Areas of improvement activity during the project divided by primary driver and additional structural interventions
| Year | Structural | Preadmission | Inpatient | Discharge |
|---|---|---|---|---|
| 2009 | Enhanced IFU consultant physician presence | |||
| Consultant physician attended Clinical Quality Academy | ||||
| QIDIS application | ||||
| 2010 | Initial process mapping | |||
| Patient focus group | ||||
| 2011 | Dedicated IFU radiology review meeting | |||
| Early psychology input in high risk patients | Optimisation of psychological condition | |||
| Patient experience questionnaire | ||||
| Pathway developed for rapid management of patients with terminal malignancy | Regular meetings with home-care companies | |||
| IF patient e-portal system | ||||
| 2011 | QIDIS project manager appointed | |||
| TPN waste reduction review | ||||
| Weekly nurse-led ward round | ||||
| Efficient morning MDT briefing | ||||
| Ward round interruptions minimised | ||||
| Patient diary introduced | ||||
| Cessation of inpatient HPN training | ||||
| Process mapping | Patient management needs identified through liaison with referring hospital | |||
| Follow of patient journey | Inpatient pathway for patients with or without abdominal sepsis developed | |||
| 2012 | Preadmission checklist | Discharge checklist | ||
| Investigation coordinator identified | ||||
| Move to new ward | Enhanced theatre access for CVCs | |||
| MDT meeting streamlined | Tracking of HPN funding requests | |||
| 2012 | Clinic reminders | |||
| IFU website | Bi-weekly senior waiting list review | |||
| Clinical Quality Academy team | ||||
| Process mapping | 10-Day CVC salvage protocol | |||
| Referral processes updated: new referral form | ||||
| 2013 | Admission coordinator | Discharge coordinator | ||
| Liaison nurse for patients on outlying wards | ||||
| External national peer-review |
CVC, central venous catheter; HPN, home parenteral nutrition; IF, intestinal failure; IFU, intestinal failure unit; MDT, multidisciplinary team; QIDIS, Quality Improvement, Development and Initiative Scheme; TPN, total parenteral nutrition.