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Q Bulletin, Volume 1, No. 32 (Supplement 1), Jan - Dec 202412th National QA Convention, 8 %u2013 10 October 2024QLL-125Improving the Bed Waiting Time (BWT) for General Paediatric Patients in HospitalShah Alam (HSAS)Nur Hidayah MJ, Shu XC, Helen C, Ramlah BHospital Shah Alam, SelangorSELECTION OF OPPORTUNITIES FOR IMPROVEMENT:Prolonged Bed Waiting Time (BWT) among paediatric patients was a challenge as it increased healthcarecost, morbidity and mortality rate, leading to crowding and lower parents%u2019 satisfaction, especially duringthe COVID pandemic.KEY MEASURES FOR IMPROVEMENT:The key indicator for improvement was measured using the percentage of paediatric patients with BWT%u2264240 minutes per admission in General Paediatric Ward HSAS. The standard was more than 80% basedon the consensus reached in the Paediatric Department Meeting, following the hospital standard.PROCESS OF GATHERING INFORMATION:A quality improvement study was conducted from 1/2/22 - 31/10/22 using universal sampling onpaediatric patients planned for admission to general paediatric ward from emergency department (ED)who meet the inclusion criteria using an audit form.ANALYSIS AND INTERPRETATION:Data was analysed using Microsoft Excel. Pre-remedial study showed 44% cases were admitted%u2264240 minutes. The contributing factors were delayed bed booking in general paediatric ward by ED team(67.2%), slow inpatient discharge in general paediatric ward (12.9%), need for formal COVID testscreening and unnecessary admission (19.9%).STRATEGIES FOR CHANGE:The strategies were establishment of discharge trolley and discharge lounge, revision on the guidelines forCOVID prior admission, effective communication between paediatric and ED team for bed booking andallocate paediatricians to review patients in ED.EFFECT OF CHANGE:The percentage of cases admitted into the general paediatric ward from ED %u2264240 minutes after decisionby paediatric team has increased to 54%. Achievable Benefit Not Achieved (ABNA) otherwise improvedfrom 36% to 26%. Higher bed occupancy rate of paediatric wards in the post-intervention months wasidentified as the limitation of this study in view of insufficient bed availability to accommodate thepending paediatric cases in ED.THE NEXT STEP:To continue with the second cycle of study with new strategies for change to ensure we can achieve thestandard with collaboration with the ED team and pharmacist.217 | Page