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Quality Improvement and Patient Safety Section Newsletter - October 2013

The Chair’s Letter

RichGriffeyWashington University School of MedicineThis quarter’s newsletter comes as summer has already winded down, the kids are back at school, and we approach a mid-year restart – pondering the year ahead and priorities for our work. We are looking forward to ACEP13 in Seattle, WA and are making plans for our annual meeting, which will take place Tuesday October 15, 2013 from 1:00-3:00 p.m. in the Cirrus Room, 35th Floor of the Sheraton Hotel.

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ACEP and Urgent Matters Present: Emergency Care Quality Improvement in the Era of Public Accountability

Urgent MattersACEP and Urgent Matters invite you to attend an important quality improvement conference featuring two panels on Policy, Quality and Patient Safety and Innovations and Best Practices as well as a keynote address from Helen Burstin, MD, MPH, Senior Vice President for Performance Measures, National Quality Forum.

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Reflections on being a QI Director for over 30 Years

meislOnce upon a time many years ago, I was accepted as a new member at my regular ED. Following the custom at this department, the most junior member was assigned the task of QI person, Director was not the title. I readily accepted this position as I was keen on working at this ED, and the prior QI person was all to glad to rid himself of this chore.

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QIPS TIPS #21: Like a Rockstar!

Shari WelchThere is a large body of research which provides strong evidence that hospitals are loud environments with noise levels far-exceeding that recommended by the World Health Organization (WHO). WHO guidelines specify 35 decibels (dB) for continuous background noise in patient rooms with nighttime peaks not to exceed 40 dB. Hospital background noise levels exceed those levels and peaks frequently exceed 90 dB.

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Choosing a High-Impact Resident or Student Quality Project and Getting it Published

The current ACGME mandate for residents to "develop, implement, and assess a project to improve care in the ED, such as a clinical pathway, a patent satisfaction survey, or improvement of a recognized problem area.... each resident should be given the opportunity to monitor their own patient care performance improvement indicators" has led all academic faculty to search for new strategies for Quality Improvement and Patient Safety (QIPS) topics and studies.

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Editor’s Note

TurelliIt has been a busy six months for our QIPS section, and as reflected in this newsletter, great strides in quality improvement in emergency medicine continue to be made.

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“Safer Sign Out” Update

Fuller_2013Safer Sign Out and the QIPS/EMPSF collaboration continue to advance and attract national coverage.  Safer Sign Out has been extensively featured in the news over the past 3 months.

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The New Seatbelt – Prescription Drug Monitoring Programs

Throughout the early 2000’s, unintentional deaths were largely attributed to motor vehicle collisions.  Significant multifactorial advancements were made, including vehicles construction, the development of educational campaigns and even legislation that de-incentivized risk-taking behavior by requiring seatbelt use. A startling fact that still remains relatively unknown is that since 2007, motor vehicles are no longer the leading cause of unintentional deaths in the United States.  Poisonings have surpassed motor vehicle collisions and continue to do so at an alarming rate.

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QIPS TIPS #22: The Sounds of Silence

Shari WelchMost EDs spend little time planning for the high ambient noise found in the ED and strategies to reduce this ambient noise.  Yet, the data shows that when these efforts are made the efficacy of communication improves.

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Attend the Sections Showcase at ACEP13 in Seattle!

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

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