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Overview of the E-Quality Group Christchurch Hospital Emergency Department

Overview of the E-Quality Group Christchurch Hospital Emergency Department Anne Esson – Nurse Manager anne.esson@cdhb.health.nz Polly Grainger – Nurse Coordinator Clinical Projects polly.grainger@cdhb.health.nz. Purpose.

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Overview of the E-Quality Group Christchurch Hospital Emergency Department

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  1. Overview of the E-Quality GroupChristchurch Hospital Emergency Department Anne Esson – Nurse Manager anne.esson@cdhb.health.nz Polly Grainger – Nurse Coordinator Clinical Projects polly.grainger@cdhb.health.nz

  2. Purpose • Embed the New Zealand Triple Aim Principles for quality improvement for: • The individual – improved, quality safety and clinical care • The population – improved health and equity for all populations • The system – best value for public health system resources • Facilitate the monitoring and compliance to the Shorter Stays in ED Health Target, the Quality Framework and Suite of Quality Measures

  3. Scope and objectives Scope: • Provide overview, support and direction towards clinical governance in the ED context through: • Open and transparent communication and decision-making • Implementing best practice • Adherence to policies, procedures and protocols • Robust measurement, accountability and responsibility Objectives: • Patient safety; clinical effectiveness; patient experience

  4. Participants • Clinical Director • Nurse Manager • Clerical Manager • Quality Facilitator • Service Manager • Visiting subject matter experts as required • Representatives of all ED multidisciplinary professional groups Note: Consumer and/or community representation to be set up

  5. Collaborative functional relationships

  6. In practice • Quarterly reporting: • New business: audit prioritisation, new policies, and invited speakers • Ongoing business: existing projects Patient H&S and OSH topics and initiatives – staff (patient H&S in all other meetings)

  7. Tools • Decision Reporting Suite • Signals from Noise (SfN) • Quality Framework and Suite of Quality Measures for ED • HAC key improvements reports • Audit prioritisation template – Hawkes Bay DHB • Individual audit tools • CDHB Audit Reporting Suite • Open-access electronic file of resources from the Quality Office

  8. Audits • Integrating SMO requirements for FACEM and RN needs for PDRP • Altering the focus: – from what the auditor needs to comply – to what the department needs • Providing existing tools for repeat audits • Providing similar tools to base new audits on • Raising awareness of audits – enabling collegial assistance • Collating all tools and reports in one open-access electronic file

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