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Summary
In Victoria a rapid response call occurs every 15.9 minutes.
Increasing demand on rapid response services results in stretched resources and inconsistent system responsiveness.
We will reduce repeat rapid response calls and associated impact on rapid response team resources, by producing a resource package to help services:
- standardise governance structures
- improve clinical engagement
- reduce variation in Victorian recognition and response systems.
Outcome
Improve your recognition and response system
We have developed governance and clinical engagement frameworks, self-assessments to help your health services identify areas within your recognition and response system that are working well, and areas that may need improvement.
Once you have identified and area for improvement use our change package to help you successfully improve your recognition and response system.
Seven health services have tested these resources, and all saw improvement n their recognition and response systems.
Other outcomes included:
- Increased capability of frontline clinicians to lead a quality improvement project.
- Health services have a more in-depth understanding of their recognition and response system.
- Increased collaboration with staff outside of their usual work area.
Target
Improved care and experience for patients who clinically deteriorate in Victorian hospitals.
Measures
Develop resources to support fewer rapid response calls.
- Cardiac, renal and stroke
- Chronic disease
- Consumer engagement and support
-
Emergency and critical care
- Delirium Evaluation in the Timely delivery of Emergency Care Trial (DETECT)
- Artificial intelligence in cardiac arrest (AIDE)
- Acute coronary syndrome project
- Establishing the Victorian ECMO service
- Gippsland region telehealth
- Sepsis bundle of care
- Improving emergency access collaborative
- Lower complexity urgent care
- Standardising inotropes and vasopressors
- Supporting statewide Medical Emergency Team/rapid response
-
Medications, treatment and infection prevention
- Antibiotic allergy de-labelling program
- Central pharmacy
- Choosing Wisely champion hospital
- Choosing Wisely Scaling Collaboration
- Decreasing infections associated with peripheral intravenous cannulas
- No unecessary tests
- Partnered pharmacist medication charting (PPMC) scaling project
- Sepsis improvement
- ‘Think sepsis. Act fast.’ scaling collaboration
- Mental health and wellbeing
-
Mothers, babies and children
- Assessment and care of the jaundiced newborn at home
- Better births for women collaborative
- Closing the gap on maternal immunisation
- Developing ambulatory care services for women in Peninsula Health
- Expanding our Maternity and Neonatal eHandbooks
- Improving the management of paediatric sepsis
- Medical management of miscarriage at home
- Obstetric triage decision aid
- Perineal protection project - audit tool
- Postpartum Haemorrhage Collaborative
- Reducing clinical variation in paediatric adenotonsillectomy
- Reducing preventable stillbirths in Victoria
- Reducing unnecessary prescribing in infant reflux
- Safer baby
- Sharing service data through a maternity dashboard
- Reducing paediatric outpatient and emergency department referrals
- Strengthening safety oversight
-
Older people and palliative care
- Families And Carers as part of healthcare Teams (FACT) Pilot Project
- Advance care plans across the health system in rural Victoria
- Creating Age-Friendly Health Systems in Victoria
- Falls review tool: Pilot project
- Building an age-friendly Indigo health system
- Collaborative model for a falls response service
- Delirium collaborative
- Early intervention palliative and supportive care clinic
- End PJ paralysis: Preventing functional decline in inpatients
- Frailty recognition and response in the community
- Geri-Connect
- Geri-Connect scaling project
- Guiding the safe use of bed rails
- Hospitals and patients working in unity (HOW-R-U?)
- Informing best practice for managing patients with hip fractures
- Preventing delirium
- RAPID Assist
- We are Ambulance Victoria Engaged (WAVE)
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Patient flow, outpatient care and telehealth
- Bendigo Cancer Centre survivorship service
- Telehealth for people with young onset dementia (BRIGHT-YOD)
- Critical care telehealth
- Critical care telehealth scaling project
- Improving after hours care at Monash
- North east robotics development
- Outpatient demand management strategy
- Rapid access musculoskeletal care
- Remote drug and alcohol recovery for the Southern Otways region
- Low-risk fever and neutropenia program
- Using big data modelling to improve access to outpatient clinics
- Virtual fracture clinics
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