Presentations and Abstracts

Over 70 abstracts were submitted to the Conference. A showreel of 57 selected epresentations was shown at the Conference and can be viewed here.

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Prize Winner

Congratulations to Eimear Lawlor, CMM2, Rotunda Hospital. Her submission, Enhanced Recovery After Surgery (Caesarean Section) was awarded the Conference Prize.

Caesarean sections are the most common surgical procedure performed worldwide with rates continuing to rise. Caesarean section (CS) patients face the dual challenge of being postpartum and post-operative; therefore it is crucial we provide the highest standards of perioperative care to ensure improved recovery. Enhanced recovery after surgery (ERAS) involves a series of evidence based, patient-centred protocols that aims to standardise the perioperative care of the patient, helping patients return to their baseline level of function as soon as possible. ERAS has been shown to address the “triple aim”; improving quality of care while reducing cost and increasing patient satisfaction. The project aimed to develop and implement Irelands’s first ERAS programme for Caesarean Sections by September 2021.

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Presentations and Abstracts
RCSI Hospital Group Quality and Patient Safety Conference 2022

Epresentation Winner

SUBMITTED BY
Eimear Lawlor, CMM2 Enhanced Recovery After Surgery, Rotunda Hospital

AIM
Develop and implement Irelands’s first ERAS programme for Caesarean Sections by September 2021.

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SUBMITTED BY
Noelle O’Mahony, Craniofacial Clinical Services Coordinator, Children’s Health Ireland at Temple Street

AIM
1. To ensure all referrals of abnormal head shape include photographs of the child’s head shape.
2. To reduce the number of children with normal head shapes reviewed at clinic.

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SUBMITTED BY
Surgical 2 Ward, Cavan General Hospital, Cavan and Monaghan Hospital

AIM
The aim of the initiative is to reduce the number of falls per month on Surgical 2 ward and to avoid harmful falls by increasing awareness amongst staff about falls prevention.

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SUBMITTED BY
Anne O’Hara, Senior Medical Scientist, Beaumont Hospital

AIM
Our aim was to provide a more rapid TAT for GM results by validating a GM LFA on site for the detection of Aspergillus GM to facilitate appropriate antimicrobial therapy.

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SUBMITTED BY
Aisling O’Connor, Senior Physiotherapist and Michelle Uno, Respiratory CNS, Our Lady of Lourdes Hospital

AIM
Facilitate earlier discharge from hospital reducing the length of stay of Covid-19 patients; Avoid unnecessary hospital admissions; Identify patient deterioration at an earlier stage reducing the need for ICU admissions.

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SUBMITTED BY
David Keegan, Senior Medical Scientist, Beaumont Hospital

AIM
The antibody-incompatible matching program aims to increase access to transplant for HSPs without the need to ‘delist’ antibodies, and without a significant increase in donor crossmatch turn-around times (TAT).

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SUBMITTED BY
Maura Daly – Clinical Skills Facilitator, Deirdre Bradley – Senior Speech and Language Therapist, Dr. Babu Paturi – Consultant Neonatologist, Our Lady of Lourdes Hospital

AIM
To achieve provision of buccal colostrum for all babies under 34 weeks within a 24-hour window and ideally 6 hours of birth, as part of oral cares in NICU by end 2021.

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SUBMITTED BY
Jessica Fitzpatrick, Michael O’ Neill, Meabh Smith, Medical Physics & Clinical Engineering, Beaumont Hospital

AIM
To explore the use of 3D printing as a means of developing imaging phantoms which have the potential to be used to validate imaging modalities and processes in robotic-assisted neurosurgery.

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SUBMITTED BY
Sarah McShane, Michelle McCourt, Pauric Greene, Mary McCallan & Celine Meehan, Physiotherapy, Our Lady of Lourdes Hospital Drogheda

AIM
The aim of this project was to improve spinal bracing competency levels among all the staff involved in spinal fracture patients’ care.

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SUBMITTED BY
Rosie Quinn – Advanced Physiotherapy Practitioner / Emergency (MSK), Anna Farren – Senior Physiotherapist and Niall O’Connor – Consultant in Emergency Medicine, HSE Our Lady of Lourdes Hospital Drogheda

AIM
• To offer an equitable, timely MSK service within Emergency Department via a Physiotherapy Led Clinic under the governance of EM Clinicians
• Offer a same day MSK / First Contact Practitioner Service when feasible

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SUBMITTED BY
Jillian Smith – Senior Physiotherapist and Claire Treanor – Senior Occupational Therapist, Our Lady of Lourdes Hospital Drogheda

AIM
To decrease the aLOS for patients admitted for elective anterior resection from 10 days to 8 days and elective Hartmann’s reversal from 9 days to 8 days by January 2026.

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SUBMITTED BY
Sinead O’Rourke, Occupational Therapist, Our Lady of Lourdes Hospital

AIM
The project aimed to establish a CST group for those living with mild and moderate cognitive impairment and evaluate the impact on their cognitive health, physical health and emotional well-being.

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SUBMITTED BY
Rosie Quinn, Advanced Physiotherapy Practitioner / Emergency MSK, HSE Our Lady of Lourdes Hospital Drogheda

AIM
• Identify “bundles of care” in Majors and / or the Clinical Decision Unit who could benefit from Musculoskeletal Physiotherapy intervention, regardless of frailty status or age
• Aim to safely discharge; 70%

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SUBMITTED BY
Deirdre Green, Endocrinology Senior House Officer, Our Lady of Lourdes Hospital, Drogheda

AIM
We examined the impact of switching to a speciality ward model on length of stay, discharge destination and mortality.

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SUBMITTED BY
Kathryn Allen, Gastroenterology Registrar, Beaumont Hospital

AIM
To produce a monthly report of two quantitative assessments in Beaumont hospital; Rate of completion of VTE-RA and rate of prescription of VTE prophylaxis, with the intention to increase compliance rates.

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SUBMITTED BY
Christina Skourou, Paul Davenport, Michael Amoo, Barry Hallinan, David Fitzpatrick, James Waldron, Lynda Fennell, Routh Woods, Mohsen Javadpour, St. Luke’s Radiation Oncology Centre, Beaumont Hospital

AIM
The aim is to reduce the required number of DSAs for patients with AVM. The radiosurgery planning process will be re-designed around a new planning system utilising the pre-existing (diagnostic) DSA.

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SUBMITTED BY
Kara McLoughlin, Carol Lyons, Louise McGettigan and Paul Maloney, Frail Intervention Therapy Team, Beaumont Hospital

AIM
To review our current practise of using the THINK frail tool & compare to other widely used frailty screening tools to see which best meets the needs of our patients.

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SUBMITTED BY
James Waldron, Susan Traynor, Aaron O’Reilly, Serena O’Keeffe, Aodh MacGairbhith, Niamh Kerr, Margaret Tynan, Aisling Mohan, Paul Davenport, Ruth Woods, Radiotherapy, St Luke’s Radiation Oncology Network

AIM
We aimed to introduce SGRT to 6 treatment units across 3 centres in SLRON within a 2 month timeframe and to focus initially on improving setup efficiency in breast radiotherapy.

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SUBMITTED BY
Jillian Smith, Senior Physiotherapist, and Claire Treanor, Senior Occupational Therapist, Our Lady of Lourdes Hospital Drogheda

AIM
To improve OLOLH’s compliance with evidence based ERAS Pre-operative counselling from no formal pre-operative education to introducing a patient booklet provided to all elective colorectal surgeries pre-operatively by October 2022.

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SUBMITTED BY
Miriam Gamble, Clinical Specialist Physiotherapist in Pelvic Health, Our Lady of Lourdes Hospital, Drogheda

AIM
• Easy access to timely, quality information and individual assessment/treatment as required
• More efficient use of physiotherapy time
• Patient-centred care – patient having more control over their condition

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SUBMITTED BY
Louise Bernard – Clinical Specialist Physiotherapist, Gillian Gavaghan – Clinical Specialist Occupational Therapist and Mr. James Walsh – Consultant Orthopaedic Surgeon, Beaumont Hospital

AIM
The aims of TAC are to:
• enhance patient outcomes
• reduce the number of patients attending outpatient orthopaedic clinics
• improve patient flow
• reduce waiting times
• decrease the use of unnecessary imaging.

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SUBMITTED BY
Elizabeth Tunney, Senior House Officer Obstetrics & Gynaecology, Rotunda Hospital

AIM
Analyse compliance with the NWHIP guideline for the management of PMB in the AG clinic between June and August 2021. Identify areas for improvement which can help achieve this target.

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SUBMITTED BY
Sinead Horan, Registrar, St Luke’s Radiation Oncology Network, Beaumont Hospital

AIM
The introduction of the clinic template seeks to achieve comprehensive follow-up of Hodgkin’s Lymphoma patients and ensure compliance with international guidelines (NCCN and COG guidelines).

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SUBMITTED BY
Kareem Hussein, Neuroanaesthesia fellow, Beaumont Hospital

AIM
Reduce risk and improve patient safety during changes of position under anaesthesia and provide a practical tool to Anaesthesia trainees to ensure safe and confident clinical practice.

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SUBMITTED BY
Enda McCarthy, Senior Emergency Department MSK physiotherapist, Beaumont Hospital

AIM
• Limit risk – Covid transmission by reducing patient visits
• Patient placed on their treatment pathway at earliest possible stage
• All appropriate patients were assessed by having a greater presence in ED

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SUBMITTED BY
Ciara O’Rourke and Deirdre Nolan, Acquired Brain Injury Clinical Nurse Specialist & Research and Development CNM, Beaumont Hospital

AIM
• To advance knowledge, policy & standardise practice through collaborative & interdisciplinary research.
• To utilise the national benchmarks to inform & impact on interdisciplinary care, service delivery & policy within the Neuro Cent Directorate.

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SUBMITTED BY
Siobhán O’Neill, Clinical Specialist Occupational Therapist, Our Lady of Lourdes Hospital, Drogheda

AIM
The project aims were to identify patients presenting with frailty syndromes in a timely fashion and to deliver CGA effectively for these people to facilitate safe discharge where possible.

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SUBMITTED BY
Dr. Drew – Microbiologist , L.Pentony – Point of care coordinator, A. Fitzgibbon – CMM2 IPC and A. Binu – ADOM IPC, Rotunda Hospital

AIM
Safe and appropriate patient placement in shared patient accommodation to prevent cross transmission and reduce the need for contact tracing and PCR testing.

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SUBMITTED BY
Dr Aliona Vilinsky-Redmond, Clinical Risk Coordinator, Rotunda Hospital

AIM
The aim of this patient safety initiative is to reduce the rate of neonatal falls in the hospital, by identifying risk factors and offering preventative measures for staff and parents.

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SUBMITTED BY
Emily Maguire and Breffnie Carroll, Quality & Safety Department, Our Lady of Lourdes Hospital Drogheda

AIM
• Develop local KPI
• Target of Dignity & Respect themed complaints received to equal 28% per month
• Identify key learnings from the initiative to monitor effectiveness from both staff and QI perspective

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SUBMITTED BY
Fiona Walsh, Deirdre Ward, Fiona Reidy and Maeve Eogan, Medicine and Midwifery, Rotunda Hospital

AIM
To introduce a patient safety huddle to improve staff communication & patient flow through the antenatal, emergency room, delivery suite and postnatal wards.

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SUBMITTED BY
Gavin Comerford and Maeve Ruane, Medicine/Intern Network, University Hospital of Limerick

AIM
The purpose of this audit was to measure the accessibility of various computer programs in UHL, with the hope that highlighting any issues could enable resolution.

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SUBMITTED BY
Mahfouz Sharapi, Anaesthesia Registrar, Rotunda Hospital

AIM
The main objective of this audit is to assess the current practice among anaesthetists in Rotunda Hospital when extending labour analgesia to surgical anaesthesia for CD. We want to review current practice in the Rotunda in the context of the UK report, to examine whether there is a specific local anaesthetic combination that provides reliable surgical anaesthesia and is associated with a lower incidence of GA, and to review any complications relating to epidural top-up.

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SUBMITTED BY
Marie Howard, Occupational Therapist in Care of the Older Person Service, Beaumont Hospital

AIM
The continence working party was formed involving members of nursing, physiotherapy and occupational therapy colleagues to explore the current practice and culture relating to continence management.

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SUBMITTED BY
Marie Howard, Occupational Therapist, Beaumont Hospital

AIM
The aim of this local Quality Improvement (QI) initiative was to standardise the process for screening using a triage sticker containing set criteria for referral to OT/PT.

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SUBMITTED BY
Kara McLoughlin, Occupational Therapy/FITT, Beaumont Hospital

AIM
Improve Physiotherapists’ and OTs’ competency levels in managing acute postoperative transtibial and transfemoral amputees to ensure patients are receiving evidence-based practice(EBP) in line with BACPAR Guidelines by May 2022.

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SUBMITTED BY
Jillian Smith – Senior Surgical Physiotherapist and Claire Treanor – Senior Surgical Occupational Therapist, Our Lady of Lourdes Hospital Drogheda

AIM
The project aims were to identify patients presenting with frailty syndromes in a timely fashion and to deliver CGA effectively for these people to facilitate safe discharge where possible.

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SUBMITTED BY
Catherine Elliott and Sarah McCaul, Senior Physiotherapists, Cavan & Monaghan Hospital

AIM
To ensure patients are followed up and in a timely fashion, that the need for early clinical review is identified, to ensure a holistic post COVID-19 assessment and provide rehabilitation as indicated.

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SUBMITTED BY
Sarah McShane, Úna Mulligan and Catherine Higgenbotham, Physiotherapy & Dietetics, Our Lady of Lourdes Hospital Drogheda

AIM
The aim of this audit was to establish if there was improvements in participates falls risk and frailty post completion a 6 week course of exercise prescription and nutritional support.

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SUBMITTED BY
Michelle McCourt – Senior Physiotherapist and Sarah McShane – Clinical Specialist Physiotherapist, Our Lady of Lourdes Hospital Drogheda

AIM
Our aim was to establish the adherence rate in completing necessary documentation, for hip fracture patients reviewed by the weekend physiotherapy service in OLOL, in keeping with the IHFD requirements.

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SUBMITTED BY
Colette Lyng – Nurse Tutor and Marie Hennigan – Education Coordinator, Beaumont Hospital

AIM
To use available resources to develop a constructively aligned programme that enhances learning for registered nurses completing Intravenous Medication Administration training whilst simultaneously improving oversight and governance of this training.

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SUBMITTED BY
Cathal de Buitleir, Emergency medicine SpR, Tallaght University Hospital

AIM
To improve identification of aortic dissection/prevent misdiagnosis in patients presenting to TUH ED by increasing awareness and increasing the volume of diagnostic scans requested and performed within 12 months.

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SUBMITTED BY
Sarah McShane, Elaine McCabe, Helen French, Eilis Hand, Deirdre Gilsenan, Orlagh Hynes, Abishekar Bisseru & Aaron Glynn, Orthopaedic Services, Our Lady of Lourdes Hospital Drogheda

AIM
The study aim was to establish if there were differences in rates of patient progression, depending on the surgery type received, when treated with the same physiotherapy intervention.

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SUBMITTED BY
Grainne Kerr, Senior Physiotherapist Oncology Haematology, Our Lady of Lourdes Hospital Drogheda

AIM
The aim was to create a quality breast care service in physiotherapy, ensuring patients were receiving the recommended, standardised input post-operatively and throughout their cancer journey including BCRL surveillance.

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SUBMITTED BY
Donna McGroarty, Senior Physiotherapist, Cavan and Monaghan Hospital

AIM
Our aim is to reduce the length of time that a patient remains in the in-patient hospital setting (acute and / or rehabilitation) hence saving bed days for the health service.

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SUBMITTED BY
Siobhán O’Neill, Occupational Therapist, Our Lady of Lourdes Hospital, Drogheda

AIM
Aim to communicate outcomes of the OT assessment in a succinct and consistent format, for easy access and interpretation by the MDT during the DMC assessment for independent living.

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SUBMITTED BY
Irene Leonard, Consultant Anaesthesiologist, Beaumont Hospital

AIM
Primary aim was to increase the percentage of inter-hospital-transfer Neurosurgical patients who have completed Anaesthesia pre-operative assessment prior to day of surgery from 5% (October 2019) to 100%

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SUBMITTED BY
Vikki Sheerin, CNM 2, Sligo University Hospital

AIM
The purpose of the Get Up, Get Dressed, Get Moving 60 day challenge is to raise awareness of the benefits of getting our patients up, dressed and moving during their hospital stay:
• Increased patient independence,
• Shortened length of stay,
• Reduced incidence of falls
• Reduced incidence of pressure ulcers
• Reduced 30 days readmission rates
• Better patient physical and emotional well being

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SUBMITTED BY
Moya Wilson, Quality and Safety Q & S, Sligo University Hospital

AIM
To build the capacity of attendees to prepare for and manage open disclosure meetings with patients, services users and their relevant person following a patient safety incident.

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SUBMITTED BY
Orla Monaghan, SPR, St Lukes Radiation ONcology network (SLRON) Dublin

AIM
The aim behind this project was to record consults in the ARIA for first time ever and also create a safer handover system to follow-up consults and finalise treatment plans.

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SUBMITTED BY
Denise Kildea, Birth Reflections Midwife, Rotunda Hospital

AIM
An opportunity to discuss experiences and feelings about the birth, in the hope of reducing the possibility of psychological or emotional distress, thereby empowering women with confidence for future pregnancies.

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SUBMITTED BY
Helen Cornelissen, Occupational Therapist Manager In Charge III, Connolly Hospital

AIM
To establish, by June 2021, an occupational therapy outpatient service to provide neurorehabilitation intervention within 2-4 weeks post-discharge for CHB patients presenting with neurological conditions to improve their neurological outcome.

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SUBMITTED BY
Elaine Dunne, ANP, Connolly Hospital

AIM
The aim of the initiative is to have no serious falls on the unit and reduce the average number of falls from 2 to 1 per week by February 2022.

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SUBMITTED BY
Philip Carron, Nurse, Virtual Visiting Co-ordinator, Cavan and Monaghan General Hospital

AIM
To reduce complaints on communications between staff and families by introducing a multidisciplinary communications booklet to document exchanges between staff and the designated contact person (DCP)

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SUBMITTED BY
Siobhan Enright, Clinical Risk and Patient Safety Manager, Rotunda Hospital

AIM
This project aims to improve patient care through systematic analysis of clinical incidents where key learnings are identified and disseminated to clinical staff and the Executive Management Team in a timely manner. Feedback of the outcome and learning from reviews is delivered to patients by a Senior Clinician.

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SUBMITTED BY
Heather Meagher, Clinical Engineer, St Luke’s Radiation Oncology Network

AIM
The aim of this project is to keep patients informed of appointment delays which can help alleviate frustration and improve overall experience.

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SUBMITTED BY
Caroline Treanor, Clinical Specialist Physiotherapist, Beaumont Hospital

AIM
To deliver a maximum patient wait time of 6months for neurosurgical outpatient consultation following referral and investigate the impact of improved access on referral rates for spinal MRI’s from clinic.

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