Table 5.

Successful strategies and opportunities for improved implementation of improved hospital oxygen systems

Things that worked well	Ideas for improvement
Planning and engagement Early engagement of hospital managers and administrators, senior and junior doctors and nurses and biomedical engineers and technicians Comprehensive needs assessment to inform planning decisions Formation of multidisciplinary ‘oxygen teams’ to champion oxygen activities and navigate practical challenges	Planning and engagement More frequent and clearer interactions with local and state health leaders (eg, Commissioner for Health) to increase political commitment and translate learning into policy action More individualised oxygen packages to meet whole of hospital needs (paediatric, adult, emergency, surgery, etc.) and provide the most appropriate and affordable solutions
Clinical capacity building Practical, task-based training conducted onsite locally helping to translate learning into action immediately Regular mentoring visits and local project nurse to encourage and troubleshoot challenges	Clinical capacity building Refresher modules offered to facilities to make local retraining easier Improved integration with other training (eg, Emergency Triage Assessment and Treatment course), and orientation for new/rotating staff, to provide more holistic and sustainable capacity building
Equipment and maintenance Procurement of homogeneous equipment to enable easy and efficient training and repair Central hub for spare parts and repair workshop to ensure ready access for all hospitals Swap-and-go exchange of faulty equipment requiring major repairs to avoid excessive down-time Inclusion of biomedical engineers/technicians in decision-making teams to elevate their role and motivation	Equipment and maintenance Increased frequency of contact with hospital staff to encourage routine equipment care and early action to address faults Improved equipment tracking and maintenance information system to enable timely response and planning
Power supply Located a reliable local solar power provider to plan, instal and support hospitals	Power supply Consider whole-of-facility power supply improvements to improve overall power efficiency and affordability and diversify power options Develop ‘hybrid’ power systems, supplementing renewables such as solar with other sources, to improve affordability and reliability