CJEM to create a dedicated section for Quality Improvement and Patient Safety publication

What's in a name? “Return visits” in the emergency department

“…At the system level, the apparition of learning health organizations demonstrates a much more growth‐focused health care system that is responsive to the needs of its constituency—patients, providers, staff, and community. This transformation has made its way to the field of emergency medicine, with an increasing focus on quality improvement methodologies and patient safety initiatives 3,4 . One remnant of our historical paradigm is encapsulated in the term “bouncebacks,” known to induce fear in the heart of any emergency department (ED) provider when their peers approach them with the dreaded “Remember this patient you saw…?…”

“…This transformation has made its way to the field of emergency medicine, with an increasing focus on quality improvement methodologies and patient safety initiatives. 3,4 One remnant of our historical paradigm is encapsulated in the term "bouncebacks," known to induce fear in the heart of any emergency department (ED) provider when their peers approach them with the dreaded "Remember this patient you saw…?!" I propose we abolish this term and replace it with the more appropriate term "return visits," herein describing how it will foster a culture of safety where providers are enabled to identify adverse events and suboptimal outcomes for improvement.…”

When the system comes together to solve emergency department flow

“…[6][7][8] As these successes are achieved, their publication should be considered within CJEM. 9 All of the easy work has been done. It is likely that those problems that are simple or complicated are largely solvedthose that are complex and thorny remain.…”

Does Accreditation Symbolize Quality in Public Healthcare Delivery? An Investigation of Hospitals in Kerala

“…Many researchers have made seminal contributions on service quality and resulting patient satisfaction. Accreditation Canada defines quality improvement (QI) as “the degree of excellence; the extent to which an organisation meets its clients’ needs and exceeds their expectations” (Mondoux, Calder-Sprackman and Thull-Freedman, 2020, p.11). Previous studies have emphasised varied aspects to study the quality healthcare such as availability, accessibility, affordability, acceptability, appropriateness, competency, effective service delivery, privacy, state-of-the-art technology, care, physical environment, responsiveness, admission, treatment, patient-centeredness, waiting-time, cleanliness and hygiene, attitude of doctors and nurses, reliability, comprehensiveness, continuity and equity (Al Tehewy et al, 2009; Amin and Nasharuddin, 2013; Cheng, 2003; Joseph, 2012, 2016, 2017; Linder-Pelz, 1982; Mosadeghrad, 2014; Peprah, 2014; Saeed and Mohamed, 2002; Tashkandi, Hejazi, and Lingawi, 2017; Ware et al, 1983; Zineldin, 2006).…”