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Abstract PD-041: IMPROVING PATIENT CARE THROUGH RESEARCH AND APPRECIATING CLINICAL EXCELLENCE (IMPACT-ACE) – AN INNOVATIVE PAEDIATRIC CRITICAL CARE IMPROVEMENT RESEARCH PROGRAMME IN SOUTH-EAST SCOTLAND

Lo, T.Y.M.1; Sullivan, E.1; Khan, U.1; McCormick, J.1; Ryan, A.1; Gray, P.1; Reilly, L.1

Pediatric Critical Care Medicine: June 2018 - Volume 19 - Issue 6S - p 42
doi: 10.1097/01.pcc.0000537443.37181.82
Poster Discussion Abstracts
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1Royal Hospital for Sick Children, Paediatric Intensive Care, Edinburgh, United Kingdom

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Aims & Objectives:

We aim to describe our paediatric critical care improvement research programme’s ethos and its impact on clinical care.

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Methods

An improvement research programme was setup in Edinburgh with an ultimate aim to improve patient care, outcome, and safety while appreciating clinical excellence. A dynamic multi-disciplinary infrastructure was established including frontline clinical staff who are passionate in improving clinical care, formal academic support through local, national, and international collaborations with leading scientists and data team to better utilise routinely generated clinical ‘big-data’ for research, educationists, hospital management, and staff engagement team. Using this infrastructure, clinically relevant research ideas were turned into actual projects with tailor-made improvement interventions and their impact on clinical care and outcome were investigated.

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Results

Team IMPACT-ACE has successfully established three key project themes: (1) data-informatics research; (2) improvement projects; and (3) team engagement projects. KidsBrainIT, a new EU funded multi-centre, multi-disciplinary, multi-national data-informatics paediatric brain trauma research initiative is an example of our data-informatics research. Phase-1 starts recruitment in 2017 and focuses on better understanding bespoke intracranial pressure treatments. Using tailor-made targeted intensive trainings, we demonstrated successful improvement in sedation bolus documentation accuracy, staff’s drug knowledge, and routine respiratory sample infection surveillance practice accuracy respectively from 20% to 99%, 25% to 68%, and 15% to 90% before and after training.

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Conclusions

IMPACT-ACE successfully brings formal academic support to clinical staff thereby improving clinical care through a translational and evidence-based approach while enhancing staff engagement to maintain and appreciate clinical excellence.

©2018The Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies