (ED). This improved collaboration between the ED and Psychological Medicine, ensuring patient care was always the prime focus. This also helped eliminate lengthy delays for patients which in turn improved the National Emergency Access Targets (NEAT).
The Children's Hospital at Westmead
Added: 19 August 2014|Last updated: 26 September 2014
Reducing Unwarranted Clinical Variation (UCV) Taskforce

Reducing Unwarranted Clinical Variation (UCV) Taskforce

Aim: To oversee the development and implementation of a system-wide approachto identify, address and reduce Unwarranted Clinical Variation (UCV).
Benefits: To refine care processes and implement evidence-based models of care tosupport improved patient outcomes.
17 November 2013
Endoscopy Information System (EIS)

Endoscopy Information System (EIS)

Aim: To develop a high-quality endoscopy reporting system to ensure that an accurate assessment of NSW endoscopy services can be undertaken against accepted pat...
Benefits: The implementation of a standard EIS across NSW Health will:Provide accurate statewide information on endoscopic procedures carried out in NSW public ...
23 September 2014
Framework for the Statewide Model for Palliative and End-of-Life Care Service Provision

Framework for the Statewide Model for Palliative and End-of-Life Care Service Provision

Aim: To inform the development of a comprehensive model of care for equitable palliative and end-of-life care service provision in NSW.
Benefits: The Framework is the foundation for advancing work towards the Network’s vision that all NSW residents have access to quality care based on assessed need ...
20 January 2014
NSW Pain Clinic Referral Form and Process

NSW Pain Clinic Referral Form and Process

Aim: To provide a consistent method when making a referral from primary care to a tertiary pain service, irrespective of where the service is located.
Benefits: All services will have the same triage criteria and process for accepting patients from primary care.
17 November 2014
State Cardiac Reperfusion Strategy (SCRS)

State Cardiac Reperfusion Strategy (SCRS)

Aim: To improve care for all patients in NSW with a suspected Acute Coronary Syndrome (ACS) and reduce the time from symptom onset to reperfusion for patients with S...
Benefits: Care is tailored to specific settings so that all patients, regardless of their geographical location or presentation pathway can benefit from early access to s...
21 May 2015
Care of Confused Hospitalised Persons (CHOPs) program

Care of Confused Hospitalised Persons (CHOPs) program

Aim: Provide simple strategies to improve the care outcomes of older patients with confusion in NSW hospitals, through:increased staff knowledge and skills to i...
Benefits: Increased screening, improved risk assessment and more appropriate treatment and management of confusion.Increased awareness, knowledge and skills of staff to b...
14 August 2015
NSW Standardised Pain Charts (adult)

NSW Standardised Pain Charts (adult)

Aim: Development and implementation of statewide charts to be used at the bedside when delivering Patient Controlled Analgesia (PCA), ketamine infusions and neuraxia...
Benefits: Benefits include improved safety and quality of care for patients.
15 December 2014
NSW Subcutaneous Insulin Prescribing Chart

NSW Subcutaneous Insulin Prescribing Chart

Aim: To standardise an adult subcutaneous insulin chart and minimise risks in insulin prescription, administration and documentation.
Benefits: The chart combines prescription and administration with blood glucose, ketone monitoring and glycaemic management. It links all the necessary information for gl...
16 July 2015
Improving the Medical Inpatient Journey with Criteria Led Discharge

Improving the Medical Inpatient Journey with Criteria Led Discharge

Aim: To reduce delays when a patient is medically ready to return home from hospital.
Benefits: A formalised criteria-led discharge process has the potential to: Improve patient experience: patients are able to get home sooner;  Enhance patient safet...
30 May 2014
Pleural Drains in Adults - Consensus Guidelines

Pleural Drains in Adults - Consensus Guidelines

Aim: Improve the standard of clinical practice in the insertion, management, trouble shooting and removal of pleural drains in adults within NSW hospitals.
Benefits: Improve patient experience and outcomes. Increase awareness of ‘good’ practice in relation to pleural drains. Support managers and clinicians to imp...
15 January 2016
Fascia Iliaca Blocks for older people with hip fracture

Fascia Iliaca Blocks for older people with hip fracture

Aim: To develop a toolkit of resources facilitating Fascia Ilaica Block (FIB) as a method of pain management in hip fracture.
Benefits: To assist in the practical application of effective pain management as referred to in the Minimum Standards for Hip Fracture;  To reduce the harm arising f...
9 November 2015
Blood and Marrow Transplant Environmental Cleaning (BMTEC) Project

Blood and Marrow Transplant Environmental Cleaning (BMTEC) Project

Aim: To ascertain the methods by which units are cleaned (e.g. frequency and process), resourcing, training, and education of environmental service personnel and cli...
Benefits: With the support of the BMT Network Council and ACI, the BMTEC project provides the following benefits: (i.) Enhanced compliance with the Environmental Cleanin...
20 April 2018
Care of Adult Patients in Acute Care Facilities with a Tracheostomy

Care of Adult Patients in Acute Care Facilities with a Tracheostomy

Aim: To improve the safety and quality of care provided to adult patients with a tracheostomy in NSW hospitals.
Benefits: Reduce number of, and severity of adverse events in adults with tracheostomy Improve patient experience and outcomes Improve staff experience in caring for pati...
26 June 2015
A Clinician’s Guide: Caring for people with gastrostomy tubes and devices

A Clinician’s Guide: Caring for people with gastrostomy tubes and devices

Aim: The Guidelines are a practical resource for clinicians to assist them in providing standardised care for children and adults who have a gastrostomy tube or devi...
Benefits: The Guidelines provide a practical, evidence-based approach to the care of patients with gastrostomy tubes and devices in NSW.
13 July 2015
Investigating Clinical Variation in Acute Care

Investigating Clinical Variation in Acute Care

Aim: The aims of the ACI Investigating Clinical Variation in Acute Care project are to identify clinical variation in the inpatient management of COPD, CAP and CHF a...
Benefits: Unwarranted clinical variation (UCV) is an ongoing barrier to providing safe and effective care for patients. Recognising and addressing UCV has been identified...
13 March 2017
Hepatitis C: A guide to current treatment and care

Hepatitis C: A guide to current treatment and care

Aim: To provide health care managers and staff with information to help design and implement services for the best care for patients with hepatitis C in their own en...
Benefits: Improvements in clinical practice and patient care.
9 December 2014
Non-Invasive Ventilation (NIV) Guidelines for Adult Patients with Acute Respiratory Failure

Non-Invasive Ventilation (NIV) Guidelines for Adult Patients with Acute Respiratory Failure

Aim: Provide clinicians in critical care areas and specialist respiratory care units with best practice guidance regarding the provision of NIV for appropriately sel...
Benefits: Improve patient experience and outcomes Reduced need for invasive ventilation, prolonged mechanical ventilation and tracheostomy Reduce length of stay
26 June 2015
Acute Myeloid Leukaemia (AML) Model of Care

Acute Myeloid Leukaemia (AML) Model of Care

Aim: To optimise the quality of care for patients with AML and enable a consistent approach to the provision of care. It provides a set of principles and outlines th...
Benefits: Key points included in this model are:Mechanisms to ensure early identification and referral to an AML treatment centreA multidisciplinary team (MDT) approach t...
10 July 2015
Blood and Marrow Transplantation Long Term Follow Up (LTFU) Project

Blood and Marrow Transplantation Long Term Follow Up (LTFU) Project

Aim: The primary goal of this project is to develop clinical guidelines for management of patients following allogeneic blood and marrow transplant. The guidelines a...
Benefits: LTFU assists early recognition of complications, survival and quality-of-life issues for patients post-BMT transplant. These benefits have been supported b...
5 August 2016

Search Projects

Browse Projects

Submit your local innovation
and improvement project