Improving time to analgesia for adult emergency department patients with sickle cell vaso-occlusive crises - Interim process measures report

Improving time to analgesia for adult emergency department patients with sickle cell vaso-occlusive crises - Interim process measures report

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    Marie Pinard 23 June 2021

    Congratulations to the UHN team on this project! Excellent QI work has been accomplished so far. I am particularly impressed with the level of patient engagement in the design of the multi-pronged initiative. The idea of learning from the experience of co-design is exciting and will be of great interest to the QI community. This "double-loop" learning can inform this project but also help us improve our improvement methods. Education session fidelity is impressive - was this during the pandemic? Are there other factors such as leadership support that that contributed to this success? How are other members (other than nurses) of the team involved? I look forward to seeing longitudinal data in the future. The poster is nicely organized and well presented. Thank you for sharing this outstanding work.

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    Brian M. Wong 24 June 2021

    I echo Marie's comments regarding the impressive nature of the co-design work done in collaboration with patient partners on this very important topic. In particular, I appreciated that you called attention to the role that anti-black racism plays in contributing to delays in provision of analgesia. What more can be done to overcome such challenges?

  • Jennifer Bryan 06 July 2021

    @Marie, thank you for your comments and questions. Yes, this was done during the pandemic- in some ways being able to come together virtually for both our working group and to facilitate patient representative involvement in the education sessions was actually helpful! We're planning to do some qualitative work about the experiences of the working group members to dive into that a bit further. The participation in the education sessions was in big part reflective of the strong voice ED nurses had in planning and delivering these sessions along with our patient partners. The working group initially included patients, advocacy organization reps, MDs and nurses and has since grown to include patient relations and social work as well.

  • Jennifer Bryan 06 July 2021

    @Brian, thank you! This work began with the increasing recognition that anti-Black racism is a powerful force in healthcare and that we're uniquely situated in the emergency department to take action against this every day. There are a set of recommendations that were presented recently at the Canadian Association of Emergency Physicians conference and that will be published in the fall with specific steps for action in the areas of patient care, education and physician advancement for emergency physicians and departments, but with relevance to other specialties as well.

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    Marie Pinard 13 July 2021

    @Jennifer, thank you for your response. It's just so wonderful to hear about the continued growth and evolution of this project. This work illustrates the importance of collaboration across all roles. So many important learnings!

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