Quality improvement project to enhance adherence to RCEM standards for patients with paracetamol overdose
This QIP addressed problems of delayed or inconsistent NAC administration in the ED by improving compliance with RCEM standard 1 and reducing inpatient stay while maintaining patient safety. Although standards 2 and 3 did not improve, the interventions proved cost-effective, feasible and scalable. Future work should focus on sustaining improvements and exploring patient-centred outcomes across diverse healthcare settings.
Authors
- Raminder Sandhu (ORCID: https://orcid.org/0009-0007-2701-2254)
- Mehpara Maqsood (ORCID: https://orcid.org/0009-0005-4315-9315)
- Azaad Jameel
- Holly Wilkins (ORCID: https://orcid.org/0009-0000-4946-9350)
- Graham David Johnson (ORCID: https://orcid.org/0000-0001-6004-6244)
- Tawfiq Alqeisi (ORCID: https://orcid.org/0009-0007-6124-0816)
- Dayana El Nsouli (ORCID: https://orcid.org/0000-0003-4961-4399)
- Christopher A. Chung (ORCID: https://orcid.org/0009-0005-0304-6914)
- Paige Emily Bate-Jones (ORCID: https://orcid.org/0009-0007-7522-2395)
Institutions
- Nottingham University Hospitals NHS Trust (GB)
- University of Nottingham (GB)
- Royal Derby Hospital (GB)
- Tamedia (Switzerland) (CH)
- Chesterfield Royal Hospital (GB)
- Why Foundation (DK)
- Capital Region of Denmark (DK)
- University Hospitals of Derby and Burton NHS Foundation Trust (GB)
Publication Details
- Journal
- BMJ Open Quality
- Published
- 2025-10-01
- DOI
- https://doi.org/10.1136/bmjoq-2025-003518
- Primary Topic
- Drug-Induced Hepatotoxicity and Protection
- Type
- article
- Field-Weighted Citation Impact
- 0.00