scholarly journals Selecting best-suited “patient-related outcomes” in older people admitted to an acute geriatric or emergency frailty unit and applying quality improvement research to improve patient care

2018 ◽  
Vol Volume 9 ◽  
pp. 309-320 ◽  
Author(s):  
Inderpal Singh ◽  
Shridhar Aithal
Keyword(s):  
Quality Improvement ◽  
Older People ◽  
Patient Care ◽  
Improve Patient Care ◽  
Quality Improvement Research ◽  
Improve Patient

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.

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

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.

scholarly journals Identifying avoidable switchboard delays in England’s NHS hospitals: phase one of the national SWITCH project

2019 ◽  
Vol 18 (4) ◽  
pp. 210-215
Author(s):  
Rahul Ghelani ◽  
◽  
Edd Maclean ◽  
Myra Adra ◽  
Sarah Anderson ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Quality Improvement ◽  
Infection Control ◽  
Patient Care ◽  
Improve Patient Care ◽  
Acute Hospital ◽  
Mean Delay ◽  
The Mean ◽  
Hospital Communication ◽  
Improve Patient

Background: Inter-hospital communication frequently requires mediation via a switchboard. Identifying and eliminating switchboard inefficiencies may improve patient care. Methods: All 175 acute hospital switchboards in England were contacted six times. Call contents and duration were recorded. No clinician calls or bleeps were connected. Results: The mean delay before contacting a switchboard operative was 55±46 seconds. 115 hospitals (66%) used automated switchboards; 34 of these (30%) had infection control messages. Robot operators introduced an additional 40 second delay versus humans (mean 70.3±28 versus 29.8±23 seconds, p<0.0001). Multivariate analysis identified robot operators (HR 5.1, p<0.0001) and infection control messages (HR 2.9, p=0.003) as predictors of delays over 60 seconds. Conclusions: There are significant avoidable delays in contacting switchboard operatives across England. Quality improvement is underway.

Sign in / Sign up

Export Citation Format

Share Document