Improvement projects related to medicines use

QI projects which have a primary focus on improving the use/appropriateness of medicines use and optimisation.

Video case studies are also available in this section.

Adult ADHD Project - Improve Physical Health Monitoring (0.3 MiB)
Upload Date: 8th March 2018 Downloads: 77
Aim: Improve Physical Health Monitoring for those on Stimulants with a diagnosis of ADHD in the East Belfast Psychiatric Outpatient Clinic by 90%.


Anti-psychotic monitoring (0.3 MiB)
Upload Date: 2nd July 2019 Downloads: 115
Aim: o have antipsychotic blood and ECG monitoring done for 100% inpatients and 50% of outpatients by May 2019


Antiplatelet Algorithm for Patients on Oral Anticoagulants requiring Angiogram +/- Percutaneous Coronary Intervention +/- Acute Coronary Syndrome (0.5 MiB)
Upload Date: 2nd July 2019 Downloads: 158
Aim: To ensure 100% of patients who required OAC plus Antiplatelet therapy due to +/- PCI +/- ACS have an evidenced based oral anticoagulant plus antiplatelet therapy prescribed ON WARD 44/CCU Altnagelvin Hospital by October 2018
To ensure 100% of antiplatelet therapy prescribed has an appropriate STOP DATE by October 2018.
To ensure 100% of patients requiring OAC and Antiplatelet therapy are prescribed an appropriate PPI by October 2018.


Can Your Patients TRUST You With Insulin Prescription (0.2 MiB)
Upload Date: 8th March 2018 Downloads: 97
Aim: Reduce the incidence of insulin prescription errors by 50% by April 2017 and by 100% by August 2017


Developing LAMPS (19.1 MiB)
Upload Date: 31st May 2018 Downloads: 132
Aim: To offer an online platform for all staff within NHSCT to be able to access health and wellbeing resources, information and advice both at work and at home.


Hosting Programmes At The Medicines Optimisation Innovation Centre (1.2 MiB)
Upload Date: 26th February 2019 Downloads: 118
Aim: Training and development of Health Care Professionals through welcoming visitors to Northern Ireland from Europe and the Middle East


Improving Antibiotic Prescribing For CAP In The Elderly (0.6 MiB)
Upload Date: 13th November 2018 Downloads: 153
Aim: Improve duration of appropriate antibiotics prescribing in community acquired pneumonia in elderly by 20% by May 2018


Improving The Safety Of Magnesium Sulfate Infusions (0.3 MiB)
Upload Date: 8th March 2018 Downloads: 106
Aim: Reduce medication errors in the use of intravenous (IV) magnesium sulphate


Live Automated Microbiology Surveillance System (1.5 MiB)
Upload Date: 26th February 2019 Downloads: 123
Aim: Live Automated Microbiology Surveillance System


Making Insulin Treatment Safer (MITS) (0.2 MiB)
Upload Date: 13th February 2018 Downloads: 139
Aim: Involve patients and empower junior doctors to prescribe safely and collaborate as required


Medicines Optimisation in Northern Ireland: STEPSelect (0.2 MiB)
Upload Date: 26th February 2019 Downloads: 161
Aim: Medicines Optimisation in Northern Ireland STEPSelect


Medicines Optimisation in Older People (MOOP). Helping patients make the most of their medicines by improving adherence (0.3 MiB)
Upload Date: 11th March 2019 Downloads: 127
Aim: The medicines adherence support service provides advice and assistance to patients, who are having difficulty managing their own medicines.


Medicines Reconciliation On Discharge CAU Introduction Of ETAN (0.5 MiB)
Upload Date: 13th November 2018 Downloads: 73
Aim: To improve number of electronic discharge summaries completed for streaming patients (with medication changes) to 90% by July 2018


Multi Disciplinary Approach Improving Medicines Accuracy (0.3 MiB)
Upload Date: 7th March 2018 Downloads: 95
Aim: Reduction of the rate of prescription error by using a multi-disciplinary approach to improve medicine prescription practice


OMIT It - CODE It (0.6 MiB)
Upload Date: 13th November 2018 Downloads: 68
Aim: To reduce the number of missed medication doses within the wards – all medications by 90% and critical medications by 100%


Pharmacy In-patient Orders (0.7 MiB)
Upload Date: 13th November 2018 Downloads: 160
Aim: By June 2018 to increase to 50% the number of orders with a query that have a documented and communicated action plan


Poster Role Of An Innovation Centre (1.8 MiB)
Upload Date: 26th February 2019 Downloads: 111
Aim: Medicines optimisation: Role of an Innovation Centre


Prescribing protocol for maxillofacial orthognathic surgery patient (0.3 MiB)
Upload Date: 7th March 2018 Downloads: 148
Aim: The Consensus projects aim was to implement an agreed peri-operative prescribing protocol for maxillofacial orthognathic surgery patients


Project Grasp Growing And Remodelling Access In Substitute Prescribing (0.7 MiB)
Upload Date: 13th November 2018 Downloads: 135
Aim: By June 2018, median waiting time for BHSCT SPT would be 3 weeks


Psychiatry of Old Age Lithium Monitoring Re-audit (0.4 MiB)
Upload Date: 30th January 2019 Downloads: 162
Aim: To establish if practice met NICE (2006) and regional guidelines & oo establish if there has been an improvement in practice as a result of implementation of previous audit recommendations


Reducing Use Of Oral Psychotropic PRN Medication In Young People (0.5 MiB)
Upload Date: 13th November 2018 Downloads: 163
Aim: Reduce the amount of oral psychotropic PRN medication administered in Beechcroft Regional Adolescent Mental Health Unit Treatment Ward by 30% by June 2018


Regional Prescribing Support Dietetic Team - Managing Malnutrition Together (2.5 MiB)
Upload Date: 11th May 2018 Downloads: 58
Aim: The team will be collaborating with the voluntary sector eg. Age NI to help improve good nutritional care in the community.


STEPSelect - An Innovative Approach To Medicines Selection (0.3 MiB)
Upload Date: 13th February 2018 Downloads: 120
Aim: Use of the STEPSelect (Safe Therapeutic Economic Pharmaceutical Selection) process to facilitate clinician-driven procurement.


SWITCH (1.0 MiB)
Upload Date: 26th July 2018 Downloads: 106
Aim: By May 2018, 75% of Ward 1 patients on Intravenous Antibiotics (IVAs) will be switched to oral antibiotics within 48 hours

Medical Staff trialled SWITCH 2016; Baseline gathered - did not progress; this time using structured framework & SQE methodology


To improve compliance with WHSCT venous thromboembolism risk assessment and prophylaxis to >95% within 6 months (0.2 MiB)
Upload Date: 2nd July 2019 Downloads: 93
Aim: To increase compliance with VTE risk assessment completion and appropriate prophylaxis being prescribed for patients to >95% within a 6 month period by August 2018 within Critical Care SWAH.


Writemed Electronic Medication Reconciliation System (0.3 MiB)
Upload Date: 26th February 2019 Downloads: 108
Aim: Writemed Electronic Medication Reconciliation System