Enhancing Patient Safety by Optimizing Accuracy Of Thickened Fluids Preparation
Care Process & Redesign
National Healthcare Innovation and Productivity Medals
National Healthcare Group
31 December 2023
To ensure all thickened fluids given to patients with dysphagia are prepared accurately to the correct fluid consistency. This initiative successfully improved safety and reduced risks associated with dysphagia care in hospital settings.
Year Submitted: 2023
Published Date: 31 December 2023
Tags: Care Process ＆ Redesign, Risk Management, Adverse Outcome Reduction, Quality Improvement, Safe Care
About this Content
Aims
To ensure all thickened fluids given to patients with dysphagia are prepared accurately to the correct fluid consistency.
Background
Preparation of thickened fluids varied significantly among nursing staff, increasing risks for aspiration pneumonia.
Methods
Conducted education sessions for nursing staff, sourced proper measuring tools, and standardized preparation methods across wards.
Results
Risk of aspiration minimized; significant improvement in nursing knowledge and accuracy in fluid preparation.
Conclusion
This initiative successfully improved safety and reduced risks associated with dysphagia care in hospital settings.
Lessons Learnt
Standardized tools and staff education are critical for improving patient safety in dysphagia management.
Keywords
Thickened Fluids, Dysphagia, Patient Safety
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Ang Mo Kio Thye Hua Kwan Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Allied Health, Nursing |
Applicable Specialty or Discipline | Speech Therapy |
Project Lead(s) | Jorain Lim Yu Ni |
Project Member(s) | Jason Lim Ghim Leong |
Connect with this contributor!
Jorain Lim Yu Ni - yuni_lim@amkh.org.sg