Non Invasive Ventilation: Case Study

Abstract

The Acute Non-Invasive Ventilation (NIV) team at King's Mill Hospital have been asked to collaborate with the British Thoracic Society (BTS) on a case study to share the results of our quality improvement transformation project. 'Inspiring Change', produced by the National Confidential Enquiry into Patient Outcomes and Deaths (NCEPOD), demonstrated across the UK that 80% of these patients received poor care, 35% patients died and 40% of hospitals lacked capacity to deliver Acute NIV.

The Acute NIV team are a group of specialist nurses, physiologists, doctors and others who were supported significantly by senior management and executives to improve the care of our patients and in August 2017 we started our project. We developed a new Acute NIV prescription and developed Service and Patient Quality Dashboards to prospectively audit our service.

The new NIV prescription chart halved time to NIV and we presented our work at the British Thoracic Society Summer Conference where it won the Quality Improvement abstract prize. We shared our learning with 50 Trusts via Twitter before the chart was included in the BTS QI toolkit.