scholarly journals Using Medical Student Quality Improvement Projects to Promote Evidence-Based Care in the Emergency Department

2018 ◽  
pp. 148-157 ◽  
Author(s):  
Michael Manning ◽  
Eric Bean ◽  
Andrew Miller ◽  
Suzanne Templer ◽  
Richard Mackenzie ◽  
...  
Keyword(s):  
Emergency Department ◽  
Quality Improvement ◽  
Medical Student ◽  
Evidence Based ◽  
Evidence Based Care

scholarly journals Introducing Medical Student–led Quality Improvement Projects as a Value‐added Learning Opportunity in the Emergency Department

2019 ◽  
Vol 3 (3) ◽  
pp. 301-302
Author(s):  
Haridha Sudhakara Pandian ◽  
Priyanka Shivaraman Iyer ◽  
Jasmine Kaur Bhangra ◽  
Aditi Nijhawan
Keyword(s):  
Emergency Department ◽  
Quality Improvement ◽  
Medical Student ◽  
Value Added ◽  
Learning Opportunity ◽  
A Value

scholarly journals Improving Evidence-Based Care in Cystic Fibrosis Through Quality Improvement

2010 ◽  
Vol 164 (10) ◽  
Author(s):  
Gary L. McPhail ◽  
Jeanne Weiland ◽  
James D. Acton ◽  
Mathew Ednick ◽  
Amrita Chima ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Quality Improvement ◽  
Evidence Based ◽  
Evidence Based Care

scholarly journals Utilization of an Electronic Medical Record–integrated Dashboard Improves Identification and Treatment of Anemia and Iron Deficiency in Pediatric Inflammatory Bowel Disease

2020 ◽  
Author(s):  
Jessica Breton ◽  
Char M Witmer ◽  
Yuchen Zhang ◽  
Maura Downing ◽  
Jamie Stevenson ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Quality Improvement ◽  
Iron Deficiency ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Bowel Disease ◽  
Care Pathway ◽  
Evidence Based ◽  
Inflammatory Bowel ◽  
Evidence Based Care

Abstract Background Iron deficiency (ID) and anemia are one of the most common extraintestinal manifestations of inflammatory bowel disease (IBD), usually complicating the course both in ulcerative colitis and Crohn’s disease. Despite their high prevalence and significant impact on patients, this particular aspect is still underestimated by clinicians. Although guidelines have been recently published to address this problem, these recommendations do not address pediatric specific concerns and do not provide guidance as to how implement these guidelines in clinical practice. The aims of this quality improvement (QI) initiative were to improve the rates of detection and treatment of anemia in children with IBD. Methods After the creation of a multidisciplinary team of skateholders in IBD and anemia, we launched a multifaceted QI strategy that included the development of a pediatric evidence-based care pathway, utilization of an electronic medical record (EMR)-integrated dashboard to track patients, and generation of an automated provider-based monthly report. Data were collected and graphed into statistical process control charts. Results These key strategies resulted in improved rates of ID screening from 31.7% to 63.6%, in increased treatment rates from 38.2% to 49.9%, and in decreased prevalence of anemia from 35.8% to 29.7%, which was reflected by a greater decline in patients with quiescent disease. Conclusions Quality improvement strategies incorporating the creation of a pediatric evidence-based care pathway with an EMR-supported electronic dashboard were the foundation of a successful intervention in the management of ID and anemia in pediatric IBD. Our positive results demonstrate the potential of QI initiatives using automated technology to assist clinicians in their commitment to provide evidence-based IBD care and enhance patient outcomes.

Results from a Quality Improvement Project to Decrease Infection-Related Ventilator Events in Trauma Patients at a Community Teaching Hospital

2018 ◽  
Vol 84 (10) ◽  
pp. 1701-1704 ◽  
Author(s):  
Tanya Anand ◽  
Santa Ponce ◽  
Andrea Pakula ◽  
Cindy Norville ◽  
David Kallish ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Policy Development ◽  
Injury Severity ◽  
Quality Improvement Project ◽  
Evidence Based ◽  
Trauma Patients ◽  
Improvement Project ◽  
Dramatic Decline ◽  
One Year ◽  
Evidence Based Care

Ventilator-associated pneumonia (VAP) is linked to increased morbidity and mortality and clinical protocols (VAP bundles) have evolved to minimize VAP. In 2009, a quality improvement project was implemented at our institution to decrease VAP rates in adult trauma patients. AVAP prevention committee was developed, and formal evidence-based education for the nursing and physician staff was introduced. During the study period (2009–2016), 2380 patients required ICU admission to our Level II trauma center. The mean Injury Severity Score was 33 1 12, and there were 17 per cent penetrating and 83 per cent blunt injuries. The early compliance (2010) with the VAP bundle was 65 per cent. Within one year of the implementation of VAP prevention, the compliance increased to >90 per cent. Compliance has been carefully trended and has remained at 100 per cent. All of the aforementioned interventions have resulted in a sustained dramatic decline in VAP, from 12 per cent in 2009 to 0 per cent in 2016. Ongoing education and ICU policy development has become the mainstay of our trauma ICU program. The introduction of evidence-based care education imparted a culture of excellence resulting in favorable outcomes in high-risk trauma patients related to VAP prevention. Ongoing monitoring and education is required to sustain these promising outcomes.

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