Join Section

Quality Improvement and Patient Safety Section Newsletter - September 2012

The Chair’s Letter


Quality and Safety Offerings at SA
This year’s Scientific Assembly is jam-packed with quality and safety-related educational opportunities! Be sure not to miss these offerings.

Quality Improvement and Patient Safety Section Annual Meeting
Our QIPS annual meeting will be held on Tues, Oct 9 from 1-3p in the Sheraton, Tower Court C.

JessePinesOur keynote speaker will be Dr. Jesse M. Pines, MD, MBA, MSCE, FACEP, who will be discussing “Quality and Patient Safety in EM in the Era of Health Reform." Dr. Pines is an associate professor of emergency medicine and health policy at The George Washington University, where he is director of the Center for Health Care Quality.

In addition, we will also be presenting the QIPS Resident Quality Award
recipients, and discussing current QIPS projects and opportunities for involvement with the section. This is a great forum to meet leaders in the quality and safety field and do some networking!

Read More »

Editor’s Note


 In this edition of the Quality Improvement & Patient Safety (QIPS) Newsletter, Dr. Farley summarizes the wonderful opportunities for those interested in quality and safety at ACEP’s Scientific Assembly. We also have the 5th and final installment of Dr. Jaben’s engagement trilogy. Dr. Jaben has been a steadfast contributor to the Newsletter in the past 18 months and his articles have been informative to the readership. He finished EM residency almost 30 years ago in Jacksonville, FL and has spent the past few years guiding improvement efforts through LEAN methodology in ED’s as far away as New Zealand. In this edition he highlights the importance of working together as a team to promote a better work environment, and, therefore provide better patient experiences. QIPS thanks him for his contributions and wishes him luck in his current goal of spending as much time in a whitewater kayak as possible.

Read More »

Resident Section Contribution from Albert Einstein Medical Center

Improving physician to patient communication in the emergency department to increase patient satisfaction: A checklist for the emergency physician  

Investigator(s): Zakiyyah Rasheed, D.O.1, John Kelly, D.O., FACEP1, KathiaDamiron, M.D. 1, Deitch Kenneth, D.O. FACEP1, Braitman, Leonard, PhD., Biostatician
1Emergency Department; Albert Einstein Medical Center, Philadelphia, PA, USA.
2Office for Research and Technology Development, Albert Einstein Medical Center, Philadelphia, PA, USA.

Objective: The objective of this study is to improve patient satisfaction with physician communication skills during an Emergency Department (ED) visit. The hypothesis of the study suggests that the use of a standardized communication checklist by the treating emergency physician will increase patient satisfaction scores.

Read More »

QIPS TIPS #14 - Sentinel Events in Healthcare: How to Respond Part 2

Shari Welch

Every day, serious clinical adverse events occur in our health care system, as a result of systems failures, human error, intentional damaging acts, rare complications, or other causes. In some cases they are tragic, leading to serious physical and psychological harm, or even death, to one or more patients, and related harm to their families, staff members (including medical staff ), the community, and the organization. In the last QIPS TIPS Newsletter we introduced you to the IHI whitepaper titled “Respectful Management of Serious Clinical Adverse Events” (Conway J. IHI Innovation Series Whitepaper, 2011). This paper is a great resource for managing sentinel events in the ED and throughout the organization and when your organization struggles with such an event you can be a hero by bringing this resource to your executive leadership, risk management and even the Board.

Read More »

ED Physicians: Let Your Voice Be Heard

KLAS is a healthcare IT research firm on a global mission to improve healthcare delivery by enabling providers to be heard and counted. KLAS gathers consumer satisfaction data from providers in order to deliver timely reports and statistical overviews on the performance of healthcare IT vendors and products.

KLAS wants to better understand, strictly through the eyes of the ED physician, what core aspects of an EDIS affect clinician efficiency, productivity, and patient safety the most. Let your voice be heard.

Click here to participate

Read More »

Quality and Safety Articles

meislHere again is a selected list of recent articles for your interest. These are distributed by AHRQ PSNet at (   

Deaths due to medical error: jumbo jets or just small propeller planes?
Shojania KG. BMJ Qual Saf. 2012 Jul 24; [Epub ahead of print].

On-site pharmacists in the ED improve medical errors.
Ernst AA, Weiss SJ, Sullivan A IV, et al. Am J Emerg Med. 2012;30:717-725.

Safety management in different high-risk domains—all the same?
Grote G. Safety Sci. 2012;50:1983-1992.

What is preventable harm in healthcare? A systematic review of definitions.
Nabhan M, Elraiyah T, Brown DR, et al. BMC Health Serv Res. 2012;12:128.  

Read More »

The Engagement Trilogy- Part 5/Epilogue


The traditional view is that leaders and managers must have the answers. If we just plug in the right program and the correct tool, we can fix that problem and move on, especially if staff will just do what they are told.

Read More »

ACEP QIPS Section Grant Updates

Examining Inter-service Transitions between EM and Inpatient Medicine

ED Information Systems Analysis

Chief-Complaint Based Quality Measures

Read More »

Be Aware: State Opioid Prescribing Regulations

broidaEmergency physicians should be aware that they have been singled out as an important source of abused prescription opioids and that regulatory bodies are taking aim at us. Further, outrageous statistics are being brandished which have little, if any, basis in fact. Each emergency physician should be aware of these faulty stats, to be able to educate well meaning, but misinformed regulators.

As in many states, Ohio has a huge problem with narcotic abuse and diversion of prescription pain meds. The deaths were piling up and Governor Kasich wanted to do something. He created a Governor’s Cabinet Opiate Action Team (GCOAT) task force to address the problem. From the state’s perspective:

• In 2007, unintentional drug poisoning became the leading cause of injury death in
Ohio, surpassing motor vehicle crashes for the first time on record. This trend continued in 2010.

• From 1999 to 2010, Ohio’s death rate due to unintentional drug poisonings increased 372%, and the increase in deaths was driven largely by prescription drug overdoses.

• In Ohio, there were 327 fatal unintentional drug overdoses in 1999 growing to 1,544 annual deaths in 2010.

Read More »

Candidate for Board of Directors: Dr. David John

DavidJohnBODCurrent Professional Position
Emergency Physician
Johnson Memorial Medical Center
Stafford Springs, CT 

Goals as a Board Member
Position Emergency Medicine in a leadership role in healthcare
Retool Emergency Medicine to fully address the needs of our patients
Educate the public on the importance of Emergency Medicine
Align Emergency Medicine with primary care and community services
Continue to make Quality and Patient Safety a priority
Be proactive in addressing the impact of Geriatrics on Emergency Medicine
Promote funding of Residency Training in Emergency Medicine
Support fair reimbursement for Emergency Care
Work with those in public office to promote and support Emergency Medicine

Read More »

Attend the Sections Showcase during Scientific Assembly

Find your niche.
Build your network in Emergency Medicine.
Visit the Sections Showcase!

Lobby D, Colorado Convention Center
Tuesday, October 9
11:15 am - 12:15 pm

Funded by JDRF and the University of Florida, College of Medicine

Read More »
Click here to
send us feedback