A Quality Improvement Project on the Development of an Evidence-Based Management Algorithm for Iatrogenic Endoscopic Perforations and the Long Term Impact on Physician Knowledge

2021 ◽  
Vol 161 (1) ◽  
pp. e26-e27
Author(s):  
Daniel Lew ◽  
Suellen M. Picha ◽  
Ellis C. Lai ◽  
Yazan Abboud ◽  
Kenneth H. Park ◽  
...  
Author(s):  
Darren Savarimuthu ◽  
Katja Jung

Background/aims This article describes a quality improvement project that aimed to reduce restrictive interventions on an acute psychiatric ward. In light of a service level agreement and based on a trust-wide target, the purpose of the project was to reduce restrictive interventions by 20% within a period of 6 months. It was also anticipated that a least restrictive environment could have a positive impact on patient experience. Methods Three evidence-based interventions were introduced to the ward during the quality improvement project. These included positive behaviour support, the Safewards model and the productive ward initiative. Results There was a 63% reduction in restrictive interventions over a 6-month period through the successful implementation of a series of evidence-based interventions to manage behaviours that challenge on the mental health ward. Conclusions The project identified collaborative team working, staff training and adequate resources as essential elements in the success of the quality improvement initiative. However, co-production was found to be crucially significant in bringing sustainable changes in ward environment and in addressing restrictive practices.


2019 ◽  
Vol 6 (4) ◽  
pp. 352-361
Author(s):  
Anne Maria Eskes ◽  
Anne Marthe Schreuder ◽  
Hester Vermeulen ◽  
Els Jacqueline Maria Nieveen van Dijkum ◽  
Wendy Chaboyer

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