Featured Poster (FP) abstracts最新文献

{"title":"21 Implementing virtual care planning with resident/family: A Canadian COVID long-term care experience","authors":"Melissa Babcock, D. Connelly, Cherie Furlan-Craievich, Harrison Gao, Anna Garnett, Pam Hamilton, Melissa E Hay, Lillian Hung, Jacqueline Ripley, Samantha Salatino, L. Martin, Shannon Snelgrove, N. Snobelen","doi":"10.1136/bmjoq-2021-ihi.21","DOIUrl":"https://doi.org/10.1136/bmjoq-2021-ihi.21","url":null,"abstract":"Background COVID-19 imposed extreme constraints on Canadian long-term care (LTC) homes, leading to intense isolation for residents, restricted family visits, and staff shortages. Consequently, these challenges negatively impacted the mental and physical health of residents, family, and interdisciplinary workforce in LTC homes. Objectives 1. To describe how two LTC homes addressed promising practices - Presence of family, People in the workforce, and Future COVID-19 and non-COVID-19 care with implementation science. 2. To understand the enablers, barriers and outcomes to the implementation of an innovative re-engineered intervention - P.I.E.C.E.S.™ (PIECES), designed to include families virtually for team-based resident care planning, and empower Registered Practical Nurses (RPNs) to build resilience and wellbeing. Methods An interdisciplinary team (residents and family, nurses, and academic researchers), guided by the Consolidated Framework for Implementation Research, employed a mixedmethod design to investigate implementation processes, determinants, and outcomes. Interviews with residents/families and staff focus groups provided insight into enablers and challenges. Pre- and post-intervention results of the Connor Davidson Resilience Scale, Resilience at Work, and Assessment of Interprofessional Team Collaboration Scale informed understandings of personal, professional and organizational resilience outcomes. Results Findings highlighted how implementation of virtual PIECES helped sustain enhanced person-centered care through more comprehensive, collaborative, efficient and effective teams, leading to better outcomes for residents. Moreover, results suggested improved resilience, wellbeing, and communication between LTC home staff and family. New learnings improved preparedness for future outbreaks. Providing a plan for adapting, embedding, and sustaining the intervention based on implementation science will accelerate the spread of highquality actionable research evidence. Conclusions This is the first study to explore implementation processes of a virtually delivered PIECES intervention with meaningful engagement of multiple stakeholders (residents, family, RPNs). Findings provide evidence supporting important healthcare improvements, future spread of virtual interventions, and practice and policy changes for the LTC home sector.","PeriodicalId":264162,"journal":{"name":"Featured Poster (FP) abstracts","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114787114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"25 Getting rid of stupid stuff: addressing system inefficiency through end user feedback","authors":"Jason Connelly, Lisa C Gilley, A. Sinclair","doi":"10.1136/bmjoq-2021-ihi.25","DOIUrl":"https://doi.org/10.1136/bmjoq-2021-ihi.25","url":null,"abstract":"","PeriodicalId":264162,"journal":{"name":"Featured Poster (FP) abstracts","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116317288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"20 Differential performance of pediatric key performance indicators by health equity factors","authors":"Lane F. Donnelly, M. Wood, Jean Chantra, L. Loh, Brendan Burkart, Kristie Tan","doi":"10.1136/bmjoq-2021-ihi.20","DOIUrl":"https://doi.org/10.1136/bmjoq-2021-ihi.20","url":null,"abstract":"","PeriodicalId":264162,"journal":{"name":"Featured Poster (FP) abstracts","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121455538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"22 Well begun is half done","authors":"J. Boulanger, E. Benjamin, Rachel Moyal-Smith, P. Folcarelli","doi":"10.1136/bmjoq-2021-ihi.22","DOIUrl":"https://doi.org/10.1136/bmjoq-2021-ihi.22","url":null,"abstract":"","PeriodicalId":264162,"journal":{"name":"Featured Poster (FP) abstracts","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115337307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"26 Measuring professional interpreter use at the IWK Health Centre: A quality improvement project","authors":"Y. Mansoor, J. Comeau, Tania Wong","doi":"10.1136/bmjoq-2021-ihi.26","DOIUrl":"https://doi.org/10.1136/bmjoq-2021-ihi.26","url":null,"abstract":"26 Figure 1ConclusionsThis study offers baseline data illustrating that identification and provision of interpreter services for LEP is poor at the IWK. Based on these results, our centre will implement a universal screening question for interpreter preference at time of hospital admission as a quality improvement intervention to improve interpreter provision.","PeriodicalId":264162,"journal":{"name":"Featured Poster (FP) abstracts","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125989116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"24 100,000 reasons QI works: a vaccine story","authors":"Rachel Beitlich, Amber Larson, Emily Mishek","doi":"10.1136/bmjoq-2021-ihi.24","DOIUrl":"https://doi.org/10.1136/bmjoq-2021-ihi.24","url":null,"abstract":"Background In late 2020, in the midst of a surge of COVID- 19 in Minnesota, the Pfizer/BioNTech vaccine was granted emergency use authorization. HealthPartners CEO Andrea Walsh challenged our organization to provide a plan for administering 10,000 COVID-19 vaccines a day, and Park Nicollet Methodist Hospital leveraged our history of quality improvement to rapidly plan, execute, and scale vaccine administration. Objectives . Timely vaccination of multiple populations (healthcare workers, high-risk patient populations, and general public) . Operate efficiently under several constraints (space, staffing, and vaccine supply) . Maximize capacity to fluctuating vaccine allotments Methods Our work leveraged several QI tools such as value stream mapping (figure 1), weighted average cycle times (figures 2 and 3), visual management (figure 4), and standard work. We utilized the Model for Improvement and sequential PDSA cycles (figure 5): . Space required ongoing adjustments in roles, staffing, and flow. We cross-trained to allow for multi-skilled operation, and to accommodate social distancing through the entire process. . To reflect our community's needs, we continuously adjusted to provide a mixed model of first/second dose, delivering service in multiple languages, serving adult and pediatric populations, and ambulatory and non-ambulatory patients. . We used predictive modeling to anticipate number of vials needed, standardized drawing process to maximize doses from each vial, and instituted a standby process to eliminate end-of-day waste. Results In total, during a 6-month operation we administered nearly 100,000 doses. Conclusions Our legacy as an organization with a mature culture of improvement contributed to trust of rapid cycles of PDSA, which allowed us to deliver on the Triple Aim: . Reducing cost by using existing employees and volunteers . Addressing health of the population by targeting multiple patient tiers to optimize supply . Delivering experience from invite to injection with sensitivity to patient needs.","PeriodicalId":264162,"journal":{"name":"Featured Poster (FP) abstracts","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132103263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"19 Improving utilization of peritoneal dialysis amongst undocumented immigrants at Parkland hospital","authors":"Maria Ilyas, Kylan Larsen, Joseph Berger","doi":"10.1136/bmjoq-2021-ihi.19","DOIUrl":"https://doi.org/10.1136/bmjoq-2021-ihi.19","url":null,"abstract":"","PeriodicalId":264162,"journal":{"name":"Featured Poster (FP) abstracts","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122637034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"23 Coaching insights from supporting multidisciplinary teams during a QI collaborative","authors":"Kerri Ann Deloso, M. Webster","doi":"10.1136/bmjoq-2021-ihi.23","DOIUrl":"https://doi.org/10.1136/bmjoq-2021-ihi.23","url":null,"abstract":"Background To provide the best care for children with medical complexities (CMC) a multidisciplinary approach is required. As a part of a 4-year collaborative created to improve well-being for CMC, 10 states convened multidisciplinary teams (MDTs) with representatives from Title V, family and youth-led organizations, clinical sites, insurers, and state departments. Each team implemented a QI project focused on at least one of the collaborative's prioritized topic areas (see figure 1). Objectives Share observed lessons learned, themes, and techniques for facilitating the creation and maintenance of highfunctioning MDTs from a QI coach perspective. Methods As a part of the collaborative, each team was assigned a QI coach from Population Health Improvement Partners. Coaches worked alongside teams to help guide and encourage the design, implementation, sustainability, and spread of QI projects (see table 1). Through regular interactions and review of collaborative deliverables, coaches observed the structures, interactions, and effectiveness of each MDT. Results Having a QI coach was a value-added resource for state teams while they were forming and maintaining their MDTs (see figure 2). In addition, coaches were able to glean insights from coaching the teams, including lessons learned and techniques around: . Engaging family and youth partners;. Creating meaningful partnerships with system-level stakeholders, like Title V and Medicaid;. Ensuring equitable distribution of power within teams;. Utilizing QI and project management tools to help facilitate team interactions;. Using data and visuals to bring the teams' stories to life and encourage buy-in;and . Adapting during challenges, like COVID19 (figure 3). Conclusions The creation of high-functioning MDTs is critical for addressing the complex, system-wide health care problems & barriers experienced by CMC and their families. Coaching can act as a critical tool to not only facilitate the creation and maintenance of effective MDTs, but also document and share lessons learned. We hope our observations from this collaborative will both add to the knowledge base for coaching improvement teams and inform the creation of MDTs in future improvement work.","PeriodicalId":264162,"journal":{"name":"Featured Poster (FP) abstracts","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129412724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}