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Quality Improvement

The Division of General Internal Medicine has a core group of individuals who are interested and trained in quality improvement. Drs Laurence Green, Dev Jayaraman and Todd Lee (McGill University Health Centre) and Dr Blair Schwartz (Jewish General Hospital) launched the Centre for Quality Improvement (CQI) with the mission to promote, support and coordinate new or ongoing quality improvement initiatives.

Objectives:

  • Provide leadership in planning, implementing and studying initiatives in General Internal Medicine
  • Conduct and support research in patient safety and health care quality improvement
  • Establish a central repository of quality improvement projects and data in General Internal Medicine
  • Act as a resource group for quality improvement innovations in the McGill system
  • Collaborate with other divisions in the McGill system as well as external institutions
  • Teach quality improvement principles by engaging residents in projects
  • Publish and publicize results

Current Projects:

  • Catheter-associated urinary tract infections
  • Inappropriate antibiotic use
  • A ward-based Medical Emergency Team to improve outcomes for unstable patients on medical wards
  • Reduce inappropriate proton pump inhibitor use
  • Evaluate the predictability and reasons for hospital re-admissions
  • Assess factors that influence end-of-life care on medical wards (multi-centre Canadian study)
  • Assess quality of treatment of hyponatremia (in collaboration with the University of Toronto)

The CQI plans to establish a database in the outpatient clinics to assess quality of care provided in the clinics.