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Quality Improvement Innovations

This page showcases innovative quality improvement projects and patient safety initiatives led by our faculty, underscoring the department’s commitment to evidence-based practices and better patient care across our hospital sites.


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Authors:ÌýTodd C. Lee, MD, MPH; Nisha Almeida, PhD; Patricia Pelletier, MD; Emily G. McDonald, MD, MSc

About:ÌýThis quality improvement study evaluated the impact of a hemovigilance training module for resident physicians at the Ä¢¹½¶ÌÊÓÆµ Health Centre. Results showed an immediate reduction in transfusion rates, suggesting that standardized training can improve transfusion appropriateness and safety at the institutional level.


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Authors: Tajarernmuang, Pattraporn MD; Valenti, David MD; Gonzalez, Anne V. MD, MSc; Artho, Giovanni MD; Tsatoumas, Mary MD; Beaudoin, Stéphane MD

About:ÌýThis quality improvement project introduced a pleural drainage order set in electronic medical records to guide appropriate use of chest drains. The intervention reduced unnecessary drain insertions, optimized procedure selection, and lowered direct costs without increasing complication rates or repeat procedures.


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Authors:ÌýJillian Kifell, Karen E.A. Burns, Julia Duong Kirsten Fiest, Catherine Gagné, Céline Gélinas, Karla Krewulak, Chella Price, Amelia Stephenson, Han Ting Wang, Michael Goldfarb

About: This multicenter cohort study developed and validated the FAMily Engagement (FAME) tool, demonstrating its reliability and predictive validity for measuring family engagement in the ICU. Higher FAME scores were linked to increased family satisfaction with care, supporting its use to evaluate engagement interventions.


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Authors: Noémie Laurier, Jorane-Tiana Robert, Alexander Tom, Jerrica McKinnon, Nancy Filteau, Laura Horowitz, Murray Vasilevsky, Catherine Weber, Tiina Podymow, Andrey V Cybulsky, Rita S Suri, Emilie Trinh

About:ÌýThis review highlights how an electronic medical record (EMR) system was optimized to implement quality improvement initiatives in hemodialysis care, including real-time dashboards, clinical pathways, and automatic reminders. The EMR’s functionality enabled more efficient patient care, improved team communication, and targeted interventions to enhance patient safety and outcomes.


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Authors: Maral Koolian, Daniel Wiseman, Helen Mantzanis, Nikki Kampouris, Ryan S Kerzner, Susan R Kahn

About:ÌýThis study evaluated the impact of a multidisciplinary anticoagulation stewardship program (ASP) in a tertiary care hospital, showing that 84% of ASP recommendations, primarily concerning dose adjustments and drug interactions, were accepted by treating teams. The findings highlight how ASPs can improve the safety and appropriateness of anticoagulant prescribing in hospitalized patients.

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