Reduction of urea test ordering in the emergency department: multicomponent intervention including education, electronic ordering, and data feedback

Reduction of urea test ordering in the emergency department: multicomponent intervention including education, electronic ordering, and data feedback

by , , | Jul 4, 2023 | Journal Club, Quality Improvement

Methodology: 2.5/5 Usefulness: 2/5 Mathura P, et al. CJEM. 2022 Sep;24(6):636-640. Editorial: When evidence-based medicine and quality improvement collide. Question and Methods: Can we decrease physician ordering of the BUN (blood urea nitrogen) test, using an...
Efficacy and Safety of Early Administration of 4-Factor Prothrombin Complex Concentrate in Patients With Trauma at Risk of Massive Transfusion: The PROCOAG Randomized Clinical Trial

Efficacy and Safety of Early Administration of 4-Factor Prothrombin Complex Concentrate in Patients With Trauma at Risk of Massive Transfusion: The PROCOAG Randomized Clinical Trial

by , , | Jun 19, 2023 | Featured, Journal Club, Thrombosis, Trauma

Methodology: 4/5 Usefulness: 3.5/5 Bouzat P, et al. JAMA. 2023 Mar 21:e234080. doi: 10.1001/jama.2023.4080.  Question and Methods:  This double-blind, randomized, placebo-controlled superiority trial aimed to assess whether 4F-PCC decreases 24hr blood product...
Quality initiative to improve emergency department sepsis bundle compliance through utilisation of an electronic health record tool

Quality initiative to improve emergency department sepsis bundle compliance through utilisation of an electronic health record tool

by , , | Jun 12, 2023 | Featured, Full Article, Journal Club, Quality Improvement

Methodology: 2/5 Usefulness: 3/5 Warstadt NM, et al. BMJ Open Qual. 2022 Jan;11(1):e001624. Questions and Methods: Using a cohort and QI approach, to demonstrate the effectiveness of a multidisciplinary educational intervention and EHR tool to increase sepsis bundle...
Safely reducing abdominal/pelvic computed tomography imaging in pediatric trauma: a quality improvement initiative

Safely reducing abdominal/pelvic computed tomography imaging in pediatric trauma: a quality improvement initiative

by , , | Jun 5, 2023 | Featured, Full Article, Journal Club, Pediatrics, Trauma

Methodology: 4.5/5 Usefulness: 5/5 Beno S, al. CJEM. 2022 Aug;24(5):535-543.  Editorial: Reducing overuse of CT imaging in pediatric trauma: a model example of the Model for Improvement. Question and Methods: The aim  of this QI project was to reduce unnecessary CT...
A comparison of ketamine and morphine analgesia in prehospital trauma care: a cluster randomized clinical trial in rural Quang Tri province, Vietnam

A comparison of ketamine and morphine analgesia in prehospital trauma care: a cluster randomized clinical trial in rural Quang Tri province, Vietnam

by , | May 22, 2023 | Featured, Full Article, Journal Club, Prehospital and Transport Medicine, PTM Journal Club

Methodology: 3.5/5 Usefulness: 3.5/5   Tran, Kim Phung et al. “A comparison of ketamine and morphine analgesia in prehospital trauma care: a cluster randomized clinical trial in rural Quang Tri province, Vietnam.” Prehospital emergency care vol. 18,2 (2014):...
Risk Scores for Clinical Risk Stratification of Emergency Department Patients With Chest Pain but No Acute Myocardial Infarction: A Systematic Review

Risk Scores for Clinical Risk Stratification of Emergency Department Patients With Chest Pain but No Acute Myocardial Infarction: A Systematic Review

by , , | May 17, 2023 | Cardiology, Featured, Full Article, Journal Club

Methodology: 3/5 Usefulness: 3/5 O’Rielly CM, et al. Can J Cardiol. 2023 Mar;39(3):304-310. doi: 10.1016/j.cjca.2022.12.028.  Question and Methods: The authors conducted a systematic review to identify and synthesize prognostic performance of chest pain risk...