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Implementing and Embedding  the National Surgical Quality Improvement Program in NSW

Implementing and Embedding the National Surgical Quality Improvement Program in NSW

This project focuses on designing tools and resources for NSW hospitals to implement the National Surgical Quality Improvement Program (NSQIP) in their service.
Agency for Clinical Innovation
Added: 10 December 2018|Last updated: 13 December 2018
Development After Infant Surgery Study

Development After Infant Surgery Study

The Development After Infant Surgery (DAISy) study is the first of its kind in the world. It investigated neurodevelopmental outcomes in infants who had major surgery within the first 90 days of life.
Sydney Children's Hospital Network
Added: 2 November 2018|Last updated: 19 November 2018
Flow of Emergency Theatre Cases at Hornsby

Flow of Emergency Theatre Cases at Hornsby

This project will improve the safety and efficiency of the emergency surgical patient journey.
Hornsby Ku-ring-gai Hospital
Added: 17 September 2018|Last updated: 1 October 2018
Sterilising and Perioperative Clinical Redesign

Sterilising and Perioperative Clinical Redesign

The project team identified an opportunity to enhance the patient experience at Concord Hospital by increasing operational efficiency between the sterilising department and operating theatres. Following a review, a range of recommendations were implemented to improve inter-departmental communication and processes, streamline workflows, and enhance workforce morale.
Concord Repatriation General Hospital
Added: 20 August 2018|Last updated: 30 August 2018
Improving the Patient Journey for Mothers having an Elective Caesarean

Improving the Patient Journey for Mothers having an Elective Caesarean

Nepean Hospital established an Obstetric Pre-anaesthetic Assessment Clinic for high-risk obstetric patients and those undergoing an elective caesarean section. Anaesthetists at the clinic assess the patient and explain anaesthetic procedures in a way that allows patients to give informed consent.
Nepean Hospital
Added: 11 July 2018|Last updated: 25 July 2018
Saved by the Phone: Enhancing the Pre-admission Process

Saved by the Phone: Enhancing the Pre-admission Process

Staff at Blue Mountains District ANZAC Memorial Hospital implemented a standardised phone screening tool with fasting instructions, to prepare patients for their surgical procedure.
Blue Mountains District ANZAC Memorial Hospital
Added: 2 May 2018|Last updated: 16 May 2018
Improving Blood Glucose Level Control Before Surgery

Improving Blood Glucose Level Control Before Surgery

Prince of Wales Hospital screened all patients booked for elective cardiac surgery, to diagnose diabetes and identify those requiring blood glucose level control before admission.
Prince of Wales Hospital
Added: 26 April 2018|Last updated: 10 May 2018
End the Wait for Endoscopy at Wollongong Hospital

End the Wait for Endoscopy at Wollongong Hospital

Wollongong Hospital developed electronic scheduling systems, patient education materials and a clinical review process, to reduce wait times in its Endoscopy Unit.
Added: 24 April 2018|Last updated: 3 May 2018
Preoperative Iron Deficiency Identification and Management

Preoperative Iron Deficiency Identification and Management

Sydney Local Health District developed a clinical pathway to identify patients who have iron deficiency anaemia. A strategy was implemented to manage identified patients with intravenous iron therapy prior to high-risk elective surgery.
Sydney Local Health District
Added: 29 March 2018|Last updated: 3 May 2018
Book It: The Planned Patient Admission Project

Book It: The Planned Patient Admission Project

This project aims to introduce a transparent Referral for Admission process within Nepean Blue Mountains Local Health District. A review of existing processes, policies, documentation and support provided to staff and consumers was undertaken.
Nepean Blue Mountains Local Health District
Added: 26 April 2017|Last updated: 28 April 2017
Totally Hip (and Knee)

Totally Hip (and Knee)

This project reviewed the journey of patients undergoing an elective total hip or knee replacement at the Tweed Hospital. In consultation with staff and patients, a range of improvements were implemented, including preoperative assessments, patient information brochures, clinical pathways and pain management.
The Tweed Hospital
Added: 6 March 2017|Last updated: 28 April 2017
Bowral and District Hospital Preadmission Clinic Redesign Project

Bowral and District Hospital Preadmission Clinic Redesign Project

This project reviewed the journey of adult elective surgery patients at BDH and developed a series of measures to streamline and improve the booking, pathology, clinical review, admission, surgery and post-operative processes.
Bowral and District Hospital
Added: 9 December 2016|Last updated: 16 December 2016
Preop to Theatre: Ready and On Time

Preop to Theatre: Ready and On Time

This project redesigned the preoperative screening and triage process, as well as operating theatre and pre-admission clinic staff work schedules. Patient information brochures were revised and new systems introduced, including text message reminders, operating theatre forecast planning meetings and team communication huddles.
Shoalhaven Hospital
Added: 5 December 2016|Last updated: 16 December 2016
My Check-in For Surgery: Elective Surgery Pre-admission Project

My Check-in For Surgery: Elective Surgery Pre-admission Project

Canterbury Hospital implemented measures to improve patient and clinician satisfaction and hospital efficiency, by enhancing elective surgical pre-admission processes. These included a review of communication, screening and assessment tools, booking processes, roles and responsibilities, accountability and escalation processes.
Canterbury Hospital
Added: 2 December 2016|Last updated: 16 December 2016
Emergency Surgery: Why The Wait?

Emergency Surgery: Why The Wait?

The Tweed Hospital implemented a number of solutions to streamline and improve the surgical journey of emergency surgery patients. These included education for staff and patients, development of new care pathways and implementation of electronic booking and referral systems.
The Tweed Hospital
Added: 30 November 2016|Last updated: 16 December 2016
Fed up: improving nutritional care for emergency and orthopaedic trauma surgery patients

Fed up: improving nutritional care for emergency and orthopaedic trauma surgery patients

This project implemented a new process for measuring and managing preoperative fasting in emergency and orthopaedic trauma patients, with education provided to staff and patients on preoperative fasting best practice.
Gosford Hospital
Added: 2 August 2016|Last updated: 19 August 2016
Improving Surgical Access for Patients

Improving Surgical Access for Patients

This project simplified the admission and bookings process for elective surgeries at Westmead Hospital, by introducing administration procedures including monthly speciality waiting list reports, a local policy compliance procedure and SMS reminders for patients.
Westmead Hospital
Added: 18 March 2016|Last updated: 28 April 2016
seESaW: Elective Surgical Waitlist

seESaW: Elective Surgical Waitlist

This project developed a virtual elective surgery waitlist for 10 surgical sites in MLHD, using data interface software.
Murrumbidgee Local Health District
Added: 20 April 2016|Last updated: 28 April 2016
Bellingen Theatre Initiative

Bellingen Theatre Initiative

Coffs Clinical Network introduced new surgical services at Bellingen Health Campus and developed a centralised surgical waitlist, referral and admission process across Coffs Harbour, Macksville and Bellingen Health Campuses.
Mid North Coast Local Health District
Added: 11 April 2016|Last updated: 28 April 2016
From Ice to Nice: Reducing the incidence of Inadvertent Hypothermia in the perioperative patient

From Ice to Nice: Reducing the incidence of Inadvertent Hypothermia in the perioperative patient

CCLHD implemented a number of pre-warming strategies, to reduce the incidence of inadvertent hypothermia in surgical patients.
Central Coast Local Health District
Added: 8 April 2016|Last updated: 26 April 2016
Use of Professional Interpreters for Surgical Consent

Use of Professional Interpreters for Surgical Consent

This project aims to reduce barriers in using professional interpreters for surgical consent, including the availability of interpreters, staff knowledge, skill and confidence, patient knowledge and service systems.
South Eastern Sydney Local Health District
Added: 30 November 2015|Last updated: 3 December 2015
Management of Hip Fractures in the Older Patient

Management of Hip Fractures in the Older Patient

Port Macquarie Base Hospital reviewed its fractured femur care pathway, based on the ACI's Minimum Standards for the Management of Hip Fractures. This resulted in a formalised orthogeriatric model of care that addressed factors including multimodal pain control, time to theatre, time to mobilisation and refracture prevention.
Port Macquarie Base Hospital
Added: 21 October 2015|Last updated: 9 November 2015
Enhanced Management of Orthopaedic Surgery Program

Enhanced Management of Orthopaedic Surgery Program

Coffs Harbour Health Campus implemented this program which involved pre-operative planning, intra-operative optimisation, post-operative strategies and post-discharge follow-up.
Coffs Harbour Base Hospital
Added: 9 October 2015|Last updated: 24 October 2015
eSURG: Streamlining the Admission Process for Surgery at St George Hospital

eSURG: Streamlining the Admission Process for Surgery at St George Hospital

The project will improve the Recommendation for Admission process for patients undergoing upper gastrointestinal surgery. The solutions developed will simplify the process for patients, surgeons and admissions staff by reducing inefficiencies and unnecessary delays.
St George Hospital
Added: 20 April 2015|Last updated: 22 April 2015
Gosford Surgical Admissions Centre Waiting Room Project

Gosford Surgical Admissions Centre Waiting Room Project

The Gosford Surgical Admissions Centre (GSAC) is a short stay surgical admissions centre providing care to 1350 elective patients per month. The project aim is to improve the patient satisfaction rate by focusing on communication, the waiting room environment, the admission processes and streamline documentation.
Gosford Hospital
Added: 23 January 2015|Last updated: 25 February 2015
RESCUERS: Reduce elective surgery cancellations utilising existing and realigning services

RESCUERS: Reduce elective surgery cancellations utilising existing and realigning services

An elective surgical project was conducted across the three hospital sites of Manly, Mona Vale and Hornsby. The aims of the project were to reduce the number of “no bed” cancellation of elective surgery to improve access to surgery. To increase the types of procedures that can be performed as Day Only procedures and improve access to surgery.
Manly HospitalMona Vale HospitalHornsby Ku-ring-gai Hospital
Added: 4 December 2014|Last updated: 8 December 2014
Pre Admission Clinic Managing Attendance Numbers (PACMAN)

Pre Admission Clinic Managing Attendance Numbers (PACMAN)

This is a clinical redesign project being undertaken at Concord Repatriation General Hospital that is focused on improving the patient journey for elective surgery patients by reducing delays in the Pre Admission Clinic and reducing cancellations on the day of surgery.
Concord Repatriation General Hospital
Added: 4 December 2014|Last updated: 8 December 2014
Up and at ‘em

Up and at ‘em

2011 heralded a significant shift in the Model of Care for Bathurst Health Service (BHS) Orthopaedic services. Increasing demands for service, increased waitlist times and inconsistent models of anaesthetic and post-operative service delivery models of care resulted in increased length of stay (LOS) and secondary sequelae of increased pressure area numbers, rehabilitation bed use and inconsistent post-operative analgesic regimes that limited functionality. With the introduction of activity based funding, a new multi-disciplinary model of care was developed between the Surgical...
Bathurst Base Hospital
Added: 24 September 2013|Last updated: 17 October 2014
Surgical Liaison Nurse

Surgical Liaison Nurse

The role of the Surgical Liaison Nurse (SLN) is to provide intraoperative progress reports to family members and significant others whilst surgery is being undertaken. This role is imperative in proving holistic care not only to the patients themselves but also to the entire family unit. Results show reduction in distress for patients and families prior to surgery, as well as positive feedback from staff....
John Hunter Hospital
Added: 4 December 2012|Last updated: 17 October 2014
St Vincent's Hospital Surgery Redesign

St Vincent's Hospital Surgery Redesign

A program of work to improve theatre efficiency and redesign surgical patient flow at St Vincent's Hospital, Darlinghurst. Results include a reduction in elective day of surgery cancellations from an average of over 8.4% to 3.9% and achieving the target (less than 2%), on time starts have improved from 37% to 55% and theatre throughput has increased with no increase in staffing or budget....
St Vincent's Hospital
Added: 13 July 2012|Last updated: 17 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
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
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
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
Surgery Redesign School

Surgery Redesign School

Aim: The School is aimed at project leaders who are responsible for implementation of surgical models of care, or improving operating theatre efficiency.
Benefits: Increased awareness and skills in project management, change management and Accelerated Implementation Methodology (AIM). 
30 May 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
Emergency Surgery Redesign

Emergency Surgery Redesign

Aim: To provide a reference tool for Local Health Districts when initiating the redesign of emergency surgery practices. 
Benefits: There are multiple benefits, including:Improved patient outcomesEnhanced patient and surgical team satisfactionIncreased trainee supervision in emergency surger...
30 May 2014
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
High Volume Short Stay Surgical Units (HVSSS)

High Volume Short Stay Surgical Units (HVSSS)

Aim: The HVSSS  Unit Model emerged as a model of care from the Surgery Futures – A Plan for Greater Sydney project (released January 2011). This toolkit p...
Benefits: Improved access to planned surgical services;  Improved service efficiency, regarding both operating theatre and bed utilisation;  Extended range of p...
30 May 2014
Minimum Standards for the Management of Hip Fracture in the Older Person

Minimum Standards for the Management of Hip Fracture in the Older Person

Aim: To improve the outcomes of patients with fractured hips requiring surgery and management in NSW.
Benefits: Reduced medical complications, reduced hospital stays and improved patient outcomes.
7 April 2015
Improving Patient Outcomes from Cataract Surgery Study

Improving Patient Outcomes from Cataract Surgery Study

Aim: The primary aim of the research is to explore patient-centred outcomes of cataract surgery in Australia and the effectiveness of currently available tools to as...
Benefits: While there is a large body of knowledge describing visual improvement following cataract surgery, we currently know little about the expectations that Australi...
8 December 2014
Pre Procedure Preparation / Perioperative Toolkit

Pre Procedure Preparation / Perioperative Toolkit

Aim: To review the NSW Health Guideline: Pre-Procedure Preparation Toolkit.
Benefits: To review the existing toolkit to ensure it supports best practice for pre procedure care for patients undergoing surgery or a procedure.The existing toolkit wa...
11 August 2015
Operating Theatre Efficiency Strategies

Operating Theatre Efficiency Strategies

Aim: Following the Auditor-General’s report, Performance Audit: Managing operating theatre efficiency for elective surgery, the ACI will work with the Ministry...
Benefits: Increased collaboration and support for operating theatre efficiencies.
20 January 2014

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