Root Cause Analysis in the Time of COVID-19:

In Education & Quality Improvement, Featured Education Innovations (FEI), HiQuiPs by Tayler YoungLeave a Comment

You are midway through a busy rapid response shift where you have noticed an increased response time of the hospital’s intubating teams to decompensating patients. Over the last few months, the COVID-19 pandemic has prompted restructuring of the use of many spaces to accommodate the influx of patients. You understand that the system is overwhelmed but you are optimistic that you can optimize the interprofessional team’s response times. This sets off a new …

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Hosting More Effective Morbidity & Mortality Rounds

In Education & Quality Improvement, HiQuiPs by Dominick SheltonLeave a Comment

LeBron was in the last few months of his emergency medicine (EM) residency and was tasked with presenting morbidity and mortality (M&M) rounds during an EM rotation.  Between clinical shifts and incessant studying for his exam, he carved out time to prepare the rounds.  Although he had been a participant in many M&M rounds, he realized that he had never presented at one.  He didn’t have a good case to present and wondered …

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Artificial intelligence in emergency medicine: beyond the hype

In Commentary, HiQuiPs by Abirami KirubarajanLeave a Comment

During a busy night shift, you are reading a series of chest X-rays when you overhear a colleague remark, “This will all be replaced by computers soon, anyways”. You think back to a few Tweets on artificial intelligence in medicine and wonder if her comment has merit.   There has been so much hype about the topic of Artificial Intelligence (AI) in recent years, much of which is optimistic and some of which is …

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Checklists and the Hierarchy of Effectiveness

In HiQuiPs by Alex ChanLeave a Comment

You are working a particularly busy overnight solo coverage shift when a very sick 4-year old patient with respiratory distress begins desatting requiring urgent intubation. A team is quickly assembled and preparation is completed for the procedure. You begin attempting endotracheal tube insertion but after two failed attempts with direct laryngoscopy you ask for a bougie, and none is delivered. You ask again, and nothing. As you momentarily take your eyes off of …

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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 …