HiQuiPs: Resource Issues in the Emergency Department

In HiQuiPs by Shirley LeeLeave a Comment

Emergency departments are busy and are getting busier1, 2. Emergency physicians are faced with issues of overcrowding, departmental closures, and insufficient staffing. These issues are exacerbated by both the Covid pandemic3 and pressures found in the post-Covid “return to normal”4. Physicians are still expected to provide safe medical care in the face of these challenges. But what does that look like when your emergency department lacks appropriate resources? And how can physicians minimize …

View Post

HiQuiPs: Optimizing your diagnostic reasoning – themes from CMPA medico-legal cases

In HiQuiPs by Shirley LeeLeave a Comment

A 49-year-old male presents to the emergency department with shortness of breath on exertion and left lower chest discomfort for the past 3 days. His past medical history is significant for hypertension and he has a family history of heart disease. At triage he is noted to have a pulse of 117 and normal blood pressure. His oxygenation is 94% on room air. His cardiac and respiratory exam are normal, and no other …

Quality Improvement in Nephrology Part 1 – Examining Patient Follow-up Practices

In HiQuiPs by Meherzad KutkyLeave a Comment

The Quality Improvement paradigm has been applied to a wide spectrum of settings and patient populations. There has been an exponential rise in QI publications over the recent decades.1​ In this new HiQuiPs Series we explore the QI paradigm applied to different medical specialties and settings. We start with an example of an outpatient nephrology setting.  Quality Improvement (QI) in nephrology for patients with kidney disease takes on many different forms depending on …

View Post

HiQuiPs: Patient Safety Fundamentals – Introduction & Hospital Acquired Infections

In HiQuiPs by Jamie RiggsLeave a Comment

It’s another Friday morning on the ward, and you are looking forward to discharging one of your patients home to spend time in their garden over the weekend. Ms. Jones is an 83-year-old lady admitted a few days ago with what turned out to be a urinary tract infection. Initially weak and slightly confused, after some IV fluids and oral antibiotics, she has been back to her peppy self over the past day. …

View Post

HiQuiPs: Consent in Quality Improvement

In Education & Quality Improvement, HiQuiPs by Sarah TosoniLeave a Comment

You’re ready to start a quality improvement (QI) project aimed at improving the effectiveness of the communication surrounding patient prognosis by providers. Your Plan-Do-Study-Act (PDSA) cycles involve retrospective chart reviews, surveys with patients to understand their experiences, and 1:1 key informant interviews with inter-disciplinary staff members in your department. You’ve learned about navigating ethics in quality improvement , and have reached out to your institution’s Research Ethics Board or QI leadership to determine the process …

View Post

HiQuiPS: Virtual Care and Inequity Part 2 – Bridging the Digital Divide

In Education & Quality Improvement, Featured, HiQuiPs by Tayler YoungLeave a Comment

You are a Nurse Practitioner who has educated yourself about Canada’s digital divide through personal research and interactions with your own patients. Now that you have a grasp on the source of the problem, you begin to search for solutions. You scour the internet for various services that will provide your patients with access to devices, internet services, and provide technology teachings. Welcome to Part 2 of our Virtual Care and Equity series …