Edmonton Zone Medicine Quality Council - Strategic Clinical Improvement Committee
Background
Established in 2015, the collective commitment of the Edmonton Zone Medicine Quality Council-Strategic Clinical Improvement Committee, a physician co-led coalition, is to implement strategic clinical quality and safety initiatives in close association with Alberta Health Services (i.e. Strategic Clinical Networks), Covenant Health, Primary Care Networks and other key stakeholders. The goal is to support the development of scholarly improvement science and patient safety for both medical learners and DoM physicians, paving the way for sustained physician quality and safety involvement and leadership.
Committee Update
Publications
2023 Publications
- Characteristics promoting behaviour change: physician experience with a coalition-led quality improvement initiative to reduce excessive laboratory test ordering. Pamela Mathura, Sandra Marini, Karen Spalding, Lenora Duhn, Narmin Kassam, Jennifer Medves
- Beyond Skin Deep: case‑based online modules to teach multidisciplinary care in dermatology among clerkship students. Chaocheng Liu, Megan Chan, Vivienne Beard, Pamela Mathura, Darlene Dytoc
- Trialing Empathetic Approaches in Dermatology: From Theory to Practice. Madison R. Godfrey, Pamela Mathura, Zaheed Damani, Marlene Dytoc
2022 Publications
- Identifying Quality Improvement Opportunities in a Vulvar Dermatology Clinic. Laura C. Soong, Trang T. Vu, Pamela Mathura, Marlene T. Dytoc
- Implementing a Diabetic Algorithm for Ophthalmology Surgery Patients: A Quality Improvement Initiative. Simrenjeet Sandhu, Aleena Virani, Hilary Salmonson, Karim Damji, Pamela Mathura, Rany Al-Agha
- Reduction of urea test ordering in the emergency department: multicomponent intervention including education, electronic ordering, and data feedback. Pamela Mathura, Cole Boettger, Reidar Hagtvedt, Colleen Sweeney, Stephen Williams, Yvonne Suranyi, Narmin Kassam, Manpreet Gill
- Through the eyes of hospital-based healthcare professionals: exploring their lived experience during the COVID-19 pandemic. Pamela Mathura, Miriam Li, Jennie Vegt, Zoe Penrod, Yvonne Suranyi, Cathy Osborne, Narmin Kassam
- Stopping routine urine screening studies for stroke rehabilitation inpatient admissions. Arjun Singh Ghuman, Pamela Mathura, Jaime C Yu
- Strategies for enabling physician leadership and involvement in quality improvement: a scoping review---see page 11 of the journal (CJPL). Pamela Mathura, Tarek Turk, Liz Dennette, Karen Spalding, Lenora Duhn, Narmin Kassam, Jennifer Medves
- Understanding Approaches to Empathy in Dermatologic Patient Care. Pamela V. Mathura, Madison R. Godfrey, Kendra R. Martel, Zaheed Damani, Marlene Dytoc
- Win-win: Summer QI programme for medical students. Pamela Mathura, Paul Barber, Ted Han, Tracey Hillier, Narmin Kassam
- Physician-led quality improvement: a blueprint for building capacity. Pamela Mathura, Sandra Marini, Karen Spalding, Lenora Duhn, Natalie McMurtry, and Narmin Kassam
- Establishing an alternative accommodation for stable hospitalised antepartum patients: barriers and challenges. M Brad Sullivan, Abby Rentz, Pamela Mathura, Megan Gleddie, Tania Luthra, Allison T Thiele, Katharina Kovacs Burns, Rebecca Rich, Winnie W Sia
2021 Publications
- Psoriasis Education Tool for Patient-Physician Decision-Making About Biologics: A Pilot Study. Nahirney M, Hum M, Mathura P, Dytoc M.
- Patient-centered approaches to targeting incomplete bowel preparations for inpatient colonoscopies. Lindsey Russell, Pamela Mathura, Amanda Lee, Raveena Dhaliwal, Narmin Kassam, Ali Kohansal
- Identifying Quality Improvement Opportunities in a Vulvar Dermatology Clinic. Laura C. Soong, Trang T. Vu, Pamela Mathura, Marlene T. Dytoc
- Patient Perspectives and Consultation Preferences for In-Hospital Blood Testing. Pamela Mathura, Kendra Raffael, Carley Campbell, Mae Deans, Karen Binns, Yvonne Suranyi, Narmin Kassam
- Patient feedback identifies “Rheum” to improve clinic visit preparedness. Pamela Mathura, Miriam Li, Xing Sun, Lenora Duhn, Narmin Kassam, Elaine Yacyshyn
- Does admission order form design really matter? A reduction in urea blood test ordering. Pamela Mathura, Cole Boettger, Reidar Hagtvedt, Yvonne Suranyi, Narmin Kassam
- Applying improvement science to establish a resident sustained quality improvement (QI) educational model. Caitlyn Collins, Pamela Mathura, Shannon Ip, Narmin Kassam, Anca Tapardel
- Trauma of Hospitalization Is Common in Medical Inpatients But Is Not Associated with Post-Discharge Outcomes. Akshatha Raghuveer, Erik Youngson, Pamela Mathura, Narmin Kassam, Finlay A. McAlister
2020 Publications
- Glove- Induced Allergic Contact Hand Dermatitis: A Quality Improvement Initiative. AnneLiese Smylie, Navjeet Gill, Rylee Oosterhuis, Pamela Mathura, John Elliott, Sebastian Straube, and Marlene Dytoc.
- Enhancing the healthcare quality improvement storyboard using photovoice. Pamela Mathura, Miriam Li, Natalie McMurtry, Narmin Kassam
- Providing quality improvement training in an advanced pharmacy practice experience elective. Pamela Mathura, Dillon H. Lee, Ann Thompson, Natalie McMurtry, Narmin Kassam
- Implementation of a Clinical Decision Laboratory Ordering Algorithm for Preeclampsia: A Quality Improvement Initiative. Xavier Thompson, M. Brad Sullivan, Pamela Mathura, Alexander Wong, Jennifer Crawford, Winnie Sia
- Sun-Safety Interventions for Elementary Schools. Miriam Li, Navjeet Gill, Pamela Mathura, Marlene Dytoc
- Psychodermatology in Canada: A National Survey Assessment of Dermatologists’ Perception, Practice Patterns, and Challenges. Tarek Turk, Esther Fujiwara, Adam Abba- Aji, Pamela Mathura, Marlene Dytoc
2019 Publications
- A Multifaceted Quality Improvement Initiative to Reduce Unnecessary Laboratory Testing on Internal Medicine Inpatient Wards. Inka Toman, Pamela Mathura, Narmin Kassam
- Deprescribing benzodiazepines among hospitalised older adults: quality improvement initiative. Frances Carr, Peter Tian, Jeffrey Chow, Jennifer Guzak, Jean Triscott, Pamela Mathura, Xing Sun, Bonnie Dobbs
- High-Users of Acute Care in a Teaching Hospital: A Retrospective Chart Review and Survey of Primary Care Physicians. Arpita Gantayet, Pamela Mathura, Alexis Fong-Leboeuf, Natalie McMurtry, Julie Zhang, Finlay A. McAlister, Narmin Kassam
Posters
2023 Poster Presentations
- Outcomes of first subsequent taxane (FST) therapy in patients (pts) with metastatic castration-resistant prostrate cancer (mCRPC) who previously received docetaxel intensification (DI) for metastatic castration-sensitive prostrate cancer (mCSPC)
- Teledermatology: Canadian Dermatologists' Practice Patterns, Perceived Challenges and Future Recommendations
- Decreasing the Number of Patients Waiting to be seen at the General Internal Medicine Kaye Edmonton Clinic
- Improving Coding Practices for Alternative Level of Care (ALC) in Hospital Medicine Units
- Exploring the Deprescribing Needs of Hospitalized Medicine Patients
- Teledermatology in Atopic Dermatitis: A systemic Review
- Optimizing the Indications for Biliary Stent Placement in Patients with CBD Stones: A Quality Improvement Initiative to Omprove Patient Care and Reduce Healthcare Resource Utilization
2022 Poster Presentations
- ED Consult Volumes and Predictive Factors for Delayed ED Consult to Decision to Admit for GIM in 2021
- Applied Patient Safety Education for Resident Physicians: Results of the Pilot Test
- The Effectiveness of a Sequenced Multicomponent Intervention: Reducing Blood Urea Nitrogen (BUN) test ordering in Alberta Hospitals
- Evaluation of a patient-administered, physician supervised allergy patch test
- Enhancing the Adoption of MyAHS Connect Patient Portal on the University of Alberta General Internal Medicine (GIM) Units
- Optimizing IV Fluids Therapy on Medicine Wards
- Looking Through the Covid-19 Lens: Exploring the Lived Experiences of Hospital-Based Healthcare
- Understanding Approaches to Empathy and Efficiency in Dermatologic Patient Care
2021 Poster Presentations
- Development of a Standardized Digital Medical Interpretation Services Toolkit: A Quality
Improvement Initiative to Advance Health Equity During the COVID-19 Pandemic - Urine screening on stroke rehabilitation inpatients: a quality improvement initiative
- Identifying Quality Improvement Opportunities in a Vulvar Dermatology Clinic
- Beyond Skin Deep: Case-based Online Learning Modules to Teach Multidisciplinary Care in Dermatology among Clerkship Students
- Education and Order Systems Effect on Reduction of Urea Test Ordering in the Emergency Department
2020 Poster Presentations
- Training Pharmacy Students in Quality Improvement (QI) Using the Evidence-based Practice for Improving Quality (EPIQ) Workshop: A Pilot Study
- Trialing a Psoriasis Education Tool for Patient-Physician Decision-Making about Biologics
- Development of a Multi-Faceted Quality Improvement Study to Improve Clinical Assessments and Communication with Patients with Limited English Proficiency
- Development of a Standardized Referral Pathway to Link Refugee Patients with General Internal Medicine Specialists
- Improving Healthcare Delivery to Patients with Psychodermatological Conditions
- Determining Areas for Improvement: Sun safety Knowledge and Practices in Edmonton Elementary School Children
- Improving Timely Treatment of Adult Sickle Cell Anemia Patients Presenting with Vaso-Occlusive Pain Episodes at the University of Alberta Hospital Emergency Department
2019 Poster Presentations
- Reducing Length-Of-Stay For Stable Antepartum Patients
- Reducing Laboratory Test Ordering Overuse in General Internal Medicine Units at the Grey Nuns Community Hospital
- Improving Oxygen Use on General Internal Medicine (GIM) Ward
- Determining Key Intervention Components to Reduce Laboratory Test Ordering Overuse in General Internal Medicine Wards
- Exploring the Patient Perspective of In-Hospital Blood Testing
- Evaluation of a Summer Healthcare Improvement Program (SHIP) in Undergraduate Medicine Education
- Ending PJ Paralysis: A Quality Improvement Initiative
2018 Oral Presentations
Posters and Presentations
- Edmonton Zone, Department of Medicine Access Partnership Project (APP) Access to Care Survey Audit Tool and Action Planning
Presentation: Department of Medicine Access Partnership Project - Using the 'Confusion Assessment Method' (CAM) Tool to Screen for Delirium Amongst Hospitalized Inpatients - a Quality Improvement Initiative
Presentation: Using the 'Confusion Assessment Method' (CAM) Tool to Screen for Delirium Amongst Hospitalized Inpatients - a Quality Improvement Initiative - Reducing Inappropriate Lab Draws on Unit 5A4 - A Quality Improvement Initiative
Presentation: Inappropriate Laboratory Ordering - Targeting Incomplete Bowel Preparations for Inpatient Colonoscopies
Presentation: Targeting Incomplete Bowel Preparations for Inpatient Colonoscopies - UAH Standardization GI On Call Resident Handover
Presentation: Standardizing On-Call Resident Handover for the UAH Gastroenterology Rotation - Using Quality Improvement (QI) Methodology to Develop a Standardized QI Educational Curriculum for Internal Medicine Residents
Presentation: Quality Improvement Training - Grey Nuns Community Hospital - Emergency Department (ED) General Internal Medicine (GIM) Physician Consultation and Triage Process
Presentation: GIM-ED Triage Consultation Service - Improving Cervical Cancer Screening Rates in HIV Positive Women
Presentation: Cervical Cancer Screening in HIV+ Patients - Living Kidney Donor (LKD) Hero Assessment Process
Presentation: Living Kidney Donor (LKD) Program - Reviewing the Timeliness of the Assessment Process - Living Donor Contact to Organ Donation - A Quality Improvement Initiative - Reducing Inappropriate Lab Ordering in General Internal Medicine Units at Misericordia Hospital
Presentation: Inappropriate Laboratory Ordering - Implementing of the Canadian Nutrition Screening Tool on the General Internal Medicine Units at the University of Alberta
Presentation: Nutrition Screening Project - University of Alberta Hospital (UAH) General Internal Medicine (GIM) Units - Ensuring Adequate Nutritional Intake and Reducing Oral Nutritional Supplement Wastage
Presentation: Oral Nutritional Supplements: Accumulation and Waste - University of Alberta Hospital UAH) Pet Healing Program - Dogs that Heal. Determining Capacity, Capability and Clinical Outcomes for Program Improvement
Presentation: UAH Pet Healing Program - Understanding the Educational Needs of Patients with Adrenal Insufficiency
- Improving the Efficiency of Handover in Pediatrics: A Resident-Led Quality Improvement Project
Presentation: Improving the Efficiency of Handover in Pediatrics: A Resident-Led Quality Improvement Project - AHS WHS Programs and Creating a "Culture of QI": Applying AIW QI Principles to the Fit Test Designate Program
Presentation: Alberta Health Services (AHS) Workplace Health and Safety (WHS) Programs and Creating a "Culture of Quality Improvement (QI)" - An Alphanumeric Paging System - An Ongoing Quality Improvement Project
Presentation: Using Our Words: An Alphanumeric Paging System - Implementing a Procedural Sedation Checklist as a Quality Improvement Initiative
Presentation: Procedural Sedation: QI in the ED - A Standardized Order Set with a Structured Process was Effective in Reducing Unnecessary Bloodwork in the Alternate Level of Care Inpatients
Presentation: Inappropriate Laboratory Ordering - Implementing a New Diabetic Algorithm for Opthalmology Day Surgery Patients at the Royal Alexandra Hospital
Presentation: Implementing a New Diabetic Algorithm for Opthalmology Day Surgery Patients at the Royal Alexandra Hospital - Enhancing Physician Engagement and Leadership in Health System Transformation
Presentation: Enhancing Physician Engagement and Leadership in Health System Transformation - Sturgeon Community Hospital (SCH): From the Emergency Department General Internal Medicine Consultation and Triage Service (GIM-ED) to the Hospital Medical Consult Service (HMCS) (PDSA #2)
Presentation: GIM-ED Triage Consultation Service - Improving Timely Treatment of Patients with Suspected TTP
Presentation: TTP Project - University of Alberta Hospital (UAH) GIM ED Evening Service: Formalized On-Call Staff Physician Check-In
Presentation: GIM-ED Triage Consultation Service - Edmonton Zone Virtual Hospital; Development of a New Care Model
Presentation: The EZ Virtual Hospital - University of Alberta Hospital Admission Protocol Impact on Emergency Department and Patient Flow
- University of Alberta Hospital- Nursing Perceptions and Identification of Improvement Strategies For Patients with Post-Operative Acute Kidney Injury
- Edmonton Zone, Department of Medicine Access Partnership Project (APP)
- Glenrose Rehabilitation Hospital (GRH)-Deprescribing Benzodiazepines: A Quality Improvement Initiative
- Kaye Edmonton Clinic-Dermatology - Allergic Contact Dermatitis (ACD) Glove Induced Hand Dermatitis
- Grey Nuns Community Hospital: Improving Collaboration and Access to Rehabilitation for Stroke Patients
- University of Alberta Hospital-high-users of Acute Care: A Deeper Dive Into Predictive Patient And System Factors
- University of Alberta Hospital ‐'Ensuring Appropriate Laboratory Ordering'
- Edmonton Zone (EZ) Adult Medicine- INSPIRED COPD Collaborative-Transcendent Care of Complex Populations
- Misericordia Community Hospital (MCH) - Improving Discharge Communication-Changing Our Approach to Discharge Summaries
- Mealtime Companionship Program at the University of Alberta Hospital: a Study on the Views of Patients, Volunteers, Health Care Providers, and Relevant Stakeholders
- Kaye Edmonton Clinic - Patch Testing Evaluation
- Royal Alexandra Hospital / Lois Hole Hospital: Reducing Excessive Laboratory Ordering for Preeclampsia Bloodwork: Be Hip Gone with PIH
- Kaye Edmonton Rheumatology Clinic-Pre-visit Outpatient Planning- Improving Patient Preparedness for Clinic Visits
- Building Organizational Capacity for Clinical Quality Improvement in an Academic Health Center
- Sturgeon Community Hospital (SCH) -Emergency Department General Internal Medicine (GIM) Physician Consultation and Triage Process
Contact Information
Dr. Elaine Yacyshyn
Deputy Zone Clinical Department Head, Medicine
eyacyshyn@ualberta.ca
Phone: 780-492-8789
Francois Bouman
Manager, Operational Planning & Analysis
francois.bouman@ualberta.ca
Phone: 780-492-1780
Pamela Mathura
QI and Implementation Scientist
pam.mathura@albertahealthservices.ca
780-407-6382