Quality improvement project aimed at integrating an adapted mindfulness-based stress reduction programme into a paediatric psychology service

In our paediatric service, referrals for young people with chronic health problems significantly increased in times of acute stress, for example, during exams, and offering support in a timely manner was often a challenge. In order to respond more efficiently to this increase, a group intervention was introduced.

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223. A Quality Improvement Project Aimed At Integrating An Adapted Mindfulness Based Stress Reduction (MBSR-AH) Programme Into A Paediatric Psychology Service

Journal of Adolescent Health ◽

10.1016/j.jadohealth.2018.10.240 ◽

2019 ◽

Vol 64 (2) ◽

pp. S114

Author(s):

Jacqueline Doyle ◽

Megan Hitchcock ◽

Deborah Christie

Keyword(s):

Quality Improvement ◽

Stress Reduction ◽

Quality Improvement Project ◽

Improvement Project ◽

Psychology Service ◽

Mindfulness Based Stress Reduction

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0707 “What We’Ve Got Here Is Failure To Communicate”: Apnea Patients And Their DME Suppliers

SLEEP ◽

10.1093/sleep/zsaa056.703 ◽

2020 ◽

Vol 43 (Supplement_1) ◽

pp. A269-A269

Author(s):

S Thapa ◽

S Agrawal ◽

M Kryger

Keyword(s):

Quality Improvement ◽

Sleep Apnea ◽

Quality Improvement Project ◽

Timely Manner ◽

Improvement Project ◽

Therapy Initiation ◽

Obstructive Sleep ◽

Key Factor ◽

The Impact ◽

The Relationship

Abstract Introduction Successful treatment of obstructive sleep apnea requires adherence to positive airway pressure (PAP) therapy. A key factor is the relationship between the DME provider and the patient so that treatment can be initiated and continued in a timely manner. Our quality improvement project aims to empower and enable patients towards active participation in their sleep apnea care. Our goal is to ultimately increase patients’ knowledge of their Durable Medical Equipment (DME) supplies company, and thus improve their treatment. The first step was to determine patients’ familiarity with their DME. Methods Forty-one patients with sleep apnea on PAP therapy volunteered to be questioned about their DME company during clinic visits at the Yale North Haven Sleep Center, Connecticut, starting November 2019. Patients were asked if they knew the name or the contact of their DME; whether they received adequate training on PAP therapy initiation; if they were receiving timely and correct PAP therapy supplies. They were asked to rate their satisfaction with the DME on a scale of 1 to 5; one being very dissatisfied and five being very satisfied. Results Only 12 out of 41 patients (29.3 percent) knew the names of their DME companies. The average satisfaction rating was 3 (neutral); 44% of patients were dissatisfied, or very dissatisfied with the performance of their DME. Detailed comments were mostly related to poor contact and communication with the DME. Conclusion Most apnea patients had difficulty identifying and contacting their DME. As the next step of this quality improvement project we plan to intervene to ensure that the patients have the name and contact information of their DME available and attached to their PAP machine equipment. We plan to repeat this questionnaire after this intervention to study the impact of this quality improvement project. Support None

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The KidzMed project: teaching children to swallow tablet medication

Archives of Disease in Childhood ◽

10.1136/archdischild-2019-317512 ◽

2019 ◽

Vol 105 (11) ◽

pp. 1105-1107 ◽

Cited By ~ 1

Author(s):

Yincent Tse ◽

Nicola Vasey ◽

Damneek Dua ◽

Susan Oliver ◽

Victoria Emmet ◽

...

Keyword(s):

Quality Improvement ◽

Young People ◽

Culture Change ◽

Quality Improvement Project ◽

Improvement Project ◽

Children And Young People ◽

Added Benefit ◽

Team Engagement ◽

Available Resources ◽

Lack Of Knowledge

Tablets are safer, more convenient and cheaper than liquid medications. Children and young people (CYP) often remain on liquids due to habit, reluctance to change or staff and parents’ lack of knowledge about switching to tablets. We describe a quality improvement project to train staff and embed a system of converting eligible children to tablet medication. A series of tests of change were made including training, making kit available, publicity and developing team protocols. In 3 months, 21 out of 25 eligible CYP were successfully converted with added benefit of saving £46 588 per year. Switching children to tablets is simple but requires whole team engagement, culture change of expectations and available resources.

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