Lecture was given in NABH CME in Aster MIMS Calicut on 8th July 2017

1. Quality Improvement in
Emergency department
Dr. Venugopalan PP
DA,DNB,MNAMS,MEM-GWU
Director ,Emergency Medicine
Aster DM Healthcare

7. Quality Improvement stages
Outcome
ProcessStructure

8. Structure
Structure
No of beds
in each
zone
Staff
patient
ratio
Support
services
available-
Ambulance,
Pharmacy,
Isolation
room

10. Quality Indicators in ED
Process
Initial assessment
time taken
Medication error
Time taken to
dispatch ambulance
Door to balloon time
& Door to needle
time

12. Initial evaluation
Focused and Time bound

13. Quality care in ED
Documentation

14. Quality Indicators in ED

17. Decision making
ED is the place where the decision making skill
decide the quality and errors

18. Best communication
Emergency department is the face of hospital

19. Ongoing training
Academic programs are the corner stone

20. Outcome
Mortality
rate
CPR survival rate
Patient satisfaction
Infection rates

21. Quality improvement tools
• Plan-Do-Study- Act
• Root cause analysis
• Failure Mode Effect Analysis
• Six sigma & Lean application
• Fish bone diagram
• Brainstorming

43. Quality improvement strategies
• Strong leadership commitment
• A culture of safety and improvement
• Stakeholders involvement and team
• Multidisciplinary team participation
• Standardizing care processes
• Appropriate use of technology
• Continuous data collection and analysis
• Change takes time so stay focused

44. Thank You