FAST is one of our quality improvement training programmes. It is a short, practical course with staff teams working on a problem in their workplace, learning to apply quality improvement tools and skills. There are three or four courses (FAST waves) each year with 2-5 teams participating with projects in each wave.

For more information about our FAST programme, please see the overview in our quality account about for 2012/2013 [view FAST overview].


Three waves of FAST were initiated in 2013/2014. Most of these projects are longer-term projects in these later waves.





Mental Health Services: Medication reconciliation

Medication reconciliation (mc) does not consistently occur at the point of discharge from the Inpatient Unit, resulting in some service users being prescribed or administered incorrect medication in the community. Project to improve mc, target 100% within 48hrs.

Occupational therapy practice

A review of current Occupational Therapist practice on the Rehabilitation wards at North Shore Hospital. Currently there is a lack of clarity about the current workflow and role of the Occupational Therapist.

Cervical screening

Practices receive information on cervical screening for multiple sources leading to confusion, frustration and sometimes inaction. Project to investigate improvements accurate information sharing and coordination.

Care coordination model for Child Health services

Families of children with complex needs and staff working with these families, express dissatisfaction with lack of co-ordination of care. Project to look at improving co-ordination of child health care services.


Collection of blood cultures

Establishing best practices in the collection of blood cultures.

Onboarding of new employees (phase 1)

New Employees receive information to read, fill out and return in an ineffective manner. This is at a high cost to the organisation in time (to hire) and dollars. Any hold ups or issues are not able to be tracked. Project to improve the on boarding process of new employees in Waitemata DHB.

Pain management in medical wards

Develop and implement effective pain management process in medical wards, leading to improved patient experience.


Clinical equipment for anaesthesia

Review equipment database to ensure accurate shared equipment information & reporting process.

Environmental cleaning process

Improve compliance for cleanliness of our wards.

Pressure injuries

Pressure injuries (PI) are under reported & and that current reporting methods do not provide a true picture of the incidence of harm from pressure injuries. Project to improve integrity of PI reporting

Improve perioperative quality of service provision and efficiency

Aim to improve:

  1. Times of events in the perioperative process, e.g. time into theatre, surgical start time.
  2. Staff satisfaction: both as a baseline measure and to elicit ideas for improving work satisfaction
  3. Patient satisfaction