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Quality Framework in use in Rotorua ED. Peter Freeman. TOR of ED Quality Group (previously CQI). Facilitate integration of quality activity into service delivery and to form the central hub for all quality activities within the Emergency Department.

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tor of ed quality group previously cqi

TOR of ED Quality Group (previously CQI)

Facilitate integration of quality activity into service delivery and to form the central hub for all quality activities within the Emergency Department.

Provide communication about quality activities and initiatives for ED staff and provide integration with organisational quality improvement activities.

Co-ordinate and drive quality activities within the Emergency Department.

Work within the Quality framework domains of Clinical Profile, Education and Training, Administration, Professionalism and Research/Clinical Audit.

Develop and maintain best practice initiatives and an evidence based culture for clinical practice.

Monitor, report and evaluate professional and unit based quality activities.

Maintain an overview of standards of practice, including clinical audit practice.

Action outcomes and improvement initiatives from case reviews from critical incidents, complaints and mortality and morbidity meetings.

Report to the Ambulatory Service Clinical Governance Group to enable and support strategic planning.

Elevate any unresolved Quality issues to Service Clinical Governance Meeting.

framework of meeting

Framework of meeting

Clinical Profile

Clinical Indicators, Procedures, Imaging, Pathology,

M&M meeting summaries, ED QA Senior Case Review, Medication errors,

Whole hospital initiatives.

Education & Training Profile

Education meetings, Courses attended, Academic achievements,

Teaching schedule, CPD compliance, Credentialing, Competencies

Research Profile

Publications/Presentations, Clinical Audits

Administration Profile

Waiting times, Trauma calls, Complaints/Feedback, PAGI

Risk management, Finances/CAPEX, Workforce, Statistics

Professional Profile

Participation in hospital committees, Public health, Liaison.

benefits

Benefits

Allows Rotorua ED to respond to MOH Quality measures

Formalises existing reports for Triage times and activity

Provides a reference point for M&M meeting summaries, ED QA Senior Case Review and Medication error reports

Profiles Whole of hospital initiatives.

Education & Training activity is identified and recorded

Education meetings, Courses attended, Academic achievementsare recorded

CPD compliance, Credentialing, Competencies are monitored

Research is identified when active

Publications/Presentations and Clinical Audits are shared and recorded

Waiting times, Trauma calls, Complaints/Feedback, PAGI are discussed

Risk management, Finances/CAPEX, Workforce, Statistics are discussed

Participation in hospital committees, Public health activity and Liaisonroles are acknowledged and recorded

benefits continued

Benefits continued

CQI is a process and the ED Quality Group has focussed on identifying activity and responding to issues and trends

A repository of Quality activity is being created that can form the basis of Clinical Governance and annual reports

Issues are taken up by sub groups to investigate – such as Triage 2 non compliance (data entry/integrity)

More structured discussion

Less ad hoc administrative reporting – standardised reports

Inputs from all professional groups in ED

Feedback to staff

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