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Microbiology Extension of Services

The Department of Microbiology at Royal Prince Alfred Hospital reconfigured its staff rosters, to better manage peaks and troughs in specimen processing. This optimised staff workflow and enhanced the delivery...

Added: 27 April 2018 | Last updated: 8 November 2021

Implementation of the HOTV Vision Chart in the Northern NSW Local Health District Statewide Eyesight Preschooler Screening Program

This project delivered education and resources on HOTV vision charts to all staff in Northern NSW Local Health District (NNSWLHD) who deliver the Statewide Eyesight Preschooler Screening (StEPS) Program.

Added: 8 September 2017 | Last updated: 8 November 2021

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...

Added: 14 March 2017 | Last updated: 2 June 2021

Quit and Smile

SESLHD trained dental professionals to help clients quit smoking and implemented a number of solutions to increase accountability and knowledge in this area.

Added: 27 October 2017 | Last updated: 27 May 2021

Me, Myself and My Tribunal

The Forensic Hospital developed a tool to help patients prepare for their Mental Health Review Tribunal, held every six months. This tool was designed to increase the satisfaction of patients...

Added: 23 March 2017 | Last updated: 27 May 2021

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...

Added: 11 July 2018 | Last updated: 27 May 2021

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.

Added: 16 August 2017 | Last updated: 27 May 2021

Youth Health Risk Assessments at Northern Sydney Sexual Health Service

Added: 18 September 2017 | Last updated: 21 May 2021

Proactive Escalation Planning to Resolve Demand

Belmont Hospital introduced a 24-hour escalation plan and daily emergency report, to help emergency department staff manage periods of high demand, without reducing the quality or timeliness of patient care.

Added: 19 May 2017 | Last updated: 19 May 2021

Improved Comprehensive Service for Adolescents who Re-present to the Emergency Department

This project has two objectives. Firstly, it is designed to improve the mental health service for adolescents who present to Lismore Base Hospital’s emergency department. Secondly, it is designed to...

Added: 22 April 2020 | Last updated: 14 May 2021

Addressing modifiable risk factors after mild stroke or transient ischaemic attack

Patients are often discharged without a care plan from the acute stroke unit following a non-disabling stroke or transient ischaemic attack. To address this issue, communication materials were developed alongside...

Added: 16 September 2019 | Last updated: 13 May 2021

Addressing Domestic Violence

This project has been designed to improve the response that people who experiencing domestic violence receive when they access services from Lismore Base Hospital. It is multifaceted and includes improving...

Added: 15 April 2021 | Last updated: 30 April 2021

Microscope Camera as a Tool in Digital Morphology

The project used a microscope camera to reduce the turnaround time of morphology results reporting for critical patients presenting afterhours to the emergency department.

Added: 12 April 2021 | Last updated: 29 April 2021

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,...

Added: 2 May 2018 | Last updated: 22 April 2021

The Justice Health & Forensic Mental Health Network’s Got Talent

The JH&FMHN is developing a talent management strategy to improve the access, allocation and appropriateness of learning opportunities for its staff.

Added: 10 February 2017 | Last updated: 22 April 2021

Multiagency Coordination of Prenatal Risk

Central Coast Local Health District established regular meetings with the NSW Department of Family and Community Services and all health services involved in the care of pregnant women, in cases...

Added: 2 May 2018 | Last updated: 21 April 2021

Healthy Lifestyles Project for newly arrived young people

This project addressed two significant gaps in service provision for newly arrived young people from refugee and migrant backgrounds: prevention of rapid weight gain during the settlement and post arrival...

Added: 4 March 2020 | Last updated: 20 April 2021

Don’t fall for it, follow the steps!

Post falls assessments are attended by nurses after patients have a fall in the St George Hospital emergency department.

Added: 16 September 2019 | Last updated: 20 April 2021

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.

Added: 13 March 2017 | Last updated: 20 April 2021

Breaking the drought: rural management of breast cancer-related lymphoedema

This six-month joint project implemented a lymphoedema screening clinic, providing comprehensive treatment for lymphoedema in the Lachlan Health Service. It involved a cross discipline collaboration for patients following breast cancer...

Added: 12 August 2019 | Last updated: 20 April 2021

Making the Health of the Nation Outcome Scale Work For Us

This project added an additional multidisciplinary team meeting to the Older Persons Mental Health Team schedule each week and adjusted the meeting agenda, to allow more time for mental health...

Added: 30 April 2018 | Last updated: 8 April 2021

Implementation of Advanced Radiotherapy Technology to Improve Clinical Outcomes in Rural NSW

After the successful implementation of quality improvement projects, the technology utilisation rate (intensity-modulated radiotherapy and volumetric modulated arc therapy) rose to over 70% in 2020, compared to below 22% in...

Added: 1 March 2021 | Last updated: 15 March 2021

Right Patient Right Bed

Right Patient Right Bed examined ways to minimise clinical risk where there are delays in transferring patients from Kempsey District Hospital to Port Macquarie Base Hospital.

Added: 20 August 2020 | Last updated: 3 September 2020

Optimising Screening and Isolation for Carbapenemase-producing Enterobacterales

Screening for carbapenemase-producing enterobacterales (CPE) and isolation in single rooms while awaiting test results is recommended for hospitalised patients who are at risk of CPE carriage. However, single rooms are...

Added: 18 August 2020 | Last updated: 3 September 2020

Improving pre-hospital major trauma clinical performance

This project aims to identify reasons for the secondary retrieval and address areas where improvements to paramedic management may be made.

Added: 24 March 2020 | Last updated: 20 April 2020

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.

Added: 17 September 2019 | Last updated: 1 October 2019

Improving management of dental trauma in the emergency department

This project will provide a structured clinical and oral health referral pathway in the emergency department of Sutherland Hospital, for the first aid management of dental trauma.

Added: 10 September 2019 | Last updated: 25 September 2019

Sutherland Clinical Assessment and Nursing Documentation (SCAND) project

This project aims to improve the inconsistency of nursing documentation across Sutherland Hospital, focusing on the importance of clinical assessment in nursing. This goal is to consistently communicate nurse findings...

Added: 16 July 2019 | Last updated: 31 July 2019

FIB4NOF (Fascia Iliaca Block for Patients with Neck of Femur Fracture) at Nepean Hospital

This project is designed to promote the use of fascia iliaca block as a method of analgesia for patients who present to Nepean Hospital with a neck of femur fracture,...

Added: 28 June 2019 | Last updated: 15 July 2019

tOTal Improvement

tOTal Improvement is designed to improve communication within the multidisciplinary team at Morisset Hospital and to better direct consumers’ support needs within the clinical rehabilitation program.

Added: 17 April 2019 | Last updated: 7 May 2019

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...

Added: 5 April 2019 | Last updated: 22 April 2019

Food for Thought

This project implements a clinical pathway for referral and treatment that includes screening, triage, and assessment; and provides adults referred to Richmond Adult Community Mental Health Service with cognitive behavioural...

Added: 29 March 2019 | Last updated: 12 April 2019

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...

Added: 29 March 2019 | Last updated: 12 April 2019

Preventative model of care at the Moruya dental clinic

This project explored how demand for dental services can be met and sustained over time, with a focus on preventative care.

Added: 15 February 2019 | Last updated: 28 February 2019

REACH Out

REACH Out is an independent patient and family activated response system for small sites. The REACH response is provided by on off-site patient flow team via Telehealth.

Added: 15 November 2018 | Last updated: 30 November 2018

Shared Clinical Review Across Four Rural Health Services

A project to implement a shared mortality and morbidity clinical review process across four small rural health services in northeast Victoria. The project includes development of standardised tools and the...

Added: 26 September 2018 | Last updated: 6 November 2018

What a Difference a Date Will Make

Various services in the local area were concerned about the increase in young adolescents presenting in crisis, with either potential self-harm or harm to others. Police and ambulance workers were...

Added: 26 September 2018 | Last updated: 11 October 2018

Clinical History on Emergency X-Ray Referrals

Incomplete clinical history information on emergency x-ray referrals can lead to insufficient imaging, missed pathologies, longer time spent in emergency and higher radiation doses. This project aims to ensure that...

Added: 17 September 2018 | Last updated: 1 October 2018

Home-Based Subcutaneous Immunoglobulin Replacement Therapy

Liverpool Hospital is implementing a home-based subcutaneous immunoglobulin replacement therapy program for patients with impaired immune systems.

Added: 28 May 2018 | Last updated: 21 June 2018

The Asthma Follow Up Integrated Care Initiative

Sydney Children’s Hospital Randwick developed an integrated model of care for children with non-complex asthma, including care coordination, communication with general practitioners, parent education and emergency department resources and processes.

Added: 28 May 2018 | Last updated: 12 June 2018

Reducing the Time Frame to Complete the Electronic Donor Record

This project developed a number of tools and guides to help staff collect data and enter it into the electronic donor record more efficiently.

Added: 8 May 2018 | Last updated: 23 May 2018

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.

Added: 2 May 2018 | Last updated: 16 May 2018

Improving Provision of Skin-to-Skin Care in Preterm Neonates

John Hunter Children’s Hospital developed a step-by-step guide to encourage the delivery of Kangaroo Care to premature babies, and provided education to staff and parents on the topic.

Added: 2 May 2018 | Last updated: 16 May 2018

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.

Added: 26 April 2018 | Last updated: 10 May 2018

Complex Care Coordination in NSW Emergency Departments

Royal North Shore Hospital is developing a clinical pathway for people who frequently present to hospital emergency departments with chronic pain and complex conditions, which will be rolled out across...

Added: 23 April 2018 | Last updated: 8 May 2018

Increasing Blood-Borne Virus Screening in the Community Setting

St George Drug and Alcohol Service established a clear process for blood-borne virus screening, by delivering training to staff and embedding the test into the initial assessment of new clients.

Added: 15 February 2018 | Last updated: 2 March 2018

Appropriate Distribution and Just Utilisation of Supplies Techniques (ADJUST)

Prince of Wales Hospital implemented a cost-saving strategy in the cardiothoracic intensive care unit, incorporating ordering and procurement practices, storage management and intra-hospital stock rotation.

Added: 15 February 2018 | Last updated: 1 March 2018

Detecting Delirium in the Emergency Department

Belmont District Hospital implemented an education package for nursing staff, to improve the use of the Confusion Assessment Method (CAM) screening tool in the emergency department (ED). The CAM tool...

Added: 14 February 2018 | Last updated: 1 March 2018

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.

Added: 24 May 2017 | Last updated: 29 January 2018

Multidisciplinary Assessment and Documentation in Community Palliative Care

Croydon Community Health Centre implemented a new model of care, including scheduled multidisciplinary team meetings, revised documentation and communication processes, as well as training for emergency department and generalist nursing...

Added: 28 November 2017 | Last updated: 12 December 2017

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.

Added: 27 October 2017 | Last updated: 10 November 2017

It Takes Two

It Takes Two was designed to educate nursing staff and managers on NSW Health and local policies regarding medication handling, with the aim of improving patient safety in the emergency...

Added: 27 October 2017 | Last updated: 10 November 2017

Running Away Causes Delay

This project reduced the number of patients who absconded (ran away) from the Coffs Harbour Mental Health Inpatient Unit, by implementing an environmental review, courtyard supervision, flexible visiting hours, multidisciplinary...

Added: 23 October 2017 | Last updated: 6 November 2017

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.

Added: 23 October 2017 | Last updated: 6 November 2017

A Clear Case: Improving Court Reports in Sexual Assault Cases

Mid North Coast Local Health District (MNCLHD) centralised requests for expert witness certificates (EWCs) and developed a new review process in collaboration with staff and NSW Police.

Added: 18 September 2017 | Last updated: 2 October 2017

Planning for Gastronomy Success

St Vincent’s Hospital Sydney (SVHS) improved patient information, treatment procedures and staff education, to ensure the placement of gastronomy feeding tubes aligned with best practice and Agency for Clinical Innovation...

Added: 18 September 2017 | Last updated: 2 October 2017

A Coordinated Local Approach to Disordered Eating Services

This project improved care delivered to people with eating disorders in Broken Hill and surrounding areas in FWLHD. It focused on increasing clinicians’ skill and confidence by providing education sessions,...

Added: 25 August 2017 | Last updated: 8 September 2017

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.

Added: 23 August 2017 | Last updated: 6 September 2017

Improving Clinical Review in the Northern Sydney Home Nursing Service

This project defined the role of the resource representative and increased awareness of this role among staff at Northern Sydney Home Nursing Service, to ensure patients are referred to the...

Added: 3 May 2017 | Last updated: 17 May 2017

Improving the Efficiency of External Pathology Results

The Heart and Lung Clinic at St Vincent’s Hospital Sydney implemented a number of changes to the way it follows up and communicates external pathology results. This included the development...

Added: 7 April 2017 | Last updated: 21 April 2017

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