The Department of Emergency Medicine's Quality Improvement
Program was created in 2011 to provide a structure to oversee quality and safety
initiatives for the department. The program participants strive to advance the quality of care
delivered by University of Colorado Department of Emergency Medicine faculty
and University of Colorado Hospital Emergency Medicine staff.
- Eliminate avoidable harm to patients.
- Empower and engage faculty and staff in building
a “just culture” in order to improve care to patients.
- Develop tools and provide faculty and staff with
the skills necessary to deliver high quality and safe care to patients.
- Identify and correct system failures that
contribute to patient harm.
- Train the next generation of healthcare
providers to develop safety systems of care.
- Foster an atmosphere in which quality
improvement is valued as an essential component of the academic enterprise.
Medicine Continuous Quality Improvement Committee (EDCQI)
- Interdisciplinary participation of Emergency
Medicine faculty and staff who review departmental quality data and develop
action plans to address. Representatives include physicians, advance practice
practitioners (APPs), nurses, technicians, pharmacists, residents, process
improvement staff, and administrative leadership representatives. A sample of initiatives to date include:
falls assessment program, mislabeled specimen program, novel alcohol withdrawl
pathway, department metrics
Department Case Review Committee
- A patient safety and peer review program which
began as a pilot in 2012 has since become an institutional model. This interdisciplinary
committee includes physicians, advance practice practitioners (APPs), nurses,
technicians, pharmacists, residents, process improvement staff, administrative
leadership representatives from the Emergency Department and other specialties who
identify safety events and develop deliberate improvements in order to improve
the delivery of care.
- Emergency Department Resources:
- EDCRC Tool Ki
of Emergency Medicine M&M Tool kit
of Emergency Medicine Quality and Safety Conference Tool Kit
Medicine Pathways Committee
- In order to decrease practice variability and
improve patient health outcomes the Department of Emergency Medicine has worked
with numerous stakeholders and specialties to create over 40 clinical care
pathways. These are based on the best medical evidence and used to guide care
for practitioners. This committee helps to develop these pathways.
Administration, Quality and Operations
The Department of Emergency Medicine in partnership with the
Business School at the University of Colorado Denver have developed a
fellowship in administration, operations and quality specifically designed to
prepare future leaders by developing expertise in quality management, process
improvement, human resource management, financial management, information
technology, program development, observation medicine, ED operations, and
overall leadership. Fellows in the program complete an Executive MBA in Healthcare Administration through the program on the downtown campus.
There are numerous quality, safety and process improvement scholarly
projects ongoing in the Department of Emergency Medicine. In addition to
faculty sponsored activities, there are numerous nursing credentialing,
resident, advanced practice practitioner and pharmacist quality improvement
scholarship projects. These include but are not limited to:
- Creation of the IMPAS ED Event
Review Trigger Tool® - PI Roberta Capp MD, MPH
- Outpatient Treatment of Pulmonary
Embolism and DVT – PI Kristen Nordenholz MD
- Evaluation of Clinical Care
Pathways in Patient Outcomes and Barriers to Implementation - PI Jennifer Wiler MD
- Development and Implementation of
a ED Fall Prevention Tool – PI Robin Scott RN
- Development of a Novel Alcohol Withdrawal
Care Pathway – PI Jason Hoppe MD
- Efficacy and
Utility of Continuous Electroencephalography in Patients Surviving Cardiac
Arrest – PI Sarah Perman MD
Fascia Iliaca Blocks for Geriatric Hip Fracture Patients – PI Resa Lewiss MD
- Implementation and optimization of identification and care
of suicidal ED patients – PI Marian (Emmy)
- Effectiveness of Epic Medication Alerts in the ED –
PI Andrew A. Monte MD
- Encoding and processing
patient allergy information in EHRs using Natural Language Processing –
PI Foster Goss MD