Back to accessibility links

Innovation Exchange Projects by Type

Clinical Leadership Program

The projects in this collection have all participated in the Clinical Excellence Commission's Clinical Leadership Program.

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: 7 June 2017
Proactive Escalation Planning to Resolve Demand

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.
Belmont Hospital
Added: 19 May 2017|Last updated: 5 June 2017
Improving Clinical Review in the Northern Sydney Home Nursing Service

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 most appropriate clinician.
Northern Sydney Local Health District
Added: 3 May 2017|Last updated: 17 May 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
Me, Myself and My Tribunal

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 with their level of engagement in Tribunals.
Justice Health and Forensic Mental Health Network
Added: 23 March 2017|Last updated: 24 April 2017
Improving the Efficiency of External Pathology Results

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 of a new standard operating procedure, a dedicated area for reviewing patient files, new staff rosters, patient information brochures, patient database updates and standardised communication tools.
St Vincent's Hospital
Added: 7 April 2017|Last updated: 21 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
The Justice Health & Forensic Mental Health Network’s Got Talent

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.
Justice Health and Forensic Mental Health Network
Added: 10 February 2017|Last updated: 24 February 2017
Reducing the Need for Red Cell Transfusions

Reducing the Need for Red Cell Transfusions

This project implemented a guideline in the emergency department to help staff manage patients with chronic anaemia due to iron deficiency.
Nepean Hospital
Added: 13 December 2016|Last updated: 20 January 2017
Head Over Heels: Reducing Falls in the Delivery Suite

Head Over Heels: Reducing Falls in the Delivery Suite

This project delivered an education program for staff and implemented a new process of cleaning the ventilation vents in delivery suite bathrooms, to reduce the risk of falls.
Royal Hospital for Women
Added: 9 December 2016|Last updated: 22 December 2016
GynaeLogical: It Makes Sense to Care for Women

GynaeLogical: It Makes Sense to Care for Women

This project streamlined its booking and referral processes, standardised templates and introduced electronic systems to ensure all patients received timely and appropriate care.
John Hunter HospitalBelmont Hospital
Added: 2 December 2016|Last updated: 16 December 2016
Stop the Drop: Preventing Perioperative Hypothermia

Stop the Drop: Preventing Perioperative Hypothermia

The steps in the perioperative pathway were reviewed and a number of interventions trialled to maintain the temperature of patients prior to, during and following surgery.
Blue Mountains District ANZAC Memorial Hospital
Added: 28 October 2016|Last updated: 29 November 2016
Gunyah Oncology Weekend Discharge Project

Gunyah Oncology Weekend Discharge Project

This project added potential discharges to the agenda of a weekly meeting and developed a discharge process where oncologists worked in teams of two during ward rounds.
Sutherland Hospital and Community Health Service
Added: 28 October 2016|Last updated: 11 November 2016
Improving the Preoperative Recording of Patient Dental State by Anaesthetists

Improving the Preoperative Recording of Patient Dental State by Anaesthetists

CCLHD designed a new anaesthesia form, produced educational posters for staff and developed a dental package that encouraged anaesthetists to document the dental state of patients prior to surgery.
Central Coast Local Health District
Added: 23 September 2016|Last updated: 3 November 2016
Improving the Diagnostic Process for Patients with Mitochondrial Disease

Improving the Diagnostic Process for Patients with Mitochondrial Disease

This project developed next-generation sequencing protocols and a bioinformatics platform for diagnosing mitochondrial disease, as well as a diagnostic pipeline that improved the speed and accuracy of diagnosis.
Northern Sydney Local Health District
Added: 19 October 2016|Last updated: 2 November 2016
Streamlined Oral Health Pathway for People Living with a Mental Illness

Streamlined Oral Health Pathway for People Living with a Mental Illness

Sydney Local Health District developed an electronic oral health assessment form that provides appropriate information to the oral health clinician, as well as a comprehensive summary that can be easily understood by the participant, their carer and general practitioner.
Sydney Local Health District
Added: 19 October 2016|Last updated: 2 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
The Nursing and Midwifery Scope of Practice Framework

The Nursing and Midwifery Scope of Practice Framework

This project standardised the recruitment process and conducted training for nurses and midwives in SNSWLHD to help them understand their professional obligations and maintain the skills required to safely undertake their role in the organisation.
Southern NSW Local Health District
Added: 23 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
Improving Laboratory Diagnosis of Influenza and Respiratory Syncytial Virus Infections

Improving Laboratory Diagnosis of Influenza and Respiratory Syncytial Virus Infections

By introducing the routine use of rapid nucleic acid amplification tests, the median time for results of accurate laboratory tests for influenza and respiratory syncytial virus infections reduced from more than three days to less than 12 hours. This has the potential to significantly enhance infection prevention and control, inpatient bed management, appropriate antiviral prescribing and antimicrobial stewardship initiatives.
NSW Health Pathology
Added: 19 September 2016|Last updated: 4 October 2016
Hospital in the Home: An Innovative Partnership Model

Hospital in the Home: An Innovative Partnership Model

This project developed a new model of care for its Hospital in the Home (HITH) program, by integrating the services delivered by ambulatory care and community health nursing teams.
Campbelltown HospitalCamden Hospital
Added: 15 September 2016|Last updated: 30 September 2016
Improving Prescription of Venous Thromboembolism Prophylaxis for Admitted Medical Patients

Improving Prescription of Venous Thromboembolism Prophylaxis for Admitted Medical Patients

Liverpool Hospital implemented an education program for emergency department staff, to ensure venous thromboembolism prophylaxis is prescribed to all appropriate patients on admission.
Liverpool Hospital
Added: 29 April 2016|Last updated: 29 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
Legs at Lakes: Improving documentation of care for clients with leg ulcers

Legs at Lakes: Improving documentation of care for clients with leg ulcers

CCLHD standardised the process of documenting care for clients with leg ulcers within the ComCare system.
Central Coast Local Health District
Added: 23 May 2016|Last updated: 9 June 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
Developing the State Record of Labour Document

Developing the State Record of Labour Document

This project is developing a statewide Record of Labour Document (ROLD) that standardises labour and delivery care for women and babies in NSW.
Office of Kids and Families
Added: 6 April 2016|Last updated: 20 April 2016
The Sustainability Through Empowerment Project

The Sustainability Through Empowerment Project

The endocrine department at Sydney Children’s Hospital Randwick implemented education strategies for clinicians and families, to increase awareness of alternative support options.
Sydney Children's Hospital Network
Added: 4 March 2016|Last updated: 8 April 2016
A Transdisciplinary Approach to Brain Injury Rehabilitation

A Transdisciplinary Approach to Brain Injury Rehabilitation

The Hunter Brain Injury Service developed a new process for completing community access, upper limb and activities of daily living (ADL) assessments, using a transdisciplinary rehabilitation approach.
Hunter New England Local Health District
Added: 22 March 2016|Last updated: 8 April 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
Show Me The Plan

Show Me The Plan

JH&FMHN developed a streamlined chronic disease process that addressed the barriers to completing a multidisciplinary care plan, by engaging frontline clinicians.
Justice Health and Forensic Mental Health Network
Added: 12 February 2016|Last updated: 4 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
Improving Peritonitis Rates in the ISLHD Renal Service

Improving Peritonitis Rates in the ISLHD Renal Service

The renal unit at ISLHD developed a structured home visit program and implemented changes to the staff orientation program, as well as training for patients and staff.
Illawarra Shoalhaven Local Health District
Added: 27 January 2016|Last updated: 11 February 2016
Let’s Bring Healthy Back to Cowra

Let’s Bring Healthy Back to Cowra

The Cowra ‘Let’s Bring Healthy Back’ nine-week program used a multidisciplinary approach, using the expertise of a dietician, social worker, exercise physiologist, Aboriginal health worker and community nurse to help the Cowra community lose weight and improve their health and wellbeing.
Western NSW Local Health District
Added: 13 October 2015|Last updated: 13 November 2015
Correcting the Tap Leakages

Correcting the Tap Leakages

Grafton Base Hospital encouraged general practitioners to follow a new care pathway for patients requiring an ascitic tap procedure, to reduce avoidable emergency department admissions and improve the patient experience.
Grafton Base Hospital
Added: 21 October 2015|Last updated: 9 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
Making National Emergency Access Target (NEAT) Work

Making National Emergency Access Target (NEAT) Work

This project examined the sequence of events from arrival to the ward and transfer of patients admitted to an inpatient ward through the emergency department, to identify improvements that would reduce the number of admitted patients with an ED length of stay of more than four hours.
Tamworth Rural Referral Hospital
Added: 12 October 2015|Last updated: 26 October 2015
Physiotherapy Training Audit

Physiotherapy Training Audit

This project identifies gaps between the skills that new graduate and Level 1 physiotherapists have gained via study and the skills required to work within the physiotherapy department of Broken Hill Health Service. This gap analysis will allow individual professional development pathways to be developed for physiotherapists, to maintain a high quality of service within the physiotherapy department.
Broken Hill Base Hospital
Added: 12 October 2015|Last updated: 26 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
Care Coordination Screening and Triage

Care Coordination Screening and Triage

This project implemented a screening and triage tool within the outpatient cancer service at Illawarra Shoalhaven Local Health District, to improve the care coordination of patients during their treatment journey.
Illawarra Shoalhaven Local Health District
Added: 6 October 2015|Last updated: 21 October 2015
Workload Management of Donor Adverse Events Follow-Up

Workload Management of Donor Adverse Events Follow-Up

This project identified ways to optimise the use of nursing resources, to meet donor care, customer service and risk management requirements.
Australian Red Cross Blood Service
Added: 13 October 2015|Last updated: 20 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
Stepping Out of the Box

Stepping Out of the Box

A group rehabilitation class was established for eligible clients in weeks 6-12 of the Blacktown Transitional Aged Care Program, incorporating education, physical activity and social activities.
Western Sydney Local Health District
Added: 14 July 2015|Last updated: 4 September 2015
Paediatric Bed Days Saved

Paediatric Bed Days Saved

This project developed a new model of care to allow children with standard or medium risk acute lymphoblastic leukemia, who have received high dose methotrexate, to be discharged within two days instead of five.
The Children's Hospital at Westmead
Added: 13 July 2015|Last updated: 27 July 2015
End of Life Care at Bowral Hospital

End of Life Care at Bowral Hospital

This program will provide better and more appropriate clinical care to the dying patient and their family, through improved education, End of Life Care policies, referral pathways, nursing resources and the use of volunteers as support for carers.
Bowral Hospital
Added: 8 April 2015|Last updated: 9 June 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
Chronic Disease Oral Health Pilot Project

Chronic Disease Oral Health Pilot Project

A Chronic Disease Oral Health Service has been established at Royal North Shore Hospital (RNSH), with a dental officer and oral health therapist. The service provides an expedited course of dental care with a strong focus on oral hygiene for chronic disease patients. A referral pathway to this clinic has been implemented using a referral form that is completed by chronic disease services....
Royal North Shore Hospital
Added: 18 May 2015|Last updated: 25 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
NSW Forensic Patient Needs and Services Project

NSW Forensic Patient Needs and Services Project

This project conducted a detailed examination of forensic mental health services in NSW and assessed the needs of current forensic patients, to see whether they are being met. This information will inform the need for service reform and development.
Justice Health and Forensic Mental Health Network
Added: 4 May 2015|Last updated: 18 May 2015
Fit for Work

Fit for Work

This project aims to reduce overall sick leave rates of Mid North Coast Local Health District (MNCLHD) staff by introducing a ‘Fitness Passport’ program, which targets 850 staff and encourages them to attend a gym on a regular basis.
Mid North Coast Local Health District
Added: 1 May 2015|Last updated: 15 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
Decreasing Tissue Retention in Coronial Autopsies

Decreasing Tissue Retention in Coronial Autopsies

This project examined the issue of coronial autopsy tissue retention and implemented policies and practices that reduced the amount of tissue retained and the proportion of autopsy cases where tissue was retained, without decreasing the quality of service provided.
NSW Health Pathology
Added: 1 May 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
Model of Care for People with Eating Disorders

Model of Care for People with Eating Disorders

Illawarra Shoalhaven Local Health District is establishing a model of care for people with eating disorders, in line with Stage 1 implementation of the NSW Service Plan for People with Eating Disorders 2013-2018.
Illawarra Shoalhaven Local Health District
Added: 8 April 2015|Last updated: 22 April 2015
Improving Admitted National Emergency Access Targets Performance

Improving Admitted National Emergency Access Targets Performance

A four-bed Emergency Medicine Unit (EMU) is planned for the ED of Orange Health Service, to admit selected patients with conditions that can be dealt with in less than 24 hours but don’t require high-level nursing care or monitoring. This will avoid referrals, formal admission and registrar review, ensuring rapid transfer home after a short stay. Patients with certain conditions will be admitted to the EMU on specific pathways to ensure compliance, avoid bed block and enable nurse-led transfer of...
Orange Health Service
Added: 31 March 2015|Last updated: 17 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
Emergency Nurses Extended Practice Project

Emergency Nurses Extended Practice Project

This project focused on ensuring that patients presenting to the emergency department are able to receive appropriate treatment by an appropriate person, within triage benchmark timeframes, and provided escalation of care to a senior medical officer as required. It was implemented with a supporting clinical governance structure, clinical nurse protocols and standing orders, as well as an education and training program, which defines the extended scope of the emergency registered nurse....
South Eastern Sydney Local Health District
Added: 31 March 2015|Last updated: 17 April 2015
Sugar Gum - Diabetes and Gum Disease

Sugar Gum - Diabetes and Gum Disease

Gum disease is a chronic inflammatory disease which has a direct impact on blood sugar levels, yet diabetic patients are not routinely referred for oral health checks. This project works with high risks groups such as the elderly, people with chronic disease and Aboriginal people. It encourages people with diabetes to make healthy choices by educating them on the importance of oral health and its impact on blood sugar levels. Following dental evaluation, treatment and education, home packages are given...
Menindee Health Service
Added: 23 March 2015|Last updated: 25 March 2015
Community Nursing Palliative Care Procedure

Community Nursing Palliative Care Procedure

This procedure will provide a process from registration of a new client, assessment tools, monitoring tools and end of life pathway tool and bereavement follow up for the generalist community health nurses. It will provide Generalist Community Nurses and Palliative Care Nurses with a structured format and standardised processes and tools to use when assessing palliative care clients.
Tweed Byron Health Service Group
Added: 18 February 2015|Last updated: 10 March 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

Search Projects

Browse Projects

Submit your local innovation
and improvement project