{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T04:13:49Z","timestamp":1695528829111},"reference-count":7,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,11,6]],"date-time":"2017-11-06T00:00:00Z","timestamp":1509926400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2018,4]]},"abstract":"Aim<\/jats:title>To reduce the number of paediatric respiratory viral swabs (locally referred to as a FLOQ<\/jats:styled-content>) performed across the authors clinical centre from a baseline of over 800 ($38\u2009000) per year by 25% over 4\u2009months from 6 February 2017 to 31 May 2017.<\/jats:p><\/jats:sec>Methods<\/jats:title>A quality improvement project \u2018What the FLOQ<\/jats:styled-content>?\u2019 (WTF<\/jats:styled-content>) was instigated from 6 February 2017 to complement the Emergency Department (ED<\/jats:styled-content>) \u2018Sensible Test Ordering Process\u2019 project from 1 April 2017. Stakeholder engagement across ED<\/jats:styled-content> and general paediatric staff was sought. Alterations in practice included education of staff, targeted feedback to groups frequently ordering a FLOQ<\/jats:styled-content> and rationalising patients appropriate for testing. Monthly requests were tallied on a run chart for FLOQs<\/jats:styled-content> ordered in ED<\/jats:styled-content> and the paediatric ward. A monthly audit of FLOQs<\/jats:styled-content> performed on ED<\/jats:styled-content>\u2010discharged patients was conducted with feedback.<\/jats:p><\/jats:sec>Results<\/jats:title>Total FLOQ<\/jats:styled-content> swabs decreased by 55% from 336 (February to May 2016) to 151 (February to May 2017). ED<\/jats:styled-content> performed 66% less FLOQs<\/jats:styled-content> from 237 (February to May 2016) to 82 (February to May 2017). There was no increase in the number of FLOQs<\/jats:styled-content> performed on the paediatric ward February to May 2017. Monthly auditing of ED<\/jats:styled-content> discharged patients under 2\u2009years with a FLOQ<\/jats:styled-content> went from 40 to 3%.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Rationalising patient groups appropriate for testing with targeted feedback and broad stakeholder engagement successfully reduced FLOQs<\/jats:styled-content> performed by 55%. This has projected savings of over $21\u2009000 by 12\u2009months. WTF<\/jats:styled-content> has reduced the number of invasive patient procedures performed, benefitting staff and patients. Sustaining this change will be achieved through ongoing staff education on rationalisation criteria and consultant only requests outside of these parameters.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.13770","type":"journal-article","created":{"date-parts":[[2017,11,6]],"date-time":"2017-11-06T09:56:54Z","timestamp":1509962214000},"page":"416-419","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["What the FLOQ<\/scp>? A quality improvement project to reduce unnecessary paediatric respiratory viral swabs in a peripheral metropolitan hospital"],"prefix":"10.1111","volume":"54","author":[{"given":"Patrick","family":"Aldridge","sequence":"first","affiliation":[{"name":"Mona Vale Hospital Sydney New South Wales Australia"},{"name":"School of Women's and Children's Health, University of New South Wales Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Horsley","sequence":"additional","affiliation":[{"name":"Mona Vale Hospital Sydney New South Wales Australia"},{"name":"School of Women's and Children's Health, University of New South Wales Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kerri","family":"Rosettenstein","sequence":"additional","affiliation":[{"name":"Mona Vale Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Wallis","sequence":"additional","affiliation":[{"name":"Mona Vale Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Payne","sequence":"additional","affiliation":[{"name":"Mona Vale Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy","family":"Pallot","sequence":"additional","affiliation":[{"name":"Mona Vale Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vladimir","family":"Lakic","sequence":"additional","affiliation":[{"name":"Mona Vale Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,11,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2002.tb04697.x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2017.0786"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs.2009.037895"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/irv.12379"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2011.1669"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-2742"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/19.9.485"}],"container-title":["Journal of Paediatrics and Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjpc.13770","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.13770","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T18:38:41Z","timestamp":1695494321000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpc.13770"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,6]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,4]]}},"alternative-id":["10.1111\/jpc.13770"],"URL":"https:\/\/doi.org\/10.1111\/jpc.13770","archive":["Portico"],"relation":{},"ISSN":["1034-4810","1440-1754"],"issn-type":[{"value":"1034-4810","type":"print"},{"value":"1440-1754","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,11,6]]},"assertion":[{"value":"2017-06-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-08-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-11-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}