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HiQuiPs: Year in Review

In Education & Quality Improvement, HiQuiPsby Shawn.MondouxLeave 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: Patient Safety in the ED Part 5 – Patient Communication in the ED

In Education & Quality Improvement, HiQuiPsby Shawn.MondouxLeave a Comment

You are working in the Emergency Department on a day when it is busy and bed blocked. You assess a patient presenting with chest pain in the EMS offload area. Standing next to the stretcher, stopping to move every time a porter comes by with another patient stretcher, you sense that your patient is frustrated.  After the initial workup is complete, you go to reassess your patient and review the results. As you …

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HiQuiPs: Patient Safety in the ED Part 4 – Patient Handovers and Transitions of Care

In Education & Quality Improvement, HiQuiPsby Shawn.Mondoux1 Comment

You are beginning a morning shift in the Emergency Department when the overnight physician comes up to you and asks “Hey, can I give you a few handovers?” Your colleague provides a brief verbal handover for three patients and then says “this fourth one is a slam dunk admit, I’ve called the hospitalist and they’ll come to see the patient sometime this morning. Don’t even worry about it.” A few hours later, a …

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HiQuiPs: Implementation Part 2 – Which Strategy to Choose: PDSA, Lean, or Six Sigma?

In Education & Quality Improvement, HiQuiPsby Shawn.MondouxLeave a Comment

PDSA, Lean, and Six Sigma are three different frameworks that can be part of your quality improvement armamentarium. Each of them can often be applied to the same quality issue. Deciding on which one to use requires an understanding of their inherent strengths and weaknesses. In our last post, we briefly introduced the theory behind Lean, Six Sigma, and PDSA cycles. Here, we will practically apply each methodology to one quality problem to …

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HiQuiPs: Implementation Part 1 – QI Implementation Methodologies

In Education & Quality Improvement, HiQuiPsby Shawn.MondouxLeave a Comment

In this two-part series, we will take a deeper dive into several QI conceptual frameworks, or ways to approach QI projects. In our previous posts, we discussed preparation strategies for QI projects; but when it comes to implementing a change, how would a team go about choosing an approach? We will start with a discussion of the variable effectiveness of different change interventions, then we will delve into an overview of some common …

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HiQuiPs: Preparation Part 2 – Stakeholder Engagement and Behavior Change

In Education & Quality Improvement, HiQuiPsby Shawn.MondouxLeave a Comment

You have recently finished a review of incidents that have been flagged in your ED. You have chosen a pertinent issue to tackle, formed a core group to work on the project, and formulated a SMART aim statement after reading our last HiQuiPs post. The median time for obtaining 12-lead ECGs is 13 minutes, while guidelines recommend less than 10 minutes.1 Your aim is to decrease the initial 12-lead ECG acquisition time by …