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Flow Hacks 10 – An ED Model of Care©.

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To continue our FLOW Hacks series, Mary Van Osch (RN, MSN, ENC) discusses her team’s new Emergency Department Model of Care (ED MOC ©) at Fraser Health in British Columbia.  Setting The model was implemented at Fraser Health in British Columbia, across 12 emergency departments (ED) with a total of 720,000 visits per year. Description of Innovation The ED MOC © was developed at Fraser Health by the Emergency Network core team after …

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Flow Hacks 9 – OUCH! Timely analgesia administration for patients with MSK injuries in the ED.

In Education & Quality Improvement, FLOW Hacks by David SavageLeave a Comment

To continue our FLOW Hacks series, Victoria Woolner (NP, MN, MSc QIPS) writes about another initiative her team has taken on, this time tackling timely analgesia administration for patients with MSK injuries in the ED.  This innovation was also the winner of the Top QIPS Abstract Award at the Canadian Association of Emergency Physician’s Conference in 2019.  Setting This intervention was carried out at Toronto General Hospital (University Health Network), an academic site with …

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FLOW Hacks 8 – In & out of the ED for the ‘Treat & Release’ patient.

In Education & Quality Improvement, Featured, FLOW Hacks by David SavageLeave a Comment

To continue our FLOW Hacks series, Victoria Woolner (NP, MN, MSc QIPS) writes about her team’s project tackling the ‘Treat and Release‘ patient. Setting This intervention was carried out at Toronto General and Toronto Western Hospital (UHN) in Toronto, Ontario. Between the two sites, there are approximately 117, 000 visits per year. Description of the innovation Treat & release (T&R) patients are patients that have been seen in the ED and asked to return …

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FLOW Hacks 7 – Doc in the Box: Improving Physician Initial Assessment Time in the Emergency Department

In Education & Quality Improvement, Featured, FLOW Hacks by David SavageLeave a Comment

To continue our FLOW Hacks series, Dr. Joanna Bostwick writes about her team’s innovation aimed at improving physician initial assessment time in the ED. Setting This intervention was carried out at Hôpital Montfort, Ottawa, Ontario, an academic francophone community hospital with 56, 000 ED visits per year. Description of the innovation Our ED has applied an adapted version of Physician in Triage (PIT) termed “Doc in the Box” with the goal of decreasing physician …

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FLOW Hacks 6 – Improving Usage of Probenecid for Skin and Soft Tissue Infections

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To continue our FLOW Hacks series, Dr. Shawn Dowling writes about his team’s innovation aimed at reducing the number of Emergency Department (ED) revisits for repeated IV antibiotic administration. Setting This intervention was carried out in all of the EDs in Calgary, Alberta. Across all four sites, there is an average of 320, 000 patient visits annually. Description of the innovation In order to reduce the number of revisits to the ED for …

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FLOW Hacks 5 – Bed Utilization in the ER

In Education & Quality Improvement, FLOW Hacks by David SavageLeave a Comment

To continue our  FLOW Hacks series, Dr. Lucas Chartier and nurse Barb McGovern write about their team’s innovation called BED-UP: Bed in the Emergency Department Utilization Project. FLOW Hacks: The Concept The FLOW (Featured Leadership & Organizational Workplace) Hacks Series highlights innovative strategies for increasing patient flow in the emergency department (ED).  This series is unique given its focus on the administrative aspect of emergency medicine. We are interested in small or large interventions that …