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HiQuiPs: Ontario Return Visit Quality Program Part 3 – Program Accomplishments

In Education & Quality Improvement, HiQuiPs by Ahmed TaherLeave a Comment

You are working a busy shift in your busy emergency department (ED), when you are called by the microbiologist about a positive blood culture gram stain on a patient discharged home. You call the patient’s caregiver and they relay that the patient is doing well. You believe that the culture may be a contaminant from skin flora, but ask the patient and their caregiver to return to the ED for reassessment, possible admission …

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HiQuiPs: Ontario Return Visit Quality Program Part 2 – a Health Informatics Perspective

In Education & Quality Improvement, HiQuiPs by Ahmed TaherLeave a Comment

Welcome back to our second post on the Ontario Emergency Department (ED) Return Visit Quality Program (RVQP). In our first post we discussed the utility of return ED visits as triggers for potential quality improvement (QI) initiatives. We also discussed the scope of this program, which is a provincial-level program with many stakeholder organizations. The program was built with the goal of promoting “high-quality ED care by helping clinicians and hospitals identify, audit …

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Special Post – Ontario ED Return Visit Quality Program Part 1

In Education & Quality Improvement, HiQuiPs by Ahmed TaherLeave a Comment

You are midway through a busy shift when a colleague approaches you and utters the dreaded “Remember that patient you saw…?!”. This time, it is about an elderly patient you saw the previous week with chest pain that you sent home. And now they are back! You finish the rest of your shift – a bit distracted – and you start reflecting back on that patient. Did I miss anything? You wonder about …

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Designing a QI project – a Comparison of Quality Improvement and Traditional Research Paradigms

In Education & Quality Improvement, HiQuiPs by Shawn.MondouxLeave a Comment

You are attending your local ED monthly rounds where a journal club is being held discussing a Quality Improvement (QI) published paper. As the rounds progress, your presenter critiques the article and discusses perceived weaknesses including a small sample size, lack of  randomization and blinding, and lists many different possible biases in this project. You reflect back on your previous journal clubs and wonder whether it makes sense to apply a research-style critical …

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Reporting QI Results Part 1 – Run Charts

In Featured, HiQuiPs by Ahmed TaherLeave a Comment

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 statement​1​. 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 …

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Special HiQuiPs Post – Choosing Wisely Canada and Quality Improvement

In Education & Quality Improvement, HiQuiPs by 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 …