1,640 Works

Reducing the Waiting List for New Referrals to the ENT Outpatient Department

Jana Crowley
Lengthy outpatient waiting lists are a global healthcare concern affecting most hospital specialities, including in Ireland. The result is a delay in treatment and suboptimal outcomes for newly referred patients. Simultaneously, patients requiring long-term follow-up care exist amid this overburdened system. Data collection showed that in December 2017, 3,944 patients were waiting for a first time appointment within the ENT service of a large urban teaching hospital in Dublin. Of these, 766 were waiting to...

Increasing Compliance with the National Sepsis Management Guideline through Sepsis Screening Form Utilisation

Orla Brett
Sepsis continues to be a major burden on the healthcare service at both a national and international level, affecting millions of people annually. Sepsis is a medical emergency and if not recognised and treated promptly, can be fatal. In an aim to tackle this burden, the National Sepsis Management Committee introduced the sepsis screening form to Irish hospitals in 2016. Using the DMAIC (define, measure, analyse, improve, control) framework for quality improvement (QI), this QI...

Improving the Care Pathway for Patients with Idiopathic Pulmonary Fibrosis

Maeve Cahill
Idiopathic Pulmonary Fibrosis (IPF) is a progressive life-limiting interstitial lung disease. The median survival from diagnosis is just three years and the clinical course of the disease is highly variable. Due to the short course of this condition, early diagnosis and intervention is vital to improve patient outcomes and quality of care. Management of IPF is multi-factorial and requires the introduction of a standardised IPF care pathway and service to improve patient care. Increasing all...

Enhancing Operating Theatre Efficiency of Private Hospital in Kuwait; Business Management Approach

Ali Al-Saffar
Enhancing operating theatre efficiency in a dedicated for high standard clinical care before profitability private hospital was observed as an urgent issue after reviewing the financial reports which reflected amplified revenue nevertheless decreased profit. Reviewing literature supported categorising the problems into four domains and accordingly our prompt efforts were targeting four domains; the first domain is scheduling triggered by complaints of surgeons reporting conflicting schedules, blocked theatres, cancelled or postponed cases. Supply management, the second...

Implementation of Safe Surgery Saves Lives initiative in Ahmed-Gasim’s Cardiac Center

Ahmed Abdallah
Aim: This paper reports on the implementation of a Safe Surgery Saves Lives, in Ahmed-Gasim‟s Cardiac Center in 2011 using a change management framework. Background: Medical errors and incidence of traumatic injuries in surgical care services were recognized as a proportion of the total global burden of disease. Surgical care and procedures can potentially affect the lives of millions of people worldwide. Studies done by WHO found that wrong person, wrong procedure, and wrong site...

Improving the Assessment and Triage of Patients with Mental Illness attending the Emergency Department

Jacqueline De Lacy
Since the amalgamation of mental institutions with acute hospitals there has been an increase in presentations of patients with mental illness to the Emergency Department. The first point of contact for the patient attending the Emergency Department is typically triage. It is the point where emergency care begins with the nurse assessing the patient and assigning a triage category that best suits the patient’s clinical need. Traditionally triage had its origins in assessing patients presenting...

Improving hand hygiene compliance among dental health workers in 3 dental clinics in Khartoum State

Abstract Health care associated infections affect hundreds of millions of people around the world and it is a major global issue for patient safety. Moreover, the most common way that micro-organisms (germs), particularly bacteria, are spread and cause infection is by being carried on people‘s hands. Hand hygiene is the most important measure to avoid the spread of harmful germs and to prevent ill health. Regular and thorough hand hygiene is always important...

The Implementation of a New Information System for the Finance Department in a Private Hospital

Joss D. Watson
This change management project focused on the implementation of a new electronic information system for the Finance Department. This was carried out primarily to achieve a greater level of accurate, concise and complete billing information for the Finance staff. It was a move away from a system that was reliant on paper and folders to store information. For this project, I utilised Kotter’s (1996) 8 Steps model of change to help me to initiate the...

A Change Project to Improve Dental Services Provision to Preschool Children in Primary Care

Maryam Al Araimi
Dental decay is a troublesome disease that could significantly impact on children’s oral and general health. Early prevention is crucial and despite the public preventive strategies inIrelandthe decay rate in preschool children remains significantly high. The Health Service Executive provides a range of routine dental services to children in priority groups through the School Programme of the Public Dental Service. Preschool children are not routinely covered by this programme and their receipt of dental care...

Improving Orthopaedic Assessment in a Physiotherapy Department

Sara Farooq Abdulkarim
The writer’s physiotherapy department has 36 therapists who graduated from 12 different national and international universities. This has caused diversity in assessment and documentation procedures. A literature review showed that professional and standardised documentation is vital for the creation of patient care plans, enhances communication, and is a legal requirement. In addition, the generated data can be used for research purposes. Moreover, research has shown that the use of forms is associated with significantly higher...

Introducing Process-Oriented Guided Inquiry Learning to Foundation Year Medical Students

A new team-based teaching approach known as the Process-Oriented Guided Inquiry Learning (POGIL) has been introduced into an organic chemistry course taught for first Year medical students. This is an innovative teaching style whereby students are transformed from being passive into active learners aiding to improve their both content related and higher-order process skills, including critical thinking, reflection, teamwork, etc. The implementation of POGIL as a change project was done using the HSE change model...

A systemic review and meta-analysis on the impact of perioperative antiplatelets and anticoagulants on the clinical course of chronic subdural hematoma

Ashraf Elmahdi
Background: Chronic subdural hematoma is one of the most common conditions related to neurosurgical practice in the elderly. Reports about recurrence of patients on antiplatelets and/or anticoagulants are highly contradictory. Little current data exists regarding the outcome of chronic subdural hematoma patients on peri-operative medication related coagulopathy. We aimed to review the literature for studies about these drugs and outcome in chronic subdural hematoma patients. Objectives: to perform a systematic review and meta-analysis of studies...

Implementing Peer Observation of Teaching. A Formative Staff Develpment Initiative

Anne Weadick
For higher education institutions in Ireland, the call for improved efficiency and accountability to stakeholders in all areas of activity has never been more prominent than today. Reform initiatives are taking place across the sector and a key focus of this reformation is the quality assurance and quality enhancement of teaching activity, and the professional development of teaching staff. Peer observation of teaching is widely accepted as a mode of enhancing teaching practice and as...

Offloading for the Treatment of the Diabetic Foot - A Systematic Review

Ana Lucia M. De Oliveira
Abstract Aim: To compare the strengths and limitations of different offloading devices in the treatment of diabetic foot ulcers. Method: Systematic review. Background: Diabetes is a chronic disease where neuropathy and peripheral vascular disease, associated with foot deformity, trauma and high plantar pressures contribute to the development of foot ulceration. For those with existing ulcers, if the foot is subject to continuous high pressures, tissue damage persists and healing will be impaired. Therefore, the use...

Implementation of a Pressure Ulcer Prevention Protocol in a Coronary Care Unit

Samir Eshdooh
Healthcare clinicians perceive care standardization as a requirement. Hospital Acquired Pressure Ulcers (HAPU) is a leading cause of preventable harm. It is associated with a significant increase in treatment cost, length of stay, and poor patients’ satisfaction. This project applies the principle of care processes standardization via developing and implementing evidence based Pressure Ulcer Prevention Protocol (PUPP). A comprehensive process starts on admission and continues throughout the course of hospitalization in the Coronary Care Unit...

Redesigning a speech and language therapy service in a school for emotional, behavioural disorders: perspectives of service users

Marie Fahy
This project takes a whole systems view of the challenges and opportunities for individuals working towards integration for children with speech, language and communication needs. The context involves collaboration across mental health and special education, to improve vocabulary outcomes for children attending a school for emotional, behavioural disorders. The facilitator of this project (student) viewed collaboration from a multilayered perspective, incorporating children, parents, school staff, operational and strategic levels of collaboration. Policy and the literature...

Rationalisation of Legionella Urinary Antigen Testing.

Breda Lynch
Introduction: Legionnaires’ is a severe pneumonia, the diagnosis of which can be confirmed by a positive Legionella Urinary Antigen (LUA) test. The British Thoracic Society has specific guidelines for its use. Incorrect LUA test requests can result in false-positive results while accumulating costs. Aims and Objectives: The aim is the rationalisation of LUA testing. The first objective is to educate clinicians on indications for testing reducing unnecessary orders. The second is to develop a laboratory...

Introducing and Populating Risk Registers in Four Clinical Units in a Teaching Hospital – A Quality and Safety Initiative.

Siobhan Milliken
Robust risk management is critical in reducing preventable errors or adverse events in healthcare. Risk register compilation is one component in the risk management process and allows for risks to be identified that pose a threat to an organisation meeting its objectives. The change project involved the introduction and population of risk registers in four clinical units in a teaching hospital. This led to further compliance with national healthcare policy on risk register implementation throughout...

Implementing an Integrated Care Pathway For General Foot Screening

Vivek Bhaskaran
It is evident from the literature that foot problems can lead to discomfort, pain, ulceration and increased risk of falling in older people. Good and timely foot care can help individuals remain independent, active and mobile and, more importantly, prevent footwear related falls in older people. According to Age Action Ireland, the population of Ireland is ageing rapidly and the number of people aged 65 and over will rise from 532,000 in 2011 to almost...

Implementing an Integrated Care Pathway For General Foot Screening

Vivek Bhaskaran
It is evident from the literature that foot problems can lead to discomfort, pain, ulceration and increased risk of falling in older people. Good and timely foot care can help individuals remain independent, active and mobile and, more importantly, prevent footwear related falls in older people. According to Age Action Ireland, the population of Ireland is ageing rapidly and the number of people aged 65 and over will rise from 532,000 in 2011 to almost...

The Introduction of Clinical Microsystems into an Emergency Department.

Charlotte O'Dwyer
The provision of high quality care is the responsibility of all healthcare staff, but in today’s climate of ever decreasing budgets and resources it is even more important. The Emergency Medicine programme (EMP) has been charged by the Health Service Executive (HSE) to revolutionise the way emergency departments (ED) provide care in an effort to reduce the patient experience times in the ED. The overarching aim of the EMP is the provision of safe quality...

Assessment Of The Association Between Fear Of Falling And Dual-Task Performance In People With Parkinson’s Disease: A Cross-Sectional, Observational Study

Eimear M. O'Connell
People with Parkinson’s Disease (PwP) report greater levels of fear of falling (FOF) and demonstrate poorer ability to complete two tasks at once (i.e. dual-tasking) than healthy age-matched controls. Aims and Objectives: Aim: to assess the association between FOF and dual-task performance in communitydwelling PwP. Objectives: a) to assess the level of FOF in PwP in Ireland, b) to investigate the association between FOF and both motor and cognitive dual-task performance. Methods: Thirty-one PwP (54.8%...

Commissioning a Short Stay Observation Unit (SSOU) in a children’s facility within a Dublin Academic Teaching Hospital.

Eoin Power
This change project involves the commissioning of a Short Stay Observation Unit (SSOU) within a DATH’s Hospital. SSOU’sdeliver intensive short-term assessment, observation or therapy to selected ED patients to optimize early treatment and discharge. Observation medicine in dedicated units is a feature of many adult Emergency Departments (ED) but this has not been reflected in children’s ED’s in Ireland. The current literature supports the development of SSOU’s, indeed it is very much in line with...

An Investigation Of The Factors Associated With Community Ambulation In Chronic Stroke

Sarah Durcan
Loss of independent community ambulation is one of the most disabling consequences of stroke. While the relationship between gait speed and community ambulation has been well established, other underlying factors that may influence return to independent community ambulation post stroke are not clearly understood. Aims and Objectives: The aim of this research was to investigate the factors associated with community ambulation in patients between one and three years post stroke. More specifically, it examined the...

An Investigation Of The Factors Associated With Community Ambulation In Chronic Stroke

Sarah Durcan
Loss of independent community ambulation is one of the most disabling consequences of stroke. While the relationship between gait speed and community ambulation has been well established, other underlying factors that may influence return to independent community ambulation post stroke are not clearly understood. Aims and Objectives: The aim of this research was to investigate the factors associated with community ambulation in patients between one and three years post stroke. More specifically, it examined the...

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