View Post

Special Post – Ontario ED Return Visit Quality Program Part 1

In Education & Quality Improvement, HiQuiPs by Ahmed TaherLeave a Comment

You are midway through a busy shift when a colleague approaches you and utters the dreaded “Remember that patient you saw…?!”. This time, it is about an elderly patient you saw the previous week with chest pain that you sent home. And now they are back! You finish the rest of your shift – a bit distracted – and you start reflecting back on that patient. Did I miss anything? You wonder about …

Special HiQuiPs Post – Choosing Wisely Canada and Quality Improvement Part 2

In Featured by Ahmed TaherLeave a Comment

Welcome to our second HiQuiPs post highlighting Choosing Wisely, an international movement dedicated to reducing overuse in health care. Variation among providers and organizations in tests and procedures can help to identify areas of overuse and strategies to reduce it. In our first post we discussed sources of variation in healthcare and specifically how variation can be an indicator of unnecessary tests and/or procedures. Through the publication of specialty-specific lists of recommendations, Choosing …

Reporting QI Results Part 2 – Run Charts

In Featured by Ahmed TaherLeave a Comment

You are working on a local quality improvement (QI) project aimed at improving emergency department (ED) lab test turnaround time. You started with a period of stakeholder engagement including the nursing staff, physicians, porters, administrators, clinical biochemists, lab technologists, and patients. Your team completed a root cause analysis and several potential interventions were highlighted. Your team decided to utilize a Plan-Do-Study-Act (PDSA) cycle approach to carry out several interventions including implementing a new …

View Post

Reporting QI Results Part 1 – Run Charts

In Featured, HiQuiPs by Ahmed TaherLeave a Comment

You are attending your first Quality Committee meeting in your ED. The team is discussing a project they have been working on to decrease unnecessary urine cultures at the urgent care centre associated with the ED. The team has already created a project charter with an appropriate aim statement​1​. They have engaged the appropriate stakeholders and found the best practices for ordering urine cultures in uncomplicated urinary tract infections (UTIs)​2​. The team found …

View Post

Special HiQuiPs Post – Choosing Wisely Canada and Quality Improvement

In Education & Quality Improvement, HiQuiPs by Ahmed TaherLeave a Comment

Welcome to another HiQuiPs post! This is the first in a series of posts highlighting Choosing Wisely, an international movement that addresses unnecessary tests and treatments, which has spurred many local, national, and international QI initiatives.  In our last post, we discussed variation in the efficiency of medical processes and how this can be attributed to random or non-random (special cause) variation. Variation can be seen throughout different processes in the ED. For …

View Post

HiQuips: Variation and Quality Improvement Processes

In Education & Quality Improvement, HiQuiPs by Ahmed TaherLeave a Comment

Welcome to another HiQuiPs post, where we discuss the concept of variability and its relation to QI processes. You are finishing another busy shift in the ED, and you notice that wait times have increased, patient beds are now set up in the hallway, and extra team members have been called in to help. You are frustrated with the length of time it takes to get routine blood work back on your patients. …