Live QI projects at LGT
Please consult the table below to see the many live Quality Improvement projects we have in-progress at LGT at the moment or download the list of live QI projects .
We use the following Scoring system to track the progress of projects based on the IHI (Institute for Healthcare Improvement) progress scores:
Scoring system
Project identification and planning (0.5 - 1.5)
0.5 - Intent to Participate
1.0 - Charter and team established
1.5 - Planning for the project has begun
Understanding the problem / developing a strategy (2.0)
2.0 - Activity, but no changes
Testing (2.5 - 3.0)
2.5 - Changes tested with PDSA, but no improvement
3.0 - Modest improvement - anecdotal evidence of improvement (e.g. staff feedback or data) without achieving special course improvement
Results (3.5 - 5.0)
3.5 - Improvement - project aim has not yet neem achieved but special cause improvement achieved
4.0 - Significant improvement - project aim met through special cause improvement
4.5 - Sustainable improvement - data indicates sustainability of impact of changes implemented (=> 12 data points)
5.0 - Outstanding sustainable results - all expected aims and implementation have been achieved and embedded as business as usual with evidence of longer-term sustainability
Project status
Active - project actively ongoing
Cancelled - Resources or circumstances stopped the pojrect from continuing, prior to evidencing improvement or reaching project aim
Completed - Project has resulted in statistically significant improvement and efforts have been completed. This would usually be at a minimum score of 3.5
Completed QI projects
The Following QI Projects have been successfully completed with many going on to spread their improvement to other areas of the Trust. Click on the Link to view the project posters.
Project Title |
Department |
Division |
Progress Score |
Project Poster |
| Improving offer and uptake of Critical Care 12 Month Follow Up Clinic | Critical care cross-site | Surgery | 4.0 | |
| Monitoring and improving the quality of Critical Care referrals. Audit data, Improvement Project. | ICU UHL | Surgery | 3.5 | |
| Improving completion and submission of Bereavement Checklists | Cross site | Allied Clinical Services | 5.0 | |
|
Improving the quality of TEP/DNAR conversations with patients
|
Ward 22 | Queen Elizabeth Hospital Medicine | 3.5 | |
|
We aim to Improve the diagnosis performance for gynaecology suspected cancer referrals inline with best practice time pathway, from 40% baseline to a target of 75% by December 2024.
|
Allied Clinical Services | 5.0 | ||
|
Stent registry for Lewisham and Greenwich NHS trust - Lead left trust.
|
Urology | Surgery | 3.0 | |
|
Toothbrushing in ventilated patients in Critical Care KCL - Audit data used.
|
Critical Care | Surgery | 2.5 | |
|
Improve the Patients’ Experience of Discharge
|
Ward 15 QEH | Surgery | 5.0 | |
|
Peak Flow, Asthma management in A&E
|
QEH A&E | Queen Elizabeth Hospital Medicine | 3.5 | |
|
Improving Flow and Discharge on Ward 23 AMU
|
Ward 23 then 22 | Queen Elizabeth Hospital Medicine | 4.0 | |
|
Sustainable Inhaler Prescribing and Supply
|
QEH Medicine wards | Queen Elizabeth Hospital Medicine | 3.5 | |
|
Emergency Front of Neck Access (eFONA) QIP
|
Surgery Anaesthetics | Surgery | 2.5 | |
|
Achieving normothermia for neonatal admissions
|
UHL neonatal unit | Women, Children and Sexual Health | 4.0 | |
|
Improving adherence to Neutropenic Sepsis guidelines
|
QEH Acute medicine | Queen Elizabeth Hospital Medicine | 2.5 | |
|
Improve joint goal setting with patient and therapists on Beech ward
|
Beech Ward, UHL | Lewisham Medicine and Community | 4.0 | |
|
Reducing Falls on Ward 2
|
Ward 2, Queen Elizabeth Hospital | Queen Elizabeth Hospital Medicine | 3.5 | |
|
Hysteroscopy QIP: South East London Gynaecology network
|
Gynaecology, Sexual Health and HIV | Women, Children and Sexual Health | 4.0 | Improving Patient Experience of Hysteroscopy |
|
Improving transition for young people with sickle cell disease
|
Women, Children and Sexual Health | 3.5 | ||
|
Improving Communication about Restrictions on Driving
|
QEH Ward 22/23 | Queen Elizabeth Hospital Medicine | 3.0 | |
|
Fluid Balance Charts: Yellow Jug Pilot
|
Wards 3,16, Mulberry and Linden | Surgery | 5.0 | Fluid Balance Charts: Yellow Jug Pilot |
|
Optimizing Intraoperative Handover Excellence
|
QE Theaters | Surgery | 5.0 | Optimising Intraoperative Handover Excellence |
|
Well-being of Doctors and Patient Safety - Establishing Doctors' Offices: An Improvement Project 2024
|
Ward 3 | Queen Elizabeth Hospital Medicine | 3.0 | |
|
COVID vaccine hesitancy in SCD
|
UHL Medicine | Lewisham Medicine and Community | 3.0 | |
|
Develop weekend Criteria Led Discharge (CLD) process and capability on Chestnut ward
|
Chestnut Ward | Lewisham Medicine and Community | 2.5 | |
|
Mouthcare Matters - Improving oral care on Ward 19
|
Ward 19, QEH | Queen Elizabeth Hospital Medicine | 3.0 | |
|
Mouthcare Matters - Improving offer of oral care on Ward 2
|
Ward 2, QEH | Queen Elizabeth Hospital Medicine | 2.5 | |
|
Pro-active therapies in the emergency setting at QEH
|
Clinical Decision Unit/ED at QEH | Allied Clinical Services | 3.0 | |
|
Rapid Diagnostics Centre QEH
|
Queen Elizabeth Hospital | Allied Clinical Services | 3.5 | Improvement Rapid Diagnostics Centre |
|
Delayed Cord Clamping for babies <34 weeks
|
QEH | Women, Children and Sexual Health | 3.5 | Delayed cord clamping |
|
POPS (Perioperative care for the Older Patient undergoing Surgery) pathway
|
QEH Ward 15 | Surgery | 4.5 | POPs Pathway |
|
Improving theatre start times
|
Theatres 2, QEH | Surgery | 4.0 | Improvement Improving Theatre Start Times |
|
Reducing Falls on Ward 1
|
Ward 1, QEH | Queen Elizabeth Hospital Medicine | 4.0 | |
|
Reducing the time to analgesia in patients presenting with sickle cell crisis to QEH Emergency Department - KCL
|
QEH | Queen Elizabeth Hospital Medicine | 4.0 | |
|
Reducing DNA's in endoscopy
|
Cross-site | Surgery | 4.5 | |
|
Reducing Falls on Ward 17
|
Ward 17 (QEH) | Surgery | 4.0 | |
|
Improving Analgesic Management of rib Fractures
|
Surgery | 3.5 | Improving Analgesic Management of Rib Fracture | |
|
To improve the waiting time for women presenting to maternity triage with threatened preterm labour (< 37 weeks’ gestation) (TPTL) and/or suspicion of preterm premature rupture of membranes (PPROM).
|
UHL | Women, Children and Sexual Health | 3.5 | |
|
Reducing time to first feed for babies with Polyhydramnios
|
UHL NICU | Women, Children and Sexual Health | 4.5 | |
|
PACES
|
Lewisham Medicine and Community | 3.5 | ||
|
To Create Weekend Handover at University Hospital Lewisham
|
University Hospital Lewisham | Lewisham Medicine and Community | 4.5 | |
|
To improve flow of Covid-19 negative patients from Hawthorn ward( Rapid PDSA cycle)
|
Hawthorn Ward UHL | Lewisham Medicine and Community | 4.5 | |
|
Streamlining ENT SOS Clinic Referrals - KCL
|
Surgery ENT clinic | Surgery | 3.0 | |
|
Hip hip hooray, let’s take this pain away!
Improve assessment of pain and timeliness of analgesia in patients with a suspected fractured neck of femur in ED. |
Emergency department, QEH | Queen Elizabeth Hospital Medicine | 4.0 | |
|
Inappropriate referrals for acute knee patients (KCL Students)
|
UHL Surgery AKC | Surgery | 3.5 | Reducing inappropriate referrals of patients with an acute knee injury |
|
Getting It Right On Admission- timely completion of falls and pressure ulcer assessments on admission to UHL surgical wards
|
UHL surgical wards | Surgery | 4.5 | |
|
Improve patient and family communication via updates (PFU) on Ward 2.
|
Ward 2, Queen Elizabeth Hospital | Queen Elizabeth Hospital Medicine | 3.5 | |
|
Reducing the % of unexpected patients who arrive in ACU and improve ACU/ED Referral process
|
ACU, Queen Elizabeth Hospital | Queen Elizabeth Hospital Medicine | 4.0 | |
|
Improving time to analgesia for adult patients in a vaso-occlusive sickle cell crisis in QEH Emergency Department
|
ED - Queen Elizabeth Hospital | Queen Elizabeth Hospital Medicine | ||
|
Improve Health care assistants experience and joy at work on Ward 3 (formerly Ward 16)
|
Ward 3 (16) | Queen Elizabeth Hospital Medicine | 4.0 | |
|
SAFER patient flow- Improve the input of EDD and ECIST code using Discharge patient tracking list on icare on Ward 23
|
Ward 23, QEH | Queen Elizabeth Hospital Medicine | 5.0 | |
|
Reducing the rate of omitted doses of medicine on Chestnut Ward
|
Chestnut ward | Allied Clinical Services | 4.0 | |
|
Increasing inpatient Nicotine Replacement Therapy Prescriptions
|
QEH and UHL Inpatients | Allied Clinical Services | 5.0 | |
|
Increase referrals to the inpatient Tobacco Dependency Team
|
All inpatient TDT referrals | Allied Clinical Services | 4.5 | Increase Referrals To Tobacco Dependency Team |
|
Electronic Notification of cancer diagnosis to GP within 24 hours
|
Cross Site | Allied Clinical Services | 3.5 | |
|
QEW Outpatients Kiosk Utilisation Improvement
|
QEW Outpatients | Allied Clinical Services | 5.0 | Outpatients Kiosk Utilisation Improvement |
|
Improve the flow and numbers of patient seen in Physiotherapy Outpatient Fracture Clinic at UHL
|
Physiotherapy, Outpatients UHL | Allied Clinical Services | 4.0 | |
|
Improving pharmacy services over 7 days
|
Pharmacy | Allied Clinical Services | 5.0 | |
|
Improve joint meaningful goal setting with patient and therapists on Maple ward
|
Maple ward, UHL | Allied Clinical Services | 4.0 | |
|
Increasing Uptake of Diagnostic Screenings for Bowel Cancer
|
Suite 8/Endoscopy (UHL) | Surgery | 4.0 | |
|
Reduce maternal readmissions related to post-partum infections
|
Women, Children and Sexual Health | 5.0 | ||
|
RED: Reducing Errors in Drugs
|
UHL NICU | Women, Children and Sexual Health | 4.5 | |
|
Improve Criteria Led Discharges (CLD) at Chestnut ward
|
Lewisham Medicine and Community | 5.0 | ||
|
Criteria Led Discharge Ward 22 QEH
|
Ward 22, QEH | Queen Elizabeth Hospital Medicine | 4.5 | |
|
Improving the quality/content of Medical discharge summaries
|
Ward 22, QEH | Queen Elizabeth Hospital Medicine | 5.0 | |
|
Improving the quality/content of Discharge Summaries on AMU
|
AMU, Queen Elizabeth Hospital | Queen Elizabeth Hospital Medicine | 5.0 | Improving Quality and Content of Discharge Summaries |
