Intensive care discharges: improving the quality of clinical handover

"This project demonstrated how modifying system factors, such as a standardised template, could effectively modify individuals’ practices. Simple changes to the design of an intensive care discharge summary have been shown to greatly improve the quality of handover information, with the aim of improved continuity and quality of care."

Intensive care discharges: improving the quality of clinical handover through changes to discharge documentation
W Hall, P Keane, S Wang, F Debell, A Allana, P Karia
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u209711.w4036

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A multifaceted approach to prevention of delirium on intensive care

"Delirium is a frequent complication of critical illness with an increased risk of death which is difficult to treat effectively. We describe a seven year quality improvement programme that aimed to reduce rates of delirium on intensive care (ICU)."

A multifaceted approach to prevention of delirium on intensive care
J Hanison, D Conway
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u209656.w4000
 Programme

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Improving handover from intensive care to ward medical teams with simple changes to paperwork

"This quality improvement project serves to demonstrate that carefully targeted, simple changes to practice in identified critical areas can produce dramatic as well as legally and ethically required results in a very short space of time."

Improving handover from intensive care to ward medical teams with simple changes to paperwork
J Messing
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u206467.w2913

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Reducing hospital acquired pressure ulcers in intensive care

"The measures or changes to practice used to reduce hospital acquired pressure ulcers in the intensive care department achieved their goal and incidences of hospital acquired pressure ulcers decreased."

Reducing hospital acquired pressure ulcers in intensive care
E Cullen Gill
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u205599.w3015

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Medication Reconciliation Improvement Through the Use of Video

"During implementation of this project, it became immediately clear that despite the known safety benefits to proper medication reconciliation, these benefits were under appreciated by our front line providers."

Medication Reconciliation Improvement Through the Use of Video
M Dewan, B Kraus, D Davis, J McCloskey
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u207581.w3035

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Time to act: severe sepsis: rapid diagnosis and treatment saves lives

"Better care could lead to savings in 8 Time to act - Severe sepsis: rapid diagnosis and treatment saves lives terms of reduced length of hospital stay and less intensive care and renal dialysis."

Time to act: severe sepsis: rapid diagnosis and treatment saves lives
Parliamentary and Health Service Ombudsman
September 2013

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