Table 2

Improvement project titles with summary of changes and results

Project titleSummary of changes and results
April 2016, year 5 students in three teams End of project data
1. Improving the management and satisfaction of medical and surgical boarded patients in the ear nose and throat wards (three students)Patient experience and satisfaction survey and interviews were used to design and test a patient information card. Ward staff committed to ensure they are giving out these information cards to all boarders.
2. Using patient engagement to improve thromboembolism-deterrent (TED) stocking compliance in the acute surgical receiving unit (two students)Designed and tested a data collection tool and education sheet for patients with TED stockings. Use of TED stockings at 48–72 hours postsurgery improved from 60% to 70%.
3. Venous thromboembolism prophylaxis and patient understanding in a medical ward (three students)Designed and tested a patient information leaflet; introduced reminders at daily patient safety briefs. Patients receiving information improved from 30% to 50%.
May 2016, year 2 or 3 students in three teams Changes after 6 months
1. Improving compliance with the sign in section of the WHO surgical checklist (three students)Designed and tested posters in the anaesthetic room, a ‘bundle’ of all relevant documents and sticker reminders about the WHO checklist. Compliance with sign in improved from 30% to 80%. Changes maintained by theatre team.
2. Improving the monitoring of endotracheal and laryngeal cuff pressures (two students)Introduced manometers into the West Block theatres, initiated a staff training programme and designed a reminder and information sheet for display in each theatre. Median compliance with pressure monitoring increased from 33% to 90%. Changes maintained by West Theatre team.
3. Improving the emergency theatre safety brief (three students)Designed and tested a structured prompt to improve reliability with 10 items in the preoperative safety brief (SAFEST-TEAM). Median occurrence of safety briefs increased from 50% to 100% and material covered increased from 36% to 58%. Structured prompt maintained by emergency theatre team.
  • SAFEST-TEAM, Surgical summary; Anaesthetic summary; Fluids/fasting; Exposure/patient position; Sugars/diabetic control; Transfusion requirement/estimated blood loss; Thromboprophylaxis; Equipment check; Allergies; Microbiology—antibiotics required?