S24: Scaling safer community care through innovation


Friday 15 August 2025 | 15:20-15:45 


Format: Presentation


Stream: Population


Part 3: Sustainability and Effectiveness of the Introduction of Tunnelled Haemodialysis Catheter Management in the Community – the Singapore experience


This session, presented by Singapore’s National Improvement Unit (NIU), highlights how integrating improvement and implementation science enables the scale and spread of large-scale healthcare initiatives. Focusing on a national project addressing Tunnelled Haemodialysis Catheter (THC) complications, we showcase how this hybrid approach reduced hospital admissions, saved SGD 560,000, and enhanced patient outcomes through community-based care.Participants will learn the frameworks and strategies used to scale sustainable change, with a focus on aligning iterative testing (PDSA cycles) with implementation science principles such as acceptability, adoption, and sustainability.This session will provide actionable insights into driving systemic, patient-centred healthcare improvements. It will be especially valuable for leaders and change-makers looking to navigate challenges of scaling innovation while maintaining safety, quality, and cost-effectiveness.


Shiva Shangari Manoharan National Improvement Unit; Singapore