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and improvement project
Innovation Exchange Projects by Type
Clinical Leadership Program
The value of investing in clinical leadership programs is recognised at a statewide, national and international level. Strategies for sustainable patient safety and system improvement are dependent on strong clinical leadership. A central premise of Clinical Excellence Commission's (CEC) Clinical Leadership Program (CLP) is that leadership occurs at all levels in health care and is not dependent on the position to which a person is appointed.
In this, the CLP supports clinical leaders in the workplace to develop outstanding leadership skills through the Foundational and Executive Clinical Leadership Programs.
The projects in this collection have all participated in the CEC's Clinical Leadership Program.
Preventative model of care at the Moruya dental clinic
This project explored how demand for dental services can be met and sustained over time, with a focus on preventative care.
Southern NSW Local Health District
Added: 15 February 2019|Last updated: 28 February 2019
REACH Out
REACH Out is an independent patient and family activated response system for small sites. The REACH response is provided by on off-site patient flow team via Telehealth.
Nyngan Multipurpose Service
Added: 15 November 2018|Last updated: 30 November 2018
Shared Clinical Review Across Four Rural Health Services
A project to implement a shared mortality and morbidity clinical review process across four small rural health services in northeast Victoria. The project includes development of standardised tools and the formation of a collaborative clinical review forum to help address the common risks experienced by patients in care at small rural health services in the region.
Albury Wodonga Health
Added: 26 September 2018|Last updated: 6 November 2018
What a Difference a Date Will Make
Various services in the local area were concerned about the increase in young adolescents presenting in crisis, with either potential self-harm or harm to others. Police and ambulance workers were often required to intervene, and emergency department beds used. This project aims to reduce the waitlist time for a multidisciplinary diagnostic assessment for older school age and adolescent children, by 25% by March 2018....
Nepean Blue Mountains Local Health District
Added: 26 September 2018|Last updated: 11 October 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
Improving the Patient Journey for Mothers having an Elective Caesarean
Nepean Hospital established an Obstetric Pre-anaesthetic Assessment Clinic for high-risk obstetric patients and those undergoing an elective caesarean section. Anaesthetists at the clinic assess the patient and explain anaesthetic procedures in a way that allows patients to give informed consent.
Nepean Hospital
Added: 11 July 2018|Last updated: 25 July 2018
Home-Based Subcutaneous Immunoglobulin Replacement Therapy
Liverpool Hospital is implementing a home-based subcutaneous immunoglobulin replacement therapy program for patients with impaired immune systems.
Liverpool Hospital
Added: 28 May 2018|Last updated: 21 June 2018
The Asthma Follow Up Integrated Care Initiative
Sydney Children’s Hospital Randwick developed an integrated model of care for children with non-complex asthma, including care coordination, communication with general practitioners, parent education and emergency department resources and processes.
Sydney Children's Hospital Network
Added: 28 May 2018|Last updated: 12 June 2018
Reducing the Time Frame to Complete the Electronic Donor Record
This project developed a number of tools and guides to help staff collect data and enter it into the electronic donor record more efficiently.
NSW Organ and Tissue Donation Service
Added: 8 May 2018|Last updated: 23 May 2018
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 May 2018
Multiagency Coordination of Prenatal Risk
Central Coast Local Health District established regular meetings with the NSW Department of Family and Community Services and all health services involved in the care of pregnant women, in cases where there were child protection concerns.
Central Coast Local Health District
Added: 2 May 2018|Last updated: 21 May 2018
Saved by the Phone: Enhancing the Pre-admission Process
Staff at Blue Mountains District ANZAC Memorial Hospital implemented a standardised phone screening tool with fasting instructions, to prepare patients for their surgical procedure.
Blue Mountains District ANZAC Memorial Hospital
Added: 2 May 2018|Last updated: 16 May 2018
Improving Provision of Skin-to-Skin Care in Preterm Neonates
John Hunter Children’s Hospital developed a step-by-step guide to encourage the delivery of Kangaroo Care to premature babies, and provided education to staff and parents on the topic.
John Hunter Children's Hospital
Added: 2 May 2018|Last updated: 16 May 2018
Improving Collaborative Discharge Care Planning for Stroke Patients
St George Hospital developed an Allied Health Discharge Care Plan, established an allied health care coordinator role and implemented new administration processes, to support the transition of stroke patients out of hospital and into the community.
St George Hospital
Added: 27 April 2018|Last updated: 14 May 2018
Making the Health of the Nation Outcome Scale Work For Us
This project added an additional multidisciplinary team meeting to the Older Persons Mental Health Team schedule each week and adjusted the meeting agenda, to allow more time for mental health care reviews.
Sutherland Hospital and Community Health Service
Added: 30 April 2018|Last updated: 14 May 2018
Microbiology Extension of Services
The Department of Microbiology at Royal Prince Alfred Hospital reconfigured its staff rosters, to better manage peaks and troughs in specimen processing. This optimised staff workflow and enhanced the delivery of services to the local health district.
Royal Prince Alfred Hospital
Added: 27 April 2018|Last updated: 11 May 2018
Improving Blood Glucose Level Control Before Surgery
Prince of Wales Hospital screened all patients booked for elective cardiac surgery, to diagnose diabetes and identify those requiring blood glucose level control before admission.
Prince of Wales Hospital
Added: 26 April 2018|Last updated: 10 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
Increasing Blood-Borne Virus Screening in the Community Setting
St George Drug and Alcohol Service established a clear process for blood-borne virus screening, by delivering training to staff and embedding the test into the initial assessment of new clients.
South Eastern Sydney Local Health District
Added: 15 February 2018|Last updated: 2 March 2018
Appropriate Distribution and Just Utilisation of Supplies Techniques (ADJUST)
Prince of Wales Hospital implemented a cost-saving strategy in the cardiothoracic intensive care unit, incorporating ordering and procurement practices, storage management and intra-hospital stock rotation.
Prince of Wales Hospital
Added: 15 February 2018|Last updated: 1 March 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
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: 29 January 2018
Multidisciplinary Assessment and Documentation in Community Palliative Care
Croydon Community Health Centre implemented a new model of care, including scheduled multidisciplinary team meetings, revised documentation and communication processes, as well as training for emergency department and generalist nursing staff.
Sydney Local Health District
Added: 28 November 2017|Last updated: 12 December 2017
Quit and Smile
SESLHD trained dental professionals to help clients quit smoking and implemented a number of solutions to increase accountability and knowledge in this area.
South Eastern Sydney Local Health District
Added: 27 October 2017|Last updated: 10 November 2017
Completing the Admission Checklist in Mental Health Rehabilitation Units
Sutherland Hospital Mental Health Rehabilitation Unit implemented new policies and processes for managing admissions, then educated staff on the changes.
Sutherland Hospital and Community Health Service
Added: 27 October 2017|Last updated: 10 November 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
Running Away Causes Delay
This project reduced the number of patients who absconded (ran away) from the Coffs Harbour Mental Health Inpatient Unit, by implementing an environmental review, courtyard supervision, flexible visiting hours, multidisciplinary team reviews, leave prescriptions and capital works.
Mid North Coast Local Health District
Added: 23 October 2017|Last updated: 6 November 2017
Confusing Directions: Finding the Right Pathway for People with Delirium
Hunter New England Mental Health implemented a new screening tool and staff education to ensure patients with delirium are provided with the right care pathway.
Hunter New England Local Health District
Added: 23 October 2017|Last updated: 6 November 2017
Youth Health Risk Assessments at Northern Sydney Sexual Health Service
Northern Sydney Local Health District
Added: 18 September 2017|Last updated: 2 October 2017
A Clear Case: Improving Court Reports in Sexual Assault Cases
Mid North Coast Local Health District (MNCLHD) centralised requests for expert witness certificates (EWCs) and developed a new review process in collaboration with staff and NSW Police.
Mid North Coast Local Health District
Added: 18 September 2017|Last updated: 2 October 2017
Planning for Gastronomy Success
St Vincent’s Hospital Sydney (SVHS) improved patient information, treatment procedures and staff education, to ensure the placement of gastronomy feeding tubes aligned with best practice and Agency for Clinical Innovation (ACI) guidelines.
St Vincent's Hospital
Added: 18 September 2017|Last updated: 2 October 2017
Implementation of the HOTV Vision Chart in the Northern NSW Local Health District Statewide Eyesight Preschooler Screening Program
This project delivered education and resources on HOTV vision charts to all staff in Northern NSW Local Health District (NNSWLHD) who deliver the Statewide Eyesight Preschooler Screening (StEPS) Program.
Northern NSW Local Health District
Added: 8 September 2017|Last updated: 25 September 2017
A Coordinated Local Approach to Disordered Eating Services
This project improved care delivered to people with eating disorders in Broken Hill and surrounding areas in FWLHD. It focused on increasing clinicians’ skill and confidence by providing education sessions, improving access to resources and increasing opportunities for professional networking.
Broken Hill Health Service
Added: 25 August 2017|Last updated: 8 September 2017
Increasing the Appropriateness of Dietetic Referrals
This project addressed barriers experienced by nursing staff when using the malnutrition screening tool, by introducing staff education, streamlined education pathways and a cheat sheet for nursing staff.
South East Regional Hospital
Added: 23 August 2017|Last updated: 6 September 2017
Identifying and Managing Iron Deficiency and Iron Deficiency Anaemia
MLHD identified an alternative option for iron replacement therapy and developed guidelines to deliver it in the community setting where clinically indicated, in collaboration with patients and carers.
Murrumbidgee Local Health District
Added: 16 August 2017|Last updated: 25 August 2017
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
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
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
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
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
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 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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