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Special HiQuiPs Post – Choosing Wisely Canada and Quality Improvement

In Education & Quality Improvement, HiQuiPsby Ahmed TaherLeave a Comment

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 …

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HiQuips: Variation and Quality Improvement Processes

In Education & Quality Improvement, HiQuiPsby Ahmed TaherLeave a Comment

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. …

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HiQuiPs: Quality Improvement Projects and Patient Reported Measures

In Education & Quality Improvement, HiQuiPsby Ahmed TaherLeave a Comment

You are about to start a Quality Improvement (QI) project in your ED. You have noted that clinicians are being interrupted frequently by patient questions about the ED process and non patient care related inquiries. You have read previously that emergency physicians were being interrupted an average of 9.7 times per hour and may result in a break in tasks, which may lead to negative patient safety implications.​1–3​ You have set up a …

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HiQuiPs: Computerized Physician Order Entry (CPOE ) – Using Health Informatics to Decrease Adverse Drug Events

In Education & Quality Improvement, Featured, HiQuiPsby Ryan TamLeave a Comment

Your emergency department (ED) recently switched over to an electronic health system (EHR). While you slowly adjust your clinical workflow, you find all the dictating, clicking and typing cumbersome and “slows you down”. You wonder how this innovative technology seemingly has become the foremost barrier to your clinical care and how this technology could ever improve patient care? These frustrations and concerns are common sentiments as many EDs across the country are switching …

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HiQuiPs: Year in Review

In Education & Quality Improvement, HiQuiPsby Ahmed TaherLeave 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

In Education & Quality Improvement, HiQuiPsby Ryan TamLeave a Comment

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 …