Transitional Feeding Guide: Wean the Feeding Tube Off
Care Process & Redesign
National Healthcare Innovation and Productivity Medals
National Healthcare Group
31 December 2021
To achieve a timelier initiation of transitional feeding by creating a standardized guide for ward nurses. The guide effectively reduced delays in tube weaning and empowered nurses for timelier feeding transitions.
Year Submitted: 2021
Published Date: 31 December 2021
Tags: Care Process ＆ Redesign, Quality Improvement, Job Effectiveness, Access To Care, Waiting Time, Productivity, Manhour Saving, Cost Saving, Design Thinking
About this Content
Aims
To achieve a timelier initiation of transitional feeding by creating a standardized guide for ward nurses.
Background
Transitional feeding often delays by 4-5 hours as ward nurses had to call dietitians for reviews, leading to inefficiencies in tube weaning.
Methods
Root cause analysis, PDCA cycle, and a feeding guide were piloted in three wards before being scaled hospital-wide. Results were monitored.
Results
Post-implementation survey (77 nurses) showed 88% used the guide; 93% reported time savings. Feeding tube weaning success increased from 75% to 88%, with no adverse events.
Conclusion
The guide effectively reduced delays in tube weaning and empowered nurses for timelier feeding transitions.
Lessons Learnt
Multidisciplinary teamwork was essential for success. Integrating the guide into NGEMR during planning ensures sustainability.
Additional Information
Standardized feeding processes saved time and improved patient care. Sustained across all wards and induction programs.
Keywords
Care Redesign, Process Improvement, PDCA, Root Cause Analysis, Transitional Feeding, Quality Improvement, Tube Weaning, Nursing, Dietetics, KTPH
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Khoo Teck Puat Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Nursing |
Applicable Specialty or Discipline | Nutrition ＆ Dietetics, Gastroenterology |
Project Lead(s) | George Toh |
Project Member(s) | Yiap Pok Leng |
Connect with this contributor!
Mr George Toh - toh.george.ch@ktph.com.sg
Project Attachment
369_KTPH_NHIP_2021_Transitional_Feeding_Guide_Wean_the_Feeding_Tube_Off_COMBINED.pdf