TY - JOUR T1 - Non-Invasive Ventilation (NIV) in Level 3 areas at a NHS Foundation Trust: A quality improvement project JF - ERJ Open Research JO - erjor DO - 10.1183/23120541.RFMVC-2020.31 VL - 6 IS - suppl 4 SP - 31 AU - Laura Mylott AU - Charlene Goh AU - Kelly Morris Y1 - 2020/02/13 UR - http://openres.ersjournals.com/content/6/suppl_4/31.abstract N2 - Background: The delivery of NIV using dual limb ventilators is complex and can lead to problems, such as trigger sensitivity and leak. Due to this, and the introduction of a different ventilator on our unit, a quality improvement project was carried out to review aspects of clinical governance focusing on risk management, education and training.Objectives: - Review incident reports and identify themes- Assess staff confidence and competenceMethod: Review of incident reports for NIV in level 3 areas for 24 months pre- and 19 months post- introduction of new ventilators.A questionnaire was developed from current literature to assess staff confidence and competence.  Responses were captured via survey monkey and hard copy.  Competency questions were marked against a best practice answer based on existing guidelines.Results: Reported incidents increased by 100% after introduction of the new ventilators including themes of pressure areas, equipment, confidence and troubleshooting.  Staff responders to the questionnaire included doctors, nurses and physiotherapists (n=52).  The matrix demonstrates the interaction between confidence and competence scores.Conclusions: Themes from the questionnaire and incident reports will be used in the production of a new clinical guideline and staff training package. The methodology will be repeated in the future to evaluate change and identify areas for further work.FootnotesCite this article as: ERJ Open Research 2020; 6: Suppl. 4, 31.This is an ERS Respiratory Failure and Mechanical Ventilation Conference abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only). ER -