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Emergency Care

Lower Hunter Sector Hospital in the Home Clinical Redesign

This project is making meaningful change to the Hospital in the Home (HITH) service in the Lower Hunter Sector to improve service delivery and increase overall staff satisfaction.
The Maitland Hospital
Added: 26 October 2022|Last updated: 24 November 2022

Kids – who cares? Navigating paediatric admission from emergency

This project aims to reduce the time children spend in Gosford Hospital emergency department once the decision to admit to the paediatric inpatient unit is made.
Gosford Hospital
Added: 4 November 2022|Last updated: 24 November 2022

Look, Listen, Feel: Reducing Seclusion and Restraint

Seclusion and restraint are increasingly common interventions used within emergency departments. Reducing the use of these practices is vital to improving the quality of mental health care patients and their families receive when presenting to emergency departments, as well as for the longevity and wellbeing of clinical staff.
Southern NSW Local Health District
Added: 11 April 2022|Last updated: 28 April 2022

VIP Project: Reducing Re-presentations and Readmissions to Hospital for Very Intensive Patients

The VIP project developed a strategy to identify Very Intensive Patients (VIPs) who are at high risk of re-presenting to hospital and implemented methods to address their medical and psycho-social needs. This new model of care has reduced the need for hospital-based care by using interagency partners in the primary care sector to provide support for VIPs in the community.
Hunter New England Local Health District
Added: 18 December 2015|Last updated: 8 November 2021

Southcare Outreach Service (SOS)

The Southcare Outreach Service is a new model of care that delivers a rapid response, multidisciplinary team to clients aged over 65 years in their home to prevent presentations to the emergency department.
South Eastern Sydney Local Health District
Added: 19 February 2016|Last updated: 28 October 2021

Stay'n Deadly & Stay'n In: Reducing Incomplete Treatment

Stay'n Deadly & Stay'n In is providing Aboriginal patients with quick and timely access to treatment whilst allowing them to engage in further treatment that is convenient for them, if they are required to leave. It is important that they feel well supported in the emergency department by the Aboriginal health unit and have a positive experience when engaged with all staff....
St Vincent's Health Network
Added: 5 November 2020|Last updated: 27 May 2021

Less time in ED: zero tolerance for patients with emergency department stays of more than 24 hours

St Vincent’s Hospital Sydney is working to improve patient and staff safety, and the overall experience in the emergency department. The focus is on eliminating extended lengths of stay in the ED.
St Vincent's Hospital
Added: 26 August 2019|Last updated: 27 May 2021

The Sexual Assault Crisis Response Project

The Violence, Abuse and Neglect Service developed integrated and cost-effective solutions to support clients who present to the emergency department at Wollongong Hospital following a sexual assault.
Illawarra Shoalhaven Local Health District
Added: 15 August 2017|Last updated: 19 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.
Belmont Hospital
Added: 19 May 2017|Last updated: 19 May 2021

Improving the Critical Care Advisory Service

Western NSW Local Health District enhanced its Critical Care Advisory Service by conducting an audit, delivering staff education, streamlining clinical pathways and improving the patient experience.
Western NSW Local Health District
Added: 6 June 2018|Last updated: 14 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 provide a more streamlined and comprehensive after care service in order to prevent re-presentations to the ED.
Lismore Base Hospital
Added: 22 April 2020|Last updated: 14 May 2021

Beating 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 the resources and training available to emergency department staff and developing a discreet domestic violence information resource for clients.
Lismore Base Hospital
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.
Shoalhaven HospitalNSW Pathology
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, clinical pathway and screening tool for paramedics, as well as education materials for consumers and general practitioners.
NSW Ambulance
Added: 2 May 2018|Last updated: 22 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.
St George Hospital
Added: 16 September 2019|Last updated: 20 April 2021

Mental Health 4 Uplift

A project which aims to improve access to care for mental health patients by reducing their length of stay in the emergency department (ED) and reducing barriers to discharge from the Caritas, the mental health unit (MHU) in St. Vincent’s Hospital.
St Vincents Mental Health Service, St Vincents Hospital, Sydney
Added: 15 December 2020|Last updated: 15 April 2021

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 limited in hospitals and isolation can adversely impact on patients. This project studied the effect of a rapid CPE test on reducing the time that patients are unnecessarily placed in isolation pending screening results....
Royal Prince Alfred Hospital
Added: 18 August 2020|Last updated: 3 September 2020

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.
Sutherland Hospital and Community Health Service
Added: 10 September 2019|Last updated: 25 September 2019

Healthy ED Healthy Hospital

The Healthy ED Healthy Hospital project aimed to improve safe and timely emergency care within an agreed timeframe in a bid to improve patient safety and outcomes.
The Maitland Hospital
Added: 26 August 2019|Last updated: 29 August 2019

EvE - Emergency vs Emergency (Surgery)

Westmead Hospital Division of Surgery and Anaesthetics is implementing a number of solutions to improve the surgical journey for Category 5 and 6 emergency patients. The project includes the development of pathways for patients to enable a more structured approach to the booking and completion of emergency surgery, including possible hospital admission avoidance for suitable patients. Business rules to ensure equity and clinical coordination and assessment....
Westmead Hospital
Added: 7 May 2019|Last updated: 9 May 2019

Increasing Access and Efficiency of the Medical Imaging Department’s Service for Emergency Patients

This project improves the median turnaround time for emergency department patients receiving scans at Royal North Shore Hospital.
Royal North Shore Hospital
Added: 24 April 2019|Last updated: 9 May 2019

Environmental Cleaning of Ambulances

To reduce the risk of healthcare associated infections in NSW Ambulance. This will provide safer care for patients and improve the working environment for paramedics.
NSW Ambulance
Added: 7 December 2018|Last updated: 13 December 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 a concise clinical history is included on every emergency x-ray referral at the Cowra Health Service. This will enable accurate imaging and diagnostic reporting and lead to the best possible outcome for patients....
Western NSW Local Health District
Added: 17 September 2018|Last updated: 1 October 2018

Flow of Emergency Theatre Cases at Hornsby

This project will improve the safety and efficiency of the emergency surgical patient journey.
Hornsby Ku-ring-gai Hospital
Added: 17 September 2018|Last updated: 1 October 2018

Innovative Service Delivery Model

Western Sydney Local Health Districtestablished a Mental Health Acute Assessment Team at Cumberland Hospital. The service responds to relevant Triple Zero calls via a dispatch system, using dedicated paramedics and mental health clinical nurse consultants.
Western Sydney Local Health District
Added: 28 May 2018|Last updated: 22 June 2018

On Time, Every Time for People with Parkinson’s

To ensure 75 per cent of PD patients at Coffs Clinical Network are identified within four hours of admission, receive medications on time and have a carer who is satisfied with the patient’s medication management.
Mid North Coast Local Health District
Added: 9 May 2018|Last updated: 28 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 the state following evaluation of the pilot program.
Royal North Shore Hospital
Added: 23 April 2018|Last updated: 8 May 2018

Reviewing Ambulance Dispatcher Administrative Responsibilities

This project is looking at opportunities to streamline and integrate the administrative duties of ambulance dispatchers, to increase the amount of time they have available to deliver care to people in the community.
NSW Ambulance
Added: 29 March 2018|Last updated: 3 May 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 is an affordable and easy way to dramatically improve the outcomes of patients presenting to the ED with delirium.
Added: 14 February 2018|Last updated: 1 March 2018

Transit Lounge Remodel

Royal North Shore Hospital designed and implemented an efficient, patient-centred model of care in the transit lounge, which improved patient flow and satisfaction.
Royal North Shore Hospital
Added: 28 November 2017|Last updated: 15 December 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 department.
St George Hospital
Added: 27 October 2017|Last updated: 10 November 2017

Police Ambulance Early Access to Mental Health Assessment via Telehealth

HNELHD provided iPads to police and ambulance staff, so they can access mental health triage and support for consumers at the scene of the emergency.
Hunter New England Local Health District
Added: 15 August 2017|Last updated: 25 August 2017

Nambucca Valley Specialist Wound Intervention Service

This project improved access to community wound clinics, so patients who have or are at risk of wounds can consistently receive best practice care in a timely manner.
Mid North Coast Local Health District
Added: 18 August 2017|Last updated: 25 August 2017

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