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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 Lucas ChartierLeave 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 Lucas ChartierLeave 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 …

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HiQuiPs: Quality Improvement in the time of COVID-19

In Education & Quality Improvement, HiQuiPs by Lucas ChartierLeave a Comment

You are attending your monthly ED staff meeting where the main topic of discussion is the COVID-19 pandemic. Recent events around the world have compelled your hospital to make changes to better prepare for the expected increase in local respiratory cases. The ED staff meeting has a debrief about some changes that will be happening including personal protective equipment use changes, new COVID-19 swab testing, ED triage and flow changes and many other …

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HiQuiPs: Year in Review

In Education & Quality Improvement, HiQuiPs by Lucas ChartierLeave a Comment

It has already been one year since we launched the HiQuiPs (Health informatics, Quality Improvement, Patient Safety) series on CanadiEM.  This year we had fifteen contributors from across the country, and over 15,000 page visits to our series.  Over the past year, we have produced thirteen posts over the HiQuiPs interrelated fields:  Quality Improvement: On QI, we introduced what is quality of care in the ED, then to guide our readers through the …

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HiQuiPs: Introduction to Biomedical and Health Informatics and its Role in the Emergency Department

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You are attending your departmental monthly team meeting where you are all discussing your emergency department’s (ED) plan to switch to an electronic healthcare record (EHR) system in the coming months. There is also a lot of discussion about utilizing more health informatics tools to improve patient care. The presenter discusses the emerging role of health informatics in the ED, as well as the utility of connecting to regional health information exchanges. You …

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HiQuiPs: Patient Safety in the ED Part 3 – The Role of Safety Culture in a Patient Safety Program

In Education & Quality Improvement, HiQuiPs by Lucas ChartierLeave a Comment

You are attending a departmental event when you walk over to a group of your colleagues, and the conversation goes silent. You wonder if you had that effect on the conversation, but the awkward silence is reluctantly broken by the person who was speaking when they quietly continue their story. This veteran physician discusses a recent incident where they placed a wrong-sized lumen chest tube in a patient, only to have to replace …