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Chapter 8 - Quality Improvement in the Geriatric Emergency Department: Getting Started

Published online by Cambridge University Press:  20 January 2022

John Schumacher  and
Don Melady
By
Don Melady ,
John G. Schumacher  and
Adriane Lesser
John Schumacher
Affiliation:
University of Maryland, Baltimore County
Don Melady
Affiliation:
University of Toronto
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Summary

Introduces the basic concepts of quality improvement: structure, process, and outcomes; and the importance of considering them early in your developments. Explores the relevance of a Plan-Do-Study-Act cycle with examples from various Geriatric ED initiatives. Outlines some essential metrics that are relevant in every Geriatric ED and a process for tracking specific metrics within certain initiatives. Describes ways you can track your data – manual, chart review, data dashboard, electronic health record redesign.

Keywords

Quality improvementPDSAmetricsdata trackinginterventionspatient and family experiencework environmentimproving workflowsquality of servicerecord-keeping
Type
Chapter
Information
Creating a Geriatric Emergency Department
A Practical Guide
 , pp. 100 - 110
Publisher: Cambridge University Press
Print publication year: 2022

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References

Bailey, M. The ethics of improving health care quality and safety. [PowerPoint presentation]. A Hastings Center/AHRQ Project. Department of Health and Human Services, Secretary’s Advisory Committee on Human Research Protections (SACHRP). October 4–5, 2004. Available from:https://wayback.archive-it.org/4657/20150930185312/http://www.hhs.gov/ohrp/archive/sachrp/mtgings/mtg10-04/present/baily_files/frame.htmGoogle Scholar
Crane, J, Nook, C. The definitive guide to emergency department operational improvement: employing lean principles with current ed best practices to create the “no wait” department. New York: Routledge; 2020.Google Scholar
Institute for Healthcare Improvement [Internet]. [cited 2021 Mar 2]. Available from: www.ihi.org/Google Scholar
Banerjee, J, Conroy, S, Cooke, MW. Quality care for older people with urgent and emergency care needs in UK emergency departments. Emerg Med. 2013;30(9):699–700.Google ScholarPubMed

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