View Post

HiQuiPs: Preparation Part 3 – Root Cause Analysis

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

You have just finished a monthly business meeting with your emergency department (ED) team. One of your colleagues highlighted a recurring issue of the length of time it takes from ordering blood products to administering them in your ED. There is often a long delay in administration for patients who are in acute need.   You have gathered a team to start working on this quality improvement project. The team has put a …

View Post

HiQuiPs: Preparation Part 1 – General Considerations for ED Quality Improvement Projects

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

You are in the middle of a busy night shift and you see a 73-year-old female with diffuse abdominal pain who is hemodynamically stable. You have a wide differential and order a CT scan to aid in the diagnosis as you begin empiric management. Three hours pass by and the CT has not been performed. This is the third time this week that this has happened.  In light of this, you feel strongly …

QI Series Part 3 | Differentiating Quality Improvement and Clinical Epidemiology

In Education & Quality Improvement by Lucas ChartierLeave a Comment

How do Quality Improvement methods differ from classical clinical research? This article is the last in a three-part series on Quality Improvement (QI) in health care. The first article, “What is Quality Improvement?”, defined this field of study and provided a brief history of its origins.  The second article defined “quality” and briefly described tools used to achieve improvement. This article seeks to differentiate QI methods and goals from those encountered in clinical …

View Post

HiQuiPs (Quality Improvement)

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

  Quality Improvement Quality of Care and the ED  Preparation Part 1 – General Considerations for a QI Project in the ED  Preparation Part 2 – Stakeholder Engagement and Behaviour Change  Preparation Part 3 – Root Cause Analysis  QI in the ED –  Implementation Part 1. QI Implementation Methodologies  QI in the ED – Implementation Part 2. Which Strategy to Choose: PDSA, Lean, or Six Sigma?  Quality Improvement Projects and Patient Reported Measures …

QI Series Part 2 | What is “Quality” in health care and how do we achieve it?

In Education & Quality Improvement by Lucas ChartierLeave a Comment

This article is the second in a three-part series on quality improvement in health care. The first article, “What is Quality Improvement?”, defined this field of study and provided a brief history of its origins.  In this article, we will define “quality” and briefly describe tools often used to achieve improved quality in health-care delivery. What do we mean by “high-quality” care? Health-care organizations around the country are striving to improve the care …