Neurology quality improvement project

[kapMD/PhD]

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Hey guys,
I'm working on starting a quality improvement project during residency, but am having a tough time coming up with a project that is interesting and feasible. I'm needing some suggestions. Any thoughts on things you think would improve the patient experience? Or make it safer as an inpatient or outpatient? Thanks for your help!

 

[typhoonegator]

Handoffs are always hot. What about a project about the systems processes behind admissions to the floor from the ED? How good are signouts? How often to patients arrive without the neuro resident knowing about them? How long does it take for them to have active orders?

Or what about the post-ED visit care of patients who are sent home? Do they have secure follow-up? Who do they call with questions? How often do they return to the ED prior to their outpatient neuro visit?

Bouncebacks are really hot right now as well. What are the bounceback rates in your department, and the reasons for them? Are any of them avoidable?

 

[AlternateSome1]

There is a push to be able to assess residents in order to determine if they have competency in various aspects of neurology prior to completion of their residency. You could work to devise a way to assess a particular aspect of neurological training.

Another consideration would be to determine the current barriers to rapid TPA administration at your hospital. Time is brain, so if you could even shave a few minutes off the process, it may be useful.

 

[bustbones26]

Hey guys,
I'm working on starting a quality improvement project during residency, but am having a tough time coming up with a project that is interesting and feasible. I'm needing some suggestions. Any thoughts on things you think would improve the patient experience? Or make it safer as an inpatient or outpatient? Thanks for your help!

Does your hospital participate in the ASA Get with the guidelines program? If not, this is a very easy QA project. All you do is track your stroke patients. Easy project.

 

[danielmd06]

There is a push to be able to assess residents in order to determine if they have competency in various aspects of neurology prior to completion of their residency. You could work to devise a way to assess a particular aspect of neurological training.

A good thing to follow for this would be "competency" in EMG or EEG interpretation, which often falls by the wayside in larger training programs (which focus heavily on stroke and inpatient medicine at the expense of outpatient neurology).