Nurse Initiated Bronchodilator Therapy At Woodlands Polyclinic
Care Process & Redesign
Workforce Transformation
Singapore Health Biomedical Congress
National Healthcare Group
31 December 2018
Reduce time to emergency bronchodilator nebulization for patients from 23 to <10 minutes. Nurse-initiated therapy significantly improves emergency care efficiency for asthma and COPD patients.
Year Submitted: 2018
Published Date: 31 December 2018
Tags: Care Process ＆ Redesign, Workforce Transformation, Quality Improvement, Clinical Practice Improvement, Workflow Redesign, Access To Care, Waiting Time, Value Based Care, Safe Care, Productivity, Cost Saving, Job Redesign, Upskilling
About this Content
Aims
Reduce time to emergency bronchodilator nebulization for patients from 23 to <10 minutes.
Background
Patients with asthma or COPD faced delays in receiving nebulization at Woodlands Polyclinic.
Methods
Trained nurses in a structured program to perform assessments and initiate nebulization prior to doctor consultations.
Results
Reduced nebulization time to 9 minutes; doctors’ consultation times decreased by 26%; projected annual cost savings of $1,790 per clinic.
Conclusion
Nurse-initiated therapy significantly improves emergency care efficiency for asthma and COPD patients.
Lessons Learnt
A robust training program enables safe and effective task delegation to nurses, improving care efficiency.
Additional Information
To be scaled across NHGP polyclinics.
Keywords
Emergency Nebulization, Nurse Training, Workflow Redesign, Asthma, COPD
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | National Healthcare Group Polyclinics |
Platform(s) | Singapore Health Biomedical Congress |
Healthcare Professional Group(s) | Nursing |
Applicable Specialty or Discipline | Respiratory Therapy, Pulmonology |
Project Lead(s) | Kung Jian Ming, Jia Shuli |
Project Member(s) | Wendy Ong |
Connect with this contributor!
Dr. Kung Jian Ming - jian_ming_kung@nhgp.com.sg
Project Attachment
321_NHGP_SHBC_PCF_Nurse_Initiated_Bronchodilator_Therapy_At_Woodlands_Polyclinic_combine.pdf