USING THE OTTAWA HEART FAILURE RISK SCALE

Stiell et al. recently published: Prospective and Explicit Clinical Validation of the Ottawa Heart Failure Risk Scale, With and Without Use of Quantitative NT-proBNP. AEM March 2017. Congratulations on this publication. A discussion with the lead author is available at http://thesgem.com/2017/03/sgem170-dont-go-breaking-my-heart-ottawa-heart-failure-risk-scale/ and on updated https://emergencymedicinecases.com/episode-56-stiell-sessions-clinical-decision-rules-risk-scales/ BEC started making this scale available to ED MD’s at the point
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Documentation and Peer Assessment by CPSO

Documentation and Peer Assessment by CPSO

In Ontario the CPSO Peer Assessment in Emergency Medicine is being redesigned.  Their goal is to make good physicians great.  Their premise is that good documentation is part of good care.   They plan to look for different data elements or ‘elements of quality’ on the chart covering important items from the history, examination, investigations
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Pediatric Emergencies – Asthma and Best Evidence

TREKK authors have recently reported that “The majority of children requiring emergency care are treated in general emergency departments (EDs) with variable levels of pediatric care expertise.” CJEM. 2017 Jan 9:1-11. https://www.ncbi.nlm.nih.gov/pubmed/?term=Scott%20SD%20et%20al%20CJEM%202017 TREKK has also noted that “Acute exacerbations of asthma are one of the most common reasons for children to seek emergency care and require urgent
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LEADing Practice using BEC Charts

   

Physician Chart Templates for Possible Exposure to Ebola Available for Free Download

Physician Chart Templates for Possible Exposure to Ebola Available for Free Download

BEC’s evidence-based charts for patients who present to your emergency department with a fever from Ebola-affected countries are now available for download at emergencymedicinecases.com/emergency-ebola-preparedness/.  These templates are a tool for history-taking, examination, and documentation for patients who may have been exposed to Ebola. The charts are included as part of the supplemental materials to an
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HSN Screens for Ebola Using Specialized Charts

Sudbury Hospital’s Emergency Doctors Have Public Health Guidelines Directly on Patient Charts Sudbury, Ontario:  Emergency department doctors at Health Sciences North have an extra tool as they screen patients for possible exposure to the Ebola virus.  When patients who have travelled internationally arrive at the Sudbury hospital with a fever, doctors use a specialized medical
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Point-of-care Clinical Decision Support Reduces CT Scan Rates

We know that adding clinical decision support at the point of care improves knowledge translation and increases the use of good medical evidence.  What’s hard is measuring how much of an improvement there is. During rounds yesterday, an emergency physician did a quick chart audit to check positive rates from CTPAs for suspected pulmonary embolism.  What
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Adding paper-based clinical decision support without disrupting workflow

This 2.5 minute video shows how easy it is to build clinical decision support into your paper-based emergency department workflow.

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How Structured Templates Increase Emergency Department Efficiency (in 68 Seconds)

Structured charting helps emergency physicians practice faster, safer medicine.

How Evidence-based documentation helps patient-based funding

How BEC Clinical Content Supports QBPs

Quality-based procedures (QBPs) are clusters of patient groups that have been identified by the Government of Ontario as offering an opportunity for care improvement and cost reduction.  Patient-based funding in Ontario is now partially based on QBP performance.  The move toward a patient-centred, evidence-informed funding model requires significant changes in how care is documented and
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