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Expert’s Corner – Dr. Kaveh Shojania on Common QI Pitfalls

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

Welcome to another HiQuiPS post! Our series has aimed to present foundational topics in Health informatics, Quality Improvement and Patient Safety in a practical manner. In this new section – Expert’s Corner, we ask an expert some important questions to deepen our understanding of these sciences and improve our implementation. For our inaugural Expert’s Corner post, we invited Dr. Kaveh Shojania. Dr. Shojania is the Vice Chair (Quality & Innovation) in the Department …

Human-Centered Design in Healthcare

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

You are working a busy shift in the emergency department and are trying to quickly disposition patients. As the shift progresses and your feet hurt, you wonder why your work space is far removed from the patient care area, and different walls have bins that contain order sets, handover notes, and referral forms. Moreover, the route to sending the tube to the lab crosses too close to the dirty utility room. You think …

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HiQuiPs: Preparing a QI Manuscript – the SQUIRE 2.0 Guidelines

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

You are planning to conduct a quality improvement project and your project supervisor has advocated that you download a copy of the SQUIRE 2.0 QI reporting guidelines before you begin.  This is confusing, as it seemed to you that reporting guidelines governed how a manuscript should be drafted rather than how a project should be conducted.   You decide to take a deeper dive into the SQUIRE 2.0 guidelines. Introduction: Guidelines for Conducting Research …

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HiQuiPs Special Post: In Situ Simulation and High Reliability Organizations in the time of COVID-19

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

It has been a slower than usual night shift, and you have just led a resuscitation for a COVID-19 patient in your ED. Your ED has experienced several policy changes in recent weeks, from new standards for the use of personal protective equipment to policies for mitigating risk during aerosol-generating medical procedures to guidelines on how to best communicate between resuscitation and support teams. You wonder how your department can implement multiple changes …

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How to Read and Make Statistical Process Charts – Part 1

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

You are attending your monthly ED business meeting. There has been a recent effort to decrease the time it takes a patient to be transferred to the imaging department for a STAT CT scan. The project team has concluded the first two PDSA cycles after wide stakeholder engagement, and a root cause analysis. Two interventions were carried out: one, redesigning the process for patient pick up and transport, and two, a new expedited …

Electronic Health Record Systems and the Emergency Department Part 1 – Introduction

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You are working on a busy overnight shift in your local emergency department. You are comfortable with your flow, but feel that you are subject to some inefficiencies including finding the next patient’s chart, and different paper order sets, and having to write out lengthy discussions that you had with patients. You are often forced to put on your detective hat as you try to decipher previous handwritten notes in your patient’s chart. …