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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 …

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How to Read and Make Statistical Process Charts – Part 1

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

You are attending your monthly ED business meeting. There has been a recent effort to decrease the time it takes a patient to be transferred to the imaging department for a STAT CT scan. The project team has concluded the first two PDSA cycles after wide stakeholder engagement, and a root cause analysis. Two interventions were carried out: one, redesigning the process for patient pick up and transport, and two, a new expedited …

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HiQuiPs: Quality Improvement in the time of COVID-19

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

You are attending your monthly ED staff meeting where the main topic of discussion is the COVID-19 pandemic. Recent events around the world have compelled your hospital to make changes to better prepare for the expected increase in local respiratory cases. The ED staff meeting has a debrief about some changes that will be happening including personal protective equipment use changes, new COVID-19 swab testing, ED triage and flow changes and many other …

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Special HiQuiPs Post: Ontario ED 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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Special HiQuiPs Post: Ontario ED 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 HiQuiPs Post: Ontario ED Return Visit Quality Program Part 1 – Program Overview

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 …