scholarly journals How do emergency departments and emergency leaders catalyze positive change through quality improvement collaborations?

CJEM ◽  
2019 ◽  
Vol 21 (4) ◽  
pp. 542-549 ◽  
Author(s):  
Lucas B. Chartier ◽  
Shawn E. Mondoux ◽  
Antonia S. Stang ◽  
Adam M. Dukelow ◽  
Shawn K. Dowling ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Patient Care ◽  
Expert Panel ◽  
Healthcare Delivery ◽  
Improve Patient Care ◽  
Local Data ◽  
Team Members ◽  
Incentive Structures ◽  
Improve Patient ◽  
Canadian Healthcare

ABSTRACTObjectivesQuality Improvement and Patient Safety (QIPS) plays an important role in addressing shortcomings in optimal healthcare delivery. However, there is little published guidance available for emergency department (ED) teams with respect to developing their own QIPS programs. We sought to create recommendations for established and aspiring ED leaders to use as a pathway to better patient care through programmatic QIPS activities, starting internally and working towards interdepartmental collaboration.MethodsAn expert panel comprised of ten ED clinicians with QIPS and leadership expertise was established. A scoping review was conducted to identify published literature on establishing QIPS programs and frameworks in healthcare. Stakeholder consultations were conducted among Canadian healthcare leaders, and recommendations were drafted by the expert panel based on all the accumulated information. These were reviewed and refined at the 2018 CAEP Academic Symposium in Calgary using in-person and technologically-supported feedback.ResultsRecommendations include: creating a sense of urgency for improvement; engaging relevant stakeholders and leaders; creating a formal local QIPS Committee; securing funding and resources; obtaining local data to guide the work; supporting QIPS training for team members; encouraging interprofessional, cross-departmental, and patient collaborations; using an established QIPS framework to guide the work; developing reward mechanisms and incentive structures; and considering to start small by focusing on a project rather than a program.ConclusionA list of 10 recommendations is presented as guiding principles for the establishment and sustainable deployment of QIPS activities in EDs throughout Canada and abroad. ED leaders are encouraged to implement our recommendations in an effort to improve patient care.

Remote ultrasound diagnostics disrupting traditional military frontline healthcare delivery

2021 ◽  
pp. bmjmilitary-2021-001821
Author(s):  
Georgina Blenkinsop ◽  
R A Heller ◽  
N J Carter ◽  
A Burkett ◽  
M Ballard ◽  
...  
Keyword(s):  
Patient Care ◽  
Healthcare Delivery ◽  
Improve Patient Care ◽  
Guidance System ◽  
Diagnostic Quality ◽  
Aeromedical Evacuation ◽  
Care Experience ◽  
Ultrasound Diagnostics ◽  
Diagnostic Capability ◽  
Improve Patient

Accurate and reliable diagnostic capability is essential in deployed healthcare to aid decision-making and mitigate risk. This is important for both the patient and the deployed healthcare system, especially when considering the prioritisation of scarce aeromedical evacuation assets and frontline resources. Novel ultrasound tele-guidance technology presents a valuable diagnostic solution for remotely deployed military clinicians. This report discusses the first use of a consultant radiologist guiding a clinician, untrained in ultrasound, to perform an ultrasound scan via a live tele-guidance feed in the deployed environment using the Butterfly iQ+ tele-guidance system. Distance scanning provided a diagnostic quality report when compared with locally performed imaging to improve patient care and maintain operational output. This example demonstrates feasibility of remote point-of-care imaging systems in provision of location-agnostic high-quality diagnostic capability. Future opportunities to develop care pathways using bedside tele-diagnostics will democratise access, drive efficiency and improve patient care experience and outcomes.

scholarly journals Utilizing Quality Improvement Methods to Improve Patient Care Outcomes in a Pediatric Residency Program

2009 ◽  
Vol 1 (2) ◽  
pp. 299-303 ◽  
Author(s):  
Ralitsa B. Akins ◽  
Gilbert A. Handal
Keyword(s):  
Quality Improvement ◽  
Patient Care ◽  
Residency Program ◽  
Improve Patient Care ◽  
Resident Training ◽  
Lessons Learned ◽  
Residency Programs ◽  
Pediatric Residency ◽  
Care Outcomes ◽  
Improve Patient

Abstract Objective Although there is an expectation for outcomes-oriented training in residency programs, the reality is that few guidelines and examples exist as to how to provide this type of education and training. We aimed to improve patient care outcomes in our pediatric residency program by using quality improvement (QI) methods, tools, and approaches. Methods A series of QI projects were implemented over a 3-year period in a pediatric residency program to improve patient care outcomes and teach the residents how to use QI methods, tools, and approaches. Residents experienced practice-based learning and systems-based assessment through group projects and review of their own patient outcomes. Resident QI experiences were reviewed quarterly by the program director and were a mandatory part of resident training portfolios. Results Using QI methodology, we were able to improve management of children with obesity, to achieve high compliance with the national patient safety goals, improve the pediatric hotline service, and implement better patient flow in resident continuity clinic. Conclusion Based on our experiences, we conclude that to successfully implement QI projects in residency programs, QI techniques must be formally taught, the opportunities for resident participation must be multiple and diverse, and QI outcomes should be incorporated in resident training and assessment so that they experience the benefits of the QI intervention. The lessons learned from our experiences, as well as the projects we describe, can be easily deployed and implemented in other residency programs.

Care Team Perspectives About an Inpatient Portal: Benefits and Challenges of Patients’ Portal Use During Hospitalization

2020 ◽  
pp. 107755872092529
Author(s):  
Ann Scheck McAlearney ◽  
Jennifer L. Hefner ◽  
Sarah R. MacEwan ◽  
Alice Gaughan ◽  
Matthew DePuccio ◽  
...  
Keyword(s):  
Health System ◽  
Patient Care ◽  
Patient Perspective ◽  
Collaborative Work ◽  
Improve Patient Care ◽  
Point Of View ◽  
Evaluation Framework ◽  
Care Team ◽  
Team Members ◽  
Improve Patient

While current research about inpatient portals has focused largely on the patient perspective, it is also critical to consider the care team point of view, as support from these individuals is essential to successful portal implementation and use. We held brief in-person interviews with 433 care team members across a six-hospital health system to explore opinions about patients’ use of an inpatient portal as perceived by care team members. Using the Inpatient Portal Evaluation Framework, we characterized benefits and challenges of portal use that care team members reported affected patients, themselves, and the collaborative work of these care teams with their patients. Interviewees noted inpatient portals can improve patient care and experience and also indicated room for improvement in portal use for hospitalized patients. Further understanding of the care team perspective is critical to inform approaches to inpatient portal implementation that best benefit both patients and providers.

Optimizing the electronic medical record to improve patient care and conduct quality improvement initiatives in a concussion specialty clinic

Brain Injury ◽  
2019 ◽  
Vol 34 (1) ◽  
pp. 62-67
Author(s):  
Kelly Claire Simon ◽  
Nicole Reams ◽  
Erik Beltran ◽  
Charles Wang ◽  
Bryce Hadsell ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Patient Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Improve Patient Care ◽  
Specialty Clinic ◽  
Improve Patient
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