NMSES funding will support the Pediatrics on-call group members to collaboratively develop a set of guidelines to define the Culture of Practice for this group at NRGH, including share attitudes and patterns of behaviors around department meetings, hiring, manpower, sick time coverage, locums, scheduling, leaves of absence, vacations, seniority/retirement, teaching, […]
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This project supports a physician-led working-group of clinical stakeholders to come together formulate an optimal, evidence-based patient care pathway for patients with suspected Giant Cell Arteritis (GCA). The timing and criteria for referral and confirmatory testing here locally on Vancouver Island is highly variable and unclear. In short, the current […]
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Problem: NRGH services a population with a high burden of CVA. A provincial initative to improve stroke care and EVT have put strain on the transport and imaging resources, the ER, Neurology and Radiology services at NRGH. Purpose: To bring together the stakeholders in acute stroke care to facilitate discussion […]
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This project aims to clarify who is the Most Responsible Physician (MRP) for patients who present with a primary cardiac condition that is acute. Clarifying which patient should be under which physician with regard to different common scenarios will improve patient care, resource utilization, and will more properly align physician […]
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This project aims to create a centralized referral system for all incoming general surgery and endoscopy referrals. Goals include: To improve (i.e. decrease) general surgical referral-to-consultation wait times(i.e. “Wait 1” times) across the board, for all outpatient referrals. Streamline the referral process; which means making it easier for all referring […]
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This project was created to improve the quality of ICU specific processes and procedures, and to train for both common and unusual incidents. Simulations included cases of acute refractory hypoxia when caused by severe asthma exacerbation or traumatic aortic valve insufficiency, cardiogenic shock due to bradyarrthmia and pacemaker malfunctions, as […]
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The purpose of the workshop is to strengthen performance and practice CRM (Crisis Resource Management) skills during low frequency/high intensity events. Not only does this hone skills in specific emergency situations, it allows for evaluation of equipment, carts and systems in the OR setting. It offers an opportunity to practice […]
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This project aims to improve care delivery in OPAT (outpatient antibiotic therapy) Clinic at NRGH to reflect antimicrobial stewardship initiatives and best practice guidelines. The aim is to help align care of common outpatient infectious diseases with medical microbiology stewardship programs by revising the protocols for the NRGH Outpatient IV […]
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