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HiQuiPs: Ontario Return Visit Quality Program Part 3 – Program Accomplishments

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You are working a busy shift in your busy emergency department (ED), when you are called by the microbiologist about a positive blood culture gram stain on a patient discharged home. You call the patient’s caregiver and they relay that the patient is doing well. You believe that the culture may be a contaminant from skin flora, but ask the patient and their caregiver to return to the ED for reassessment, possible admission …

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HiQuiPs: Ontario Return Visit Quality Program Part 2 – a Health Informatics Perspective

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Welcome back to our second post on the Ontario Emergency Department (ED) Return Visit Quality Program (RVQP). In our first post we discussed the utility of return ED visits as triggers for potential quality improvement (QI) initiatives. We also discussed the scope of this program, which is a provincial-level program with many stakeholder organizations. The program was built with the goal of promoting “high-quality ED care by helping clinicians and hospitals identify, audit …

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Special Post – Ontario ED Return Visit Quality Program Part 1

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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

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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

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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 …

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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 …