Register a project – Scottish East quality Improvement and Research Academy

The Clinical governance registration process is laid out in this

Please complete this form for all QI and audit projects within Anaesthetics, Pain medicine and ICM. The form will be sent to local clinical governance for approval. Once approved you will receive an email containing the reference number and the project will be logged on the SEQuoIA database

Name *

First

Last

Email *

Lead Proposer's name & email address *

Supervising consultant (if applicable)

Subspecialty *

Anaesthesia
Critical Care
Pain

Will Medical Students be involved? *

If Yes, please state what year of Medical School

Has Caldicott guardianship been obtained? *

Ethics Screening *

The participants in my study are not randomised to different groups
The study protocol does not demand changing treatment/care from accepted standards for any patients involved
Our findings are not generalisable i.e audit and service evaluation will produce results specific to your clinical area however the tools used & learning could be applicable to other areas

If you are unable to tick any of the above statements, your study may be classed as research & ethical approval must be sought

Project Title *

Aim *

Project Outline (<200 words) *

How do you plan to disseminate the results? *

Anticipated Start and Finish dates *

Phone

If you encounter any issues with form submission, please fill in the word document below and send to paul.wasik@nhs.scot

Sequoia Project Registration