This pre-course will be virtual-only
Course Director
Faculty
- Barbara Masser, MD. USA
- Jonathan Edlow, MD. USA
- Jon Burstein, MD. USA
- Roberta Petrino, MD. Italy
- Ian Higginson, MD. UK
Participants
The course is designed for 30 participants.
Target group: emergency physicians and nurses interested in emergency department quality improvement
Course description
The goal of this course is to provide a hands-on practicum in quality review for emergency medicine incorporating both US and European perspectives.
Learning objectives
After this one day course, participants will learn:
- The necessity of having a well-run quality program in their EDs and the importance of using quality metrics to measure ED performance, drive intended clinical behaviors, and ensure high-quality care delivery to patients in emergency medicine clinical practice through the creation of a blame-free culture.
- The structured review technique, applying it to three specific clinical cases with the goal of determining the presence or absence of error and its most likely source (provider, systems, supplies, protocol deficiency, administrative).
- The creation of a clinical pathway (through hands-on practice), and important concepts regarding the use of clinical pathways to improve patient safety.
- How to define an error (versus “judgment”), differentiate errors in planning (mistakes) from errors in execution (slips and lapses), distinguish between errors and adverse events, rate an error using the AHRQ Adverse Event Severity Scale, discuss factors contributing to errors, and understand the relationship between error and standard of care
ETR
This course addresses Section 2.6 - 4 Health care evaluation and improvement from the European EM curriculum
Schedule
Wednesday 27 October
11.00-11.30 Why Quality Assurance is Essential to Every Emergency Department
This introductory session will be a discussion of the necessity of having a well-run quality program and the importance of using quality metrics to measure ED performance, ensure high-quality care delivery, and create a blame-free culture.
11:30-13:30 Workshop 1: Performing Case Review and Objectifying Error: How to perform a structured case review & objectifying error.
After a brief instruction, learners will break into a group discussion, facilitated by all course faculty, and jointly “review” three specific clinical cases applying the technique of the introduced structured review. At the end of this exercise, participants will have determined the presence or absence of error and its most likely source (provider, systems, supplies, protocol deficiency, administrative).
13:30-14:00 Break
14:00-16:00 Workshop 2: Reducing Error through Pathways
First, we will discuss the development of multi-disciplinary clinical pathways to reduce error in the emergency department (introduction to the clinical problem, what was the scenario that led the department to feel the need to create a clinical pathway?). After the introduction, we will take the “error” identified in our earlier workshop for each specific case and discuss ways in which this could be prevented in the future. The group will engage in strategic brainstorming and discussion of potential clinical pathway development around these specific clinical issues, as well as multi-disciplinary considerations (dealing with consulting services, interaction with hospital administration).
16:00-16:15 Break
16:15-17:15 Conclusion & QA Challenge Panel
During this session, participants will bring their biggest QA challenges to the table. The four international faculty members will propose potential solutions, discussing their experiences with QA management at their home departments. At the end of the session, we will summarize the techniques reviewed (structured case assessment, objectifying error, clinical protocol and pathway development).
National Societies
Albania
Albanian Society of Emergency Medicine
Shoqata Shqiptare e Urgjencës Mjekësore - SH.U.M.
Date of origin: 1 January 2013
Bosnia and Herzegovina
Association of Emergency Medicine Physicians of the Federation of Bosnia and Herzegovina
Udruženje Urgentologa u Federaciji Bosne i Hercegovine
Date of origin: 15 March 2019
Georgia
Georgian College of Emergency Physicians
საქართველოს გადაუდებელი მედიცინის ექიმთა კოლეჯი
Kosovo
Kosovo Society of Emergency Medicine
Shoqata për Mjekësi Emergjente e Kosovës (SHMEK)
Year of origin: 2008
Lithuania
Lithuanian Society for Emergency Medicine
Lietuvos Skubiosios Medicinos Draugija
Date of origin: 3 October 2003
Malta
Association of Emergency Physicians of Malta
Ghaqda Maltija tat-Tobba ghall-Emergenzi
Date of origin: 1 December 2006
Moldova
Society of Emergency Medicine and Disasters Medicine from Republic of Moldova
Asociația Obștească Societatea Științifico-Practică de Medicină de Urgență și Catastrofe din Republica Moldova
Norway
Norwegian College of Emergency Medicine
Portugal
Portuguese Society of Urgent and Emergency Medicine
Sociedade Portuguesa de Medicina de Urgência e Emergência