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Letter from the Editor

Brian Sharp, MD, FACEP

Brian SharpWow, what a year! This most recent year will simply add to QIPS’ incredible history that was so nicely summarized by Bobby Turelli at last year’s section meeting and in David John’s article in the December newsletter. Thank you all for your contributions this year to the section and the newsletter. The QIPS newsletter is an amazing vehicle to highlight the impressive work being done by section members, to educate about new quality initiatives that affect us all, and to share our voices, wisdom and perspective. I hope that you will all consider submitting content next year.

In this edition, check out the following articles: 

  • Would you fly on an airplane if there were 44,000 crashes a year? Jeff Pothof MD, FACEP challenges us all to create high reliability organizations with his last chair’s letter 
  • Susan Nedza MD, MBA, FACEP discusses alternative payment models—highlighting some of the unintended consequences that these may lead to
  • Ever feel like you spend entire shifts clicking your mouse and typing? Helmut Meisl MD, FACEP shares some recent experiences in healthcare that have led to some concerns and reflections 
  • Thinking about using scribes in your ED? Shari Welch MD, FACHE, FACEP shares some do’s and don’ts when implementing scribes in this month’s QIPS TIPS
  • Having difficulty knowing if somebody is competent to sign out AMA? Michael Safa, MD shares an all too familiar case and breaks down the elements of determining and documenting competency. 
  • Lean or L.A.M.E.? Eric Wei MD, MBA and Erik Berg, MD discuss recent work questioning the effectiveness of Lean improvement methodology in medicine and share insights into how Lean methodologies can be successfully implemented. 
  • Shashank Ravi, MD discusses barriers to resident involvement in quality improvement work and shares recent experiences in an organized hospital resident council. 



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