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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 …

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HiQuips: Variation and Quality Improvement Processes

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

Welcome to another HiQuiPs post, where we discuss the concept of variability and its relation to QI processes. You are finishing another busy shift in the ED, and you notice that wait times have increased, patient beds are now set up in the hallway, and extra team members have been called in to help. You are frustrated with the length of time it takes to get routine blood work back on your patients. …

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HiQuiPs: Quality Improvement Projects and Patient Reported Measures

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

You are about to start a Quality Improvement (QI) project in your ED. You have noted that clinicians are being interrupted frequently by patient questions about the ED process and non patient care related inquiries. You have read previously that emergency physicians were being interrupted an average of 9.7 times per hour and may result in a break in tasks, which may lead to negative patient safety implications.​1–3​ You have set up a …

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HiQuiPs: Computerized Physician Order Entry (CPOE ) – Using Health Informatics to Decrease Adverse Drug Events

In Education & Quality Improvement, Featured, HiQuiPs by Ryan TamLeave a Comment

Your emergency department (ED) recently switched over to an electronic health system (EHR). While you slowly adjust your clinical workflow, you find all the dictating, clicking and typing cumbersome and “slows you down”. You wonder how this innovative technology seemingly has become the foremost barrier to your clinical care and how this technology could ever improve patient care? These frustrations and concerns are common sentiments as many EDs across the country are switching …