Letter From the Editor

Jeffrey Pothof, MD, FACEP
Newsletter Editor

Jeff PothofAs the days get shorter and the nights more crisp, we bring you the last newsletter prior to our ACEP 14 in Chicago October 27-30, 2014.  Over the summer, several QIPS leaders were busy preparing lectures for the United Kingdom’s College of Emergency Medicine’s Annual Scientific Conference in the southwest city of Exeter.

As invited speakers, we envisioned collaboration between the two colleges to jointly explore solutions to some of the safety and quality issues that do not seem to be restrained by the vast ocean between us. We also sought to collude on best practices in improving patient safety and quality in emergency medicine outside of our individual silos.

It should come as no surprise that many of the delegates at the conference expressed frustration with “exit block” which is their term for emergency department boarding.  We also gained opinions on the United Kingdom’s 4-hour A&E (Emergency Department) disposition rule and the pros and cons that this mandate has had on the care they provide.

Drs. Drew Fuller and Chris Beach gave a presentation entitled “Safer Sign Out & Safer Admit: High Reliability Tools for Physician Handoff and Team Communication.”  Dr. Bobby Turelli gave an in-depth look at the CHI+-CARE program he has developed at Northwestern University entitled “CHI+-CARE: Connecting HIV+ Individuals to Community care, Retention and Reliable Engagement” – a novel ED-based linkage to care model connecting HIV positive patients to community-based social services to improve health outcomes.  I gave a presentation on one of my areas of interest entitled “The United States Opiate Pain Medication Epidemic:  How we got here and what Emergency Physicians are doing about it.”  Based on the discussions afterwards, it was clear that our cultures of managing pain are very different.

If you read the last newsletter, you may have been wondering how many years your night shifts have taken off of your life. In this issue, Dr. Welch presents QIPS Tips to help you make the most of those night shifts as well as pointers to ensure your longevity.

Dr. Jaben is back again in this issue with “Good Standards Back on Track” a follow-up piece to his article last edition entitled “Good Standards Gone Wrong”.  Take a peak to find out why just telling the frontline staff what to do won’t work, and how to effectively champion change as a leader.

I hope to meet all of you at our annual meeting at ACEP14.  This year’s meeting will take place on Wednesday, October 29 from 12:00 p.m. to 2:30 p.m. Central Time at McCormick Place West – W186 B. Those of you who were present at our meeting last year will know that we have our work cut out for us to make it even better, but we sure are trying. 

See you all very soon.

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