The use of an IV to PO clinical intervention form to improve antibiotic administration

"This project focused on the appropriate conversion from intravenous (IV) to oral (PO) antibiotics. The purpose of the project was to determine whether antibiotic prescribing patterns improved following the implementation of an IV to PO conversion clinical intervention form."

The use of an IV to PO clinical intervention form to improve antibiotic administration in a community based hospital
C Thompson, M Zahradnik, A Brown, DG Fleming, M Law
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u200786.w2247

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How to improve prescription of inhaled salbutamol by providing standardised feedback on administration

"The effectiveness of inhaled salbutamol in routine care depends particularly on prescribed dosage and applied inhalation technique. To achieve maximum effectiveness and to prevent drug-related problems, prescription and administration need to work in concert."

How to improve prescription of inhaled salbutamol by providing standardised feedback on administration: a controlled intervention pilot study with follow-up
MP Neininger et al.
BMC Health Services Research 2015, 15:40  doi:10.1186/s12913-015-0702-x

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Patient-Reported Measures

"As health care organizations focus more on keeping people healthy and delivering value, incorporating patient-reported measures (PRMs) as part of their overall performance improvement measurement system will be crucial."

Patient-Reported Measures
L Savitz, K Luther
Healthcare Executive, 2015 Jan;30(1):74-77

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Undetermined impact of patient decision support interventions on healthcare costs and savings

"Although there is evidence to show that patients choose more conservative approaches when they become better informed, there is insufficient evidence, as yet, to be confident that the implementation of patient decision support interventions leads to system-wide savings."

Undetermined impact of patient decision support interventions on healthcare costs and savings: systematic review
T Walsh, PJ Barr, R Thompson, E Ozanne, C O’Neill, G Elwyn,

BMJ 2014;348:g188

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Improving safety through the establishment of a Hospital Alcohol Liaison Service

"The message to others is to ensure that in establishing a new service, this should be done with complete staff engagement in respect to understanding the direct effect of service change on creating a positive patients pathway with sustained positive clinical outcomes. The frontline workforce are key in delivering changes, therefore it is imperative that they are fully involved in the process."

Improving safety - through the establishment of a Hospital Alcohol Liaison Service (HALS), alongside the launch of a therapeutic Chlordiazepoxide prescribing Detoxification Regime
Tameside Hospital NHS Foundation Trust
NICE Shared learning example
January 2015

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Ensuring appropriate use of monitored dosage systems

"This initiative aims to reduce the inappropriate use of monitored dosage systems by ensuring they are only issued on a case-by-case basis to address specific practical problems of medicines adherence."

Ensuring appropriate use of monitored dosage systems: reducing unnecessary pharmacy workload: QIPP Case Study
Taunton & Somerset NHS Foundation Trust
NICE Quality and productivity collection
January 2015

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Leadership and organizational change for implementation

"The present study provides support for the development and deployment of active strategies to improve EBP [evidence based practice] implementation in health and allied healthcare organizations."

Leadership and organizational change for implementation (LOCI): a randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation
GA Aarons, MG Ehrhart, LR Farahnak, MS Hurlburt
Implementation Science 2015, 10:11  doi:10.1186/s13012-014-0192-y

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