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Expert’s Corner – Dr. Kaveh Shojania on Common QI Pitfalls

In Education & Quality Improvement, Featured, HiQuiPs by Kaveh ShojaniaLeave a Comment

Welcome to another HiQuiPS post! Our series has aimed to present foundational topics in Health informatics, Quality Improvement and Patient Safety in a practical manner. In this new section – Expert’s Corner, we ask an expert some important questions to deepen our understanding of these sciences and improve our implementation. For our inaugural Expert’s Corner post, we invited Dr. Kaveh Shojania. Dr. Shojania is the Vice Chair (Quality & Innovation) in the Department …

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Reporting Patient Safety Events in the Emergency Department

In Education & Quality Improvement, HiQuiPs by Alex ChanLeave a Comment

You are a physician caring for a 4-year-old patient in the Emergency Department (ED) presenting with a fever. Before ordering Acetaminophen for the patient, you check the patient’s weight on the emergency record, which you read as 17kg. You then write an order based on this weight. The ED nurse checks the order to see if the medication dose is safe using the hospital medication formulary. After that, the nurse approaches you and …

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Better Measurement in Quality Improvement

In Education & Quality Improvement, HiQuiPs by Camilla ParpiaLeave a Comment

You are getting handover at the beginning of a shift in the emergency department (ED) and hear about a 71 year old woman who presented with a hip fracture. You’ve read about the benefits of nerve blocks for hip fractures, but still don’t feel prepared or supported to perform one. You text message a couple of colleagues and realize you are not alone. Others also understand that there are clear benefits, but don’t …

Human-Centered Design in Healthcare

In Education & Quality Improvement, HiQuiPs by Laura PozzobonLeave a Comment

You are working a busy shift in the emergency department and are trying to quickly disposition patients. As the shift progresses and your feet hurt, you wonder why your work space is far removed from the patient care area, and different walls have bins that contain order sets, handover notes, and referral forms. Moreover, the route to sending the tube to the lab crosses too close to the dirty utility room. You think …

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HiQuiPs: Preparing a QI Manuscript – the SQUIRE 2.0 Guidelines

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

You are planning to conduct a quality improvement project and your project supervisor has advocated that you download a copy of the SQUIRE 2.0 QI reporting guidelines before you begin.  This is confusing, as it seemed to you that reporting guidelines governed how a manuscript should be drafted rather than how a project should be conducted.   You decide to take a deeper dive into the SQUIRE 2.0 guidelines. Introduction: Guidelines for Conducting Research …

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HiQuiPs Special Post: In Situ Simulation and High Reliability Organizations in the time of COVID-19

In Education & Quality Improvement, HiQuiPs by Alia DharamsiLeave a Comment

It has been a slower than usual night shift, and you have just led a resuscitation for a COVID-19 patient in your ED. Your ED has experienced several policy changes in recent weeks, from new standards for the use of personal protective equipment to policies for mitigating risk during aerosol-generating medical procedures to guidelines on how to best communicate between resuscitation and support teams. You wonder how your department can implement multiple changes …