Thursday 7 November | 10:35-12:05

Session format: Presentation

Stream: Safety

Part 1: The development and implementation of a statewide patient escalation process, ‘Ryan’s rule

Queensland Health Patient Safety and Quality, Clinical Excellence Queensland, Hospital and Health Service clinicians and consumer representatives collaborated to develop and implement a statewide patient escalation process used across 177 facilities in Queensland.

Over the last 10 years (01.01.2013 -31.12.2023) this service has been called 11,676 times.

This presentation will provide an overview of the design and implementation process, and outline the results and lessons learned over the last 10 years. Patient escalation processes can add an additional safety-net to the use of early warning and response system tools in busy, complex health systems.

Shaune Gifford Queensland Department of Health; Australia

Part 2: Using workload capacity indicators to evaluate patient deterioration early warning tools

Many hospitals around the world are using, or seeking to use, rule- and AI- based early warning (EWTs) to recognise clinical deterioration. Traditionally, these tools are compared with tables of data containing sensitivity and precision at different alert thresholds.

However, there is now evidence to suggest that clinician workloads incurred by deterioration alerts are a key factor in determining their effectiveness.

In this session, we use the largest Electronic Medical Record (EMR) patient dataset in Australia, spanning 11 hospitals, to demonstrate a new approach for selecting the best EWT, AI or rule-based, and the most suitable alert thresholds for your hospital, taking into consideration workload capacity.

Anton van der Vegt The University of Queensland; Australia

 

Part 3: Strategies to reduce extubation failure in neonatal ICU: a quality improvement approach

Extubation failure is a common problem in the Neonatal Intensive Care Units (NICUs). Repeated reintubations significantly increase the risk of mortality, intraventricular hemorrhage (IVH), Bronchopulmonary Dysplasia (BPD) and retinopathy of prematurity (ROP). While medical causes of extubation failure are well-known, systems-related factors have not received enough attention, especially in the low and middle income countries (LMIC).

In this session, we shall share our experience of the challenges encountered in a resource-constrained setting, while successfully using a quality improvement (QI) approach to reduce extubation failures in the NICU. 

Triptee Agrawal Post Graduate Institute of Medical Education and Research, India