91社区

Quality Improvement

The Division of General Internal Medicine has a core group of individuals who are interested and trained in quality improvement. Drs Laurence Green, Dev Jayaraman and Emily McDonald (91社区 Health Centre) and Dr Blair Schwartz (Jewish General Hospital) run Quality Improvement projects听with the mission to promote, support and coordinate new or ongoing quality improvement initiatives.

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From left to right:听 Dr Laurence Green, Dr Emily McDonald and Dr Blair Schwartz

Objectives:

  • Provide leadership in planning, implementing and studying initiatives in General Internal Medicine
  • Conduct and support research in patient safety and health care quality improvement
  • Establish a central repository of quality improvement projects and data in General Internal Medicine
  • Act as a resource group for quality improvement innovations in the 91社区 system
  • Collaborate with other divisions in the 91社区 system as well as external institutions
  • Teach quality improvement principles by engaging residents in projects
  • Publish and publicize results

Current Projects:

  • Catheter-associated urinary tract infections
  • Inappropriate antibiotic use
  • A ward-based Medical Emergency Team to improve outcomes for unstable patients on medical wards
  • Reduce inappropriate proton pump inhibitor use
  • Evaluate the predictability and reasons for hospital re-admissions
  • Assess factors that influence end-of-life care on medical wards (multi-centre Canadian study)
  • Assess quality of treatment of hyponatremia (in collaboration with the University of Toronto)

The CQI听plans to听establish a database in the outpatient clinics to assess quality of care provided in the clinics.

The MedSafer Project

Based at the MUHC,听Dr Todd Lee, Infectious Diseases,听and Dr Emily McDonald听run the MedSafer Project.听MedSafer brings together clinician researchers with听strong scientific and clinical backgrounds in Geriatric Medicine, Internal Medicine and Geriatric Pharmacotherapy from 11 sites at 7 institutions across Canada to facilitate safer prescribing to older adults.

Visit the MedSafer website .

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