Title: Reflective Template: Quality Improvement Activity
Author: WilliamL
Last saved by: William Liu
Company: NES

Reflective Template:  Quality Improvement Activity (QIA)

This reflective template has been designed to use with the SOAR Database (Scottish Online Appraisal Resource).  When you have completed this reflection, please upload it to SOAR / Form 3 and submit it to your interview to share with your Appraiser.

3-step guide to completing this form:

1)	Save this form (using “Save As”) to your computer (e.g. My Documents, Desk top), and customise the file name (e.g. QIA Reflection 2012)
2)	Proceed to filling out the form - when finished, Save and Close the document.
3)	Login to SOAR and Upload this file from where you had saved it (from step 1), either to the Documents Library, or directly to Form 3.

This reflection template form should be used for Domain 2: Safety and Quality.

The boxes will expand automatically as you type into them.
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What supporting information have you provided for your QIA?
I have uploaded a study of central venous catheter insertion.

What strengths or achievements does it demonstrate?
The reliance on radiologists providing a central venous catheter service has been a creeping development and has added to the workload of an already stressed department. Without adequate resources the service is poor, with an average patient waiting nearly nine days.

Did you encounter any difficulties in this process?
No.

Have you been able to make any changes as a result of undertaking this activity?
The study was expanded as a medical student intercalated degree project to assess the relative costs of PICC insertion by different staff groups and to assess patient preference. We have discussed the study results with our hospital managers.

What have you learned from undertaking this activity?
Some patients wait excessively long for adequate venous access. For some this will delay their treatment and prolong their stay in hospital.

Is there anything else that you would like to/ need to do to follow it up?
I would like to compare the relative costs of providing a staffed venous access service against the savings from shorter length of stay, to try to demonstrate cost effectiveness.

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