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Evidence 2 Excellence (E2E) is an academic organization established to improve clinical and operational outcomes for emergency departments (ED) across British Columbia. E2E provides a grass roots collaborative model for improvement and knowledge translation by connecting sites and clinicians across the province through an online community.
In partnership with the BC Ministry of Health, the UBC eHealth Strategy Office, BC Patient Safety and Quality Council, and the UBC Department of Emergency Medicine, E2E is a leading provider of BC-based ED improvement work.
Currently, E2E is working with BC PSQC to facilitate the Ministry of Health’s Clinical Care Management Program areas of Sepsis and Stroke. (www.clinicalcaremanagement.ca) In addition, with support from the Ministry of Health, we are conducting a monthly series of webinars around ED Patient Flow issues leading to the Western Emergency Department Operations Conference (WEDOC) April 27-28th, 2012 in Vancouver.
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Evidence2Excellence Video Series: Quality Improvement in Action
ED Patient Flow webinar series
E2E, with support from the BC Ministry of Health, is proud to bring you the ED Patient Flow webinar series. The Canadian Association of Emergency Physicians has highlighted that overcrowding in EDs across Canada is a "systems" problem with the root cause being the lack of availability of acute care beds resulting in a block to access of care in the Emergency Department. The resultant increased wait times lead to patient suffering, adverse outcomes and deteriorating levels of service across the healthcare system.
Our system will increasingly be stressed by a growing and aging population, rising patient expectations, development of expensive technologies and drugs, and limited budgets. Health programs are challenged to do more with less - to reduce utilization, increase efficiency and appropriateness, rationalize allocation of resources, and change culture. It is important for us to engage in an open dialogue about what needs to happen not only in ED’s but across the system. Although it has been shown that patients presenting to the ED with minor complaints are only a small factor in all this, it is crucial that we work to optimize how patients are managed whilst in the ED and work to improve how they get to the right care provider in the right care setting in a timely fashion.
Please join the discussion and help us work together to improve the care we provide in the ED and drive changes throughout the health system.
See the What's New! section for upcoming webinars.
Evidence 2 Excellence: Achieving Excellence for BC Emergency Care in 2010 -
Dr. Julian Marsden, E2E Chair
During 2010, Evidence to Excellence, has continued to improve emergency care across BC with the support of the Ministry of Health Services, the UBC eHealth Strategy Office and the BC Patient Safety and Quality Council through the engagement of clinicians and administrators and the use of tried and tested improvement methodologies.
E2E has progressed on several fronts and, in particular, launched 2 Collaboratives in January in the areas of Emergency Department (ED) sepsis and patient flow. 16 EDs representing 4 BC Health Authorities participated in Sepsis whilst 21 EDs from all the BC Health Authority regions took part in ED Flow. Significant improvements made in the Sepsis Collaborative included: creation of “report cards” to highlight successes and learning points; pre-printed order sets; screening tools; and other processes for quick identification including obtaining lactate levels of patients with suspected sepsis.
Read More..
Evidence2Excellence Video Series
Sepsis Care Improvement: Aggressive Fluid Resuscitation in the Elderly: Dr. David Sweet