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 statement1. 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 …
Special HiQuiPs Post – Choosing Wisely Canada and Quality Improvement
Welcome to another HiQuiPs post! This is the first in a series of posts highlighting Choosing Wisely, an international movement that addresses unnecessary tests and treatments, which has spurred many local, national, and international QI initiatives. In our last post, we discussed variation in the efficiency of medical processes and how this can be attributed to random or non-random (special cause) variation. Variation can be seen throughout different processes in the ED. For …
Teaching That Counts: Tagging Your Teachable Moment
View PostHiQuips: Variation and Quality Improvement Processes
Welcome to another HiQuiPs post, where we discuss the concept of variability and its relation to QI processes. You are finishing another busy shift in the ED, and you notice that wait times have increased, patient beds are now set up in the hallway, and extra team members have been called in to help. You are frustrated with the length of time it takes to get routine blood work back on your patients. …
Teaching That Counts: The One-Minute Preceptor Model
View PostFlow Hacks 10 – An ED Model of Care©.
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 …