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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 …

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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 …