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Quality framework

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by

ANIL NAIR

on 3 August 2014

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Transcript of Quality framework

Quality framework
Implementation tools
The quality framework
Getting started....
A : Clinical profile-flow
D: Clinical audits
Education and training profile
Research
Medical, nursing, clerical , allied health and consumer
Clinical audits
Registry -trauma /PCI/Thrombolysis
Time to adequate analgesia
Time to antibiotics in sepsis
Procedural audit
Other clinical audits
Airway audit
Procedural audit form
Time -Analgesic /Abx
IMPROVINGEDCARE.ORG
MONTHLY NEWSLETTER
Short stay use
ED flow
Triage compliance
B: ED Occupancy
Patient satisfaction, DNW, Re-presentation
ED Overcrowding
Occupancy
Patient satisfaction
STRUCTURE
Director of EM research
ED Research Fellow
Research nurses
Data analyst
Grants -1.35M
OUTPUT
8 active research projects
Publications
Conference presentations
Simulation
Journal club
Resources
Dr Peter Jones-SSED research project
ADHB (improvededcare.org)
Clinical audit tools (Dr Peter Jones)
Time to and adequacy of Analgesia for Pain
Time and appropriateness of CT head for Head Injury
Time to reperfusion for AMI
Time to antibiotics for Severe Sepsis
Time to treatment for Moderate to Severe Asthma
Time to theatre for Appendicitis
Time to theatre for Fractured Neck of Femur
Quality of Discharge Summary from ED
Audit forms (Quality group)
airway audit , procedure audit ,toxicology audit with access databases

ACEM
Quality pack- audit collection tools
Patient experience evaluation form

ECINSW (www.ecinsw.com)
Mortality audit
Sensible test ordering-STOP

Laboratory and radiology
Turnaround times
Appropriatness
Results review
Labs
Rads
Indicator tests
CT head
Troponin

DNW
Gather data
Analyse it further
Make changes
Roster redesign
Business case
Re-audit
Has there been an improvement ?
< 20%
C: Morbidity and mortality reviews/
Sentinal events
emergency care institute
Full transcript