Initiatives by Category

Clinical Guidelines

A Clinician’s Guide: Caring for people with gastrostomy tubes and devices

Aim: The Guidelines are a practical resource for clinicians to assist them in providing standardised care for children and adults who have a gastrostomy tube or device.

Benefits: The Guidelines provide a practical, evidence-based approach to the care of patients with gastrostomy tubes and devices in NSW.

ACI Ready to Implement Added: 8 November 2013|Last updated: 13 July 2015

Diet Specifications for Adult Inpatients

Aim: To provide detailed specifications for a range of therapeutic diets for adults in NSW public hospitals.

Benefits: The specifications provide an evidence-based guide on food and nutrition for adult inpatients in hospital.

ACI Ready to Implement Added: 4 November 2013|Last updated: 13 April 2015

ACI Guidelines for Home Enteral Nutrition (HEN) Services (2nd edition)

Aim: To provide a generic best-practice framework for the care of people needing HEN.

Benefits: The ACI Guidelines for HEN services promote a coordinated, multidisciplinary and patient-centred approach for people requiring HEN.

ACI Ready to Implement Added: 6 November 2013|Last updated: 13 April 2015

Pleural Drains in Adults - Consensus Guidelines

Aim: Improve the standard of clinical practice in the insertion, management, trouble shooting and removal of pleural drains in adults within NSW hospitals.

Benefits: Improve patient experience and outcomes. Increase awareness of ‘good’ practice in relation to pleural drains. Support managers and clinicians to implement processes that will reduce the risks associated with pleural drains.

ACI Ready to Implement Added: 8 November 2013|Last updated: 15 January 2016

Non-Invasive Ventilation (NIV) Guidelines for Adult Patients with Acute Respiratory Failure

Aim: Provide clinicians in critical care areas and specialist respiratory care units with best practice guidance regarding the provision of NIV for appropriately selected patients detailing clinical assessment, NIV therapy management and patient care. Ensure safe and effective NIV is provided to patients and they are managed in the appropriate clinical settings in NSW hospitals.

Benefits: Improve patient experience and outcomes Reduced need for invasive ventilation, prolonged mechanical ventilation and tracheostomy Reduce length of stay

ACI Pre-implementation Added: 8 November 2013|Last updated: 26 June 2015

Emergency Surgery Redesign

Aim: To provide a reference tool for Local Health Districts when initiating the redesign of emergency surgery practices.

Benefits: There are multiple benefits, including:Improved patient outcomesEnhanced patient and surgical team satisfactionIncreased trainee supervision in emergency surgeryHigher rates of emergency operating-theatre utilisationReduced patient cancellationsReduction in after-hours costs.

ACI Ready to Implement Added: 5 November 2013|Last updated: 30 May 2014

Chronic Pain and Spinal Cord Injury Project

Aim: The aim of this initiative was to provide web-based resources for consumers who live with spinal cord injury and chronic pain in addition to a clinical navigation tool to assist clinicians to develop a pain management plan for SCI-related pain for their patients. The project also resulted in the development of a service model providing assessment and management of people with SCI and chronic pain which incorporates use of telehealth technology.

Benefits: The project has developed extensive resources and a service model that are now accessible to consumers and clinicians.

ACI Ready to Implement Added: 12 February 2015|Last updated: 12 February 2015

Pre Procedure Preparation / Perioperative Toolkit

Aim: To review the NSW Health Guideline: Pre-Procedure Preparation Toolkit.

Benefits: To review the existing toolkit to ensure it supports best practice for pre procedure care for patients undergoing surgery or a procedure.The existing toolkit was developed in 2007 by a working group of the Surgical Services Taskforce. The Anaesthesia Perioperative Care Network, in collaboration with the Surgical Services Taskforce, is currently reviewing the document. As part of the review process, work has also being undertaken to include information specific to Aboriginal/Torres Strait Islander people in the toolkit.

ACI Pre-implementation Added: 11 November 2013|Last updated: 11 August 2015

Care of Confused Hospitalised Persons (CHOPs) program

Aim: Provide simple strategies to improve the care outcomes of older patients with confusion in NSW hospitals, through:increased staff knowledge and skills to identify, treat and care for older people presenting to their hospitals with confusioninvolvement of carers and families.Achievements, innovation and knowledge will be shared and systems embedded into practice to sustain and spread improvements in care.

Benefits: Increased screening, improved risk assessment and more appropriate treatment and management of confusion.Increased awareness, knowledge and skills of staff to better care for older patients with dementia/delirium.Minimisation of harm during care and safer and more supportive hospital environments.Improved patient outcomes, including:prevention of functional declinereduced morbidity and adverse eventsreduced length of stayreduced readmissionsreduced rate of admission to a residential aged care facility upon discharge.Greater accuracy of coding for delirium DRGs.Reduced per capita cost.

ACI Ready to Implement Added: 13 August 2015|Last updated: 14 August 2015

Care of Adult Patients in Acute Care Facilities with a Tracheostomy

Aim: To improve the safety and quality of care provided to adult patients with a tracheostomy in NSW hospitals.

Benefits: Reduce number of, and severity of adverse events in adults with tracheostomy Improve patient experience and outcomes Improve staff experience in caring for patients with a tracheostomy Reduce length of stay

ACI Ready to Implement Added: 28 October 2013|Last updated: 26 June 2015

Paediatric Clinical Practice Guidelines Audit Project

Aim: To assess compliance with the guidelines and assist local health districts to further improve the care of children in emergency departments.

Benefits: Empower generalist NSW hospitals, which see the majority of children presenting to an emergency department, with tools and resources to deliver the highest quality care, regardless of location.

CEC Future Initiative Added: 6 November 2013|Last updated: 9 April 2015

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