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PODCAST

Clinical Excellence Showcase

Clinical Excellence Queensland

At Clinical Excellence Queensland, we partner with health services, clinicians and consumers to drive measurable improvement in patient care through a continual pursuit of excellence. Our annual Showcase event brings together clinicians, consumers and managers from across Queensland Health to share their projects and programs that are creating change and delivering healthcare benefits to Queenslanders. This podcast is your opportunity to learn how others are making change happen from clinicians and

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All Episodes

37:13

Australia is the best place for clinicians to live...

Clinical Excellence Showcase ·

2023/06/27

As always, we’ll see out the Showcase with The Great Debate. Known to entertain more than inform, this year’s debate asks whether Australia is the best place for clinicians to live and work.Joining us this year is another stellar line up of some of Queensland’s best and brightest (and unusually, most are surgeons!) Affirmative team (yes, Australia is the best place to live and work): Dr Emilia Dauway, Director of Surgery at QEII Jubilee Hospital Dr Bernie Whitfield, Director of ENT at Logan

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13:43

Environmental Accountability in Healthcare | Metro...

Clinical Excellence Showcase ·

2023/06/27

Climate change is one of the most important challenges the world is facing currently. Climate change negatively impacts on health worldwide. To address climate change is our professional obligation. SWAPNET has established an Environmental Accountability Working Group with the aim to engage clinicians, HHSs and facilities to promote change and to develop comprehensive resources to support improvement and to lead the way to encourage other networks to also take up the challenge.

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12:53

Making home oral antibiotic administration safer:...

Clinical Excellence Showcase ·

2023/06/27

Traditionally long-term antibiotic therapy for significant infections has been given intravenously (IV). Current evidence now supports the utilisation of highly bioavailable oral antibiotic (HBOA) therapy substituting for most of the IV course. This includes quinolones, sulphonamides, tetracyclines, macrolides, azoles, lincosamides, rifamycins and oxazolidinones classes of antibiotics. HBOA therapy allows the patient to receive treatment in their own home, potentially return to work, removes the

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11:57

Antimicrobial Dosing in Obesity | Metro South HHS

Clinical Excellence Showcase ·

2023/06/27

Obesity places a significant burden on Australia’s healthcare system. Currently at The Princess Alexandra Hospital (PAH), local antimicrobial guidelines do not provide advice on dosing for obese patients. Instead, clinicians are directed to utilise standard dosing advice which has been developed and tested in non-obese patients, thus adopting a one-size-fits-all dosing mentality. The aim of this project was to determine the proportion of admitted patients at the Princess Alexandra Hospital receiving

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13:17

A collective call to action that has driven a...

Clinical Excellence Showcase ·

2023/06/27

Children’s Health Queensland Hospital and Health Services (CHQHHS) has empowered its workforce, young people, families and care partners to pursue innovative ways to minimise their environmental impact of our health care service. We have established an Environmental Stewardship Network, the ‘CHQ Green Team’, which has grown to over 200 active members who work together to meet the targets set out in the CHQHHS Environmental Sustainability Plan 2021-2024. CHQ Green Team initiatives have resulted in

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13:13

A Novel Cross-Sectorial Collaboration – Increasing...

Clinical Excellence Showcase ·

2023/06/27

Borderline Personality Disorder (BPD) is a complex and serious psychiatric condition with significant morbidity and mortality. It is often characterised by a severely and persistently impaired psychosocial functioning and a high risk for self-harm and suicide, resulting in the high consumption of healthcare resources. Access to evidence-based interventions for Borderline Personality Disorder (BPD) is still highly limited in the current Australian health service system. Specialist mental health

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11:24

Ready for Surgery Team (RfST) – Reimaging sustainable...

Clinical Excellence Showcase ·

2023/06/20

Healthcare services continue to face significant challenges to providing access to care and delivering care. Acceptance and utilisation of virtual options during the last three years has expanded as a result of the COVID pandemic. Conversely, waiting lists for surgical care have increased as a result of the pandemic. Leveraging these two competing factors, a multi-disciplinary team reimagined the surgical patient pathway to create efficiencies and improved access to care. Key stakeholder engagements

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13:08

NeoHOME: Innovation in care location for Queensland’s...

Clinical Excellence Showcase ·

2023/06/20

Where and how we care for preterm babies in South-East Queensland requires urgent review. Increased demand for service, improved survival rates, increased complexity of premature and sick newborns and a specialist nursing shortage has seen burgeoning pressure on large tertiary units, such as ours: The Grantley Stable Neonatal Unit (GSNU) at the Royal Brisbane and Women’s Hospital (RBWH). Emerging evidence indicates that early discharge of physiologically stable, pre-term neonates is safe and

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11:18

A quality improvement project to limit unnecessary...

Clinical Excellence Showcase ·

2023/06/20

Preoperative pathology is an important component of the assessment of patients prior to elective surgery. Ordering routine preoperative pathology is listed by bodies such as the Australian and New Zealand College of Anaesthetists (ANZCA) and Choosing Wisely Australia as one of the top five practices anaesthetists should avoid (Choosing Wisely Australia 2017). The aim of this project was to evaluate current local practice for preoperative pathology at the Pre-Anaesthetic Evaluation Unit (PAEU) at the

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11:53

Weight-based contrast in abdominal CT | Gold Coast HHS

Clinical Excellence Showcase ·

2023/06/20

Intravenous iodinated contrast is commonly and routinely used in abdominal imaging computed tomography (CT) to demonstrate patient’s anatomy and visualise and pathology. Historically, a fixed volume of contrast is used for abdominal CT. However, this fixed dose approach means small patients are typically overdosed, resulting in excessive enhancement of the abdominal organs. Conversely, larger patients are underdosed which results in scans that have less than ideal enhancement. The idea of a simple

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12:52

The Implementation and Evaluation of a Rheumatology...

Clinical Excellence Showcase ·

2023/06/20

The care of rheumatology patients can be complex, often requiring medications that need close monitoring and education to ensure best and safe outcomes. There is often minimal time within the busy clinical outpatient setting to holistically review the patient's needs. The rheumatology clinical nurse consultant telehealth service was introduced to achieve better patient outcomes and provide a comprehensive approach to the delivery of care to any individual anywhere. Ensuring that patients have a

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12:51

Showcasing SCHHS RAID template | Sunshine Coast HHS

Clinical Excellence Showcase ·

2023/06/20

The RAID template was initially developed as part of the QI project for our Sunshine Coast Hospital and Health Service (SCHHS) Infectious Disease (ID) team. Our aim was to develop “a user-friendly template to improve our ieMR documentation on the daily patient care record. In summary, by using the RAID template, overall documentation of invasive device, antibiotic indication and plan, assessment of DVT prophylaxis and ARP plan were universally improved from period 1 to 2. It is easy to use and

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14:53

Digital transformation in Mental Health Alcohol and...

Clinical Excellence Showcase ·

2023/06/20

Consumers with Borderline Personality Disorder (BPD) make up 10% of the admissions and are at high risk of dying by suicide. People with BPD are often trapped in a revolving door situation to the Emergency Department (ED) and are not getting the treatment they needed due to stigma and lack of resources. The Living Well Team is a multidisciplinary team that adopted virtual care technology combined with evidence based psychological therapies specific to BPD, it is the first of its kind in Queensland

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16:18

Enabling person-centred improvement: Our approach to...

Clinical Excellence Showcase ·

2023/06/20

We piloted/evaluated a coding framework that has simplified the coding process and enabled streamlined reporting of PREMs findings to consumers and staff (including an ability to compare trends over time). This framework has been implemented across four RBWH clinical service lines and has enabled a more structured and efficient solution to analysing qualitative PREMs data. Most importantly, it has created a solution to embed a person-centred lens in how health services interpret and analyse

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13:28

Care coordination and Post-Acute Surgical Services:...

Clinical Excellence Showcase ·

2023/06/20

The PASS model of care is an end-to-end service for complex surgical patients, that is adaptable and transferrable model of care, led by a Care Coordination Nurse (CCN) We have: Developed a nurse led model to support safe, structured discharges for each patient Scaled the CCN role across another surgical ward successfully Created an integrated care approach with our community GP’s The CCN role has: Reduced length of stay for several complex diagnostic related group’s (DRG) Released more to

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13:46

ICU of the Future – redesigning the ICU environment...

Clinical Excellence Showcase ·

2023/06/20

The vast majority of patients survive their ICU admission; however, the quality of survival is commonly suboptimal with a substantial proportion experiencing cognitive, physical, mental and/or psychological dysfunction and significant disability severely affecting the quality of life of the patient and their family. Emerging evidence suggests that the current bedspace environment contributes to these preventable adverse outcomes. The “ICU of the Future” project is a Queensland led, international,

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17:58

Detecting hearing loss during childhood: Exploring...

Clinical Excellence Showcase ·

2023/06/13

The Community Hearing Screening Program was initiated in 2017 with the vision to provide equitable and accessible post-natal hearing screening services and timely detection of hearing loss for all Queensland children. Preliminary findings of this pilot model demonstrate sustainable and low-cost care including: Detection rate of permanent hearing loss at 7.4/1000 children Childhood Community Hearing Clinics found 29 of these permanent hearing losses Department of Education clinics found 9 of these

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12:47

Logan WCDS/CHS Journey Facilitator Co Design Project...

Clinical Excellence Showcase ·

2023/06/13

For many families there is a disconnect between having a baby in hospital and accessing services afterwards, including the Child Health Service. Families often experience difficulty knowing who can help and health literacy is low. AEDC data shows that up to 20-30% of children from some suburbs in the Logan area are “not school ready” and are vulnerable on 2 or more of the 5 key domains of early childhood development- well above the national average of 11%. The Journey Facilitator is in a unique

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13:01

Enhancing emotional and psychological safety within...

Clinical Excellence Showcase ·

2023/06/13

Strategies that successfully mitigate the potential stress for children and families in the ED through the use of developmentally appropriate approaches are an essential element of holistic high-quality care. Child life therapy aims to combine the biomedical model of care with the developmentally tailored, individualised, play-based psychosocial model of care, to minimise the negative impact of potentially painful and anxiety-provoking healthcare procedures. The Child Life Therapist (CLT) role was

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14:57

MVAC to the future | Sunshine Coast HHS

Clinical Excellence Showcase ·

2023/06/13

Most commonly, women opting for surgical management of miscarriage require an inpatient procedure under general anaesthetic in the operating theatre (known as a suction curette). This requires several hospital visits and the women encounter several different clinicians during their stay. The majority of this experience is navigated without the comfort of a support person. MVAC is a procedure also used for the management of miscarriage, retained products of conception and termination of pregnancy. It

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