Quality improvement stories Stressbusters Stressbusters: Supporting Colombian former refugees in to Nelson Hapū Wānanga Hapū Wānanga (Wānanga Hapūtanga) – Kaupapa Māori pregnancy and parenting programme. Cough reflex test picks up swallowing difficulties A a simple test detects a patient's swallowing capability. Initiative helps streamline X-ray examinations Patient's with swallowing problems may be sent for a videofluoroscopy Bringing life to used PVC Recycled IV bags, oxygen masks and tubing can end up as safety surfacing in kids’ playgrounds. Putting wheels in motion - bikes in schools The Bikes in Schools initiative is putting bikes, helmets and tracks into schools. Time for change Accomplishing change often means pushing ourselves beyond our comfort zone. Starting a difficult conversation Medical staff may have to start a difficult conversation if the patient starts to deteriorate. New programme supports cancer patients and their whanau The Kia Ora – E te iwi programme (KOETI) is an educational and support programme for Maori with cancer. Cochlear implants make listening fun Having a cochlear implant is an emotional and life-changing event for many children experiencing profound deafness. Extending a warm welcome in 2018 Nelson Marlborough Health put a new induction process in place to help new staff. Keeping track of patients’ travel Changes improve communication and continuity for patient travel arrangements. Ending PJ Paralysis for patients Patients get out of PJs and into their own clothes. ‘Guardrails’ safety upgrade for IV pumps IV pump safety net reduces medication errors. Vege-cation: Exchanging seedlings for conversations You get ‘vege-cation’ – a programme using gardening to start important conversations. Stemi care: Improving heart attack care and influencing national policy The STEMI treatment pathway developed by St John and Nelson Marlborough Health is now nationwide. Māori Cancer Pathway Project Cancer pathway aims to improve cancer outcomes for Maori. Helping hand to make homes healthier The Warmer Healthier Homes project is making Nelson homes easier to heat. Safer use of opioids Opioid-induced constipation is distressing for patients, as Mr Minogue found out while recovering from a fall. Health Passport proves invaluable When David went to hospital, his Health Passport helped ensure he received the best possible care. Maori Health Services Awhi (support) from He Pukenga Hauora Maori inpatient services helped Georgie throughout her cancer journey.