A logo saves a thousand words. A rigorous multi-sector ENT quality improvement project for patient safety

Since the implementation of the Clinical Learning Environment Review by the Accreditation Council for Graduate Medical Education, there has been an emphasis on training residents in health care quality as well as patient safety. As such, psychiatry residency training programs have had to incorporate quality improvement (QI) projects into their training. We developed a QI curriculum, which not only included resident and faculty participation, but also encouraged other staff in our department to focus on patient safety as well as improving their performance and the quality of care provided to the patients.In this poster, we present the development of our curriculum and will include a successful QI project to highlight this. This project focused on creating an algorithm to help assign patient risk level, which is based on evidence based risk factors. This project was created due to a survey conducted in our clinic which demonstrated that clinicians, and in residency training in particular, identifying and managing high risk patients can be anxiety provoking for trainees. We will present the specifics of this QI project, and additionally outline the steps that were taken to develop and integrate the QI project into clinical practice.Objectives(1) Learn how to successfully incorporate a QI project and curriculum into a psychiatry residency training program.(2) Understand both resident and faculty perspectives on what resources facilitated participation in QI.(3) Present the development of a quality improvement project focused on risk assessment of outpatient psychiatric patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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68 The practice and attitude of healthcare workers towards stethoscope cleaning: a patient safety quality improvement project

10.1136/bmjoq-2019-psf.68 ◽

2019 ◽

Author(s):

Alsahafi Majid ◽

Jamal Ragad ◽

Nagadi Sarah ◽

Alrashid Hussa ◽

Alrabghi Lujain ◽

...

Keyword(s):

Patient Safety ◽

Quality Improvement ◽

Healthcare Workers ◽

Quality Improvement Project ◽

Improvement Project

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“The National Surgery Quality Improvement Project” (NSQIP): a new tool to increase patient safety and cost efficiency in a surgical intensive care unit

Patient Safety in Surgery ◽

10.1186/1754-9493-8-19 ◽

2014 ◽

Vol 8 (1) ◽

pp. 19 ◽

Cited By ~ 14

Author(s):

John McNelis ◽

Maria Castaldi

Keyword(s):

Intensive Care Unit ◽

Patient Safety ◽

Intensive Care ◽

Quality Improvement ◽

Cost Efficiency ◽

Quality Improvement Project ◽

Surgical Intensive Care Unit ◽

Surgical Intensive Care ◽

Improvement Project

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78 A Quality Improvement Project on Oxygen Administration Within the Geriatrics COVID-19 Cohort Ward

Age and Ageing ◽

10.1093/ageing/afab030.39 ◽

2021 ◽

Vol 50 (Supplement_1) ◽

pp. i12-i42

Author(s):

L Hickson ◽

A K L Liu ◽

G Bailey ◽

S Bruce ◽

K Kawafi ◽

...

Keyword(s):

Patient Safety ◽

Quality Improvement ◽

Flow Rate ◽

Cost Effective ◽

Quality Improvement Project ◽

Education Session ◽

Improvement Project ◽

Oxygen Administration ◽

Number Of Patients ◽

Oxygen Requirements

Abstract Introduction Due to the COVID-19 pandemic, many medical and surgical wards were reassigned as COVID-19 cohort wards to accommodate the number of patients admitted with the virus. Nurses and healthcare assistants (HCAs) from various departments and backgrounds were redeployed to these areas. Within the geriatrics population, patients with severe COVID-19 often have high oxygen requirements and can rapidly deteriorate. Therefore, we conducted a quality improvement project within the geriatrics COVID-19 ward focused on improving patient safety by improving oxygen administration to patients. We also aimed to enhance the knowledge and confidence levels of nurses and HCAs in regards to oxygen administration. Method From April–July 2020, we compared the oxygen that was administered to COVID-19 patients against the oxygen therapy that was documented on observation charts. This included whether the correct type of device, flow rate and target oxygenation saturations were used. We carried out multiple Plan-Do-Study-Act (PDSA) cycles including a staff education session on oxygen administration, placed an oxygen guidelines poster on each patient’s bedside, administered a short quiz and distributed reminder lanyard cards. We also conducted a staff survey comparing knowledge and confidence on oxygen administration before and after an education session. Results Overall there has been an improvement in oxygen charting and administration after 4 PDSA cycles. There is 100% correct use of oxygen device and correct setting of oxygen flow rate after the 2nd and 3rd PDSA cycles. After the teaching session, all staff reported feeling more confident in oxygen management. Based on the audit data and quiz results, there was an improvement in knowledge of oxygen administration. Conclusions We have demonstrated that by using simple time-efficient and cost-effective interventions, improvements can be made in oxygen administration and subsequently patient safety. This has the potential to influence prognostic outcomes among the geriatrics population with COVID-19.

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