Table 5 EwQI projects (initial plans)
Lead organisation | Project | Study design | Scope | Duration |
|---|---|---|---|---|
Imperial College and Association of Coloproctologists of Great Britain and Ireland | To improve the quality of care for patients with cancer of the large bowel | Audit and feedback Time series analysis of repeat audits | Building on existing on-going national audit, aiming for 100% participation. 105 contributing hospitals | three years |
Royal College of Physicians of London | To improve the care of patients admitted to hospital with exacerbations of chronic obstructive pulmonary disease | Audit and feedback A complex randomised controlled intervention with multi-professional paired peer review | Building on a previous one-off national audit of 94% of UK acute hospitals. Aiming to recruit 100 participating sites | three years |
Royal College of Physicians of London | To assess and improve services for people with inflammatory bowel diseases | Audit and feedback Comparing three approaches, time-series but no control | Developing a national audit. Aiming to recruit 80% of all (approx 240) acute Trusts | four years |
Royal College of Nursing | To improve the care of adult patients across the U.K. undergoing surgery by implementing national clinical guidelines on perioperative fasting | Audit and feedback Randomised study of three modes of disseminating an educational package (passive, interactive web-based, PDSA) Time series analysis | 30 participating Trusts | three years |
Royal College of Physicians of Edinburgh | A two-armed project to improve the management of community acquired pneumonia (CAP) and epilepsy | Double audit cycle with feedback, time series but no control | For CAP – half the Scottish Health Boards For Epilepsy – over one third of all Scottish practices and five clinics | three years |
Royal College of Psychiatrists | To improve services for people who have self harmed | Time series analysis of repeat audits | 34 selected teams | four years |
Royal College of Psychiatrists | To improve prescribing practice for patients with serious mental illness | Time series analysis of repeat audits | 40 participating Trust and two private healthcare organisations. Aiming to expand this number throughout the project | four years |
Royal College of Midwives | To improve the quality of clinical care in the assessment, repair and the short and longer-term management of second degree perineal trauma | Audit and feedback Paired cluster randomised trial to establish effectiveness and persistence of training package | 10 paired units | three years |