QI Repository
This resource aims to allow for increased awareness on the QI projects being done in Canada, reduce project redundancy, and foster collaboration across sites and provinces. If you would like to have your project listed in the QI Repository, please click here to submit your project for inclusion.
Site/Region | Name | Phone | Topic | Project Description | Aim Statement | Project Lead Name | Project Lead Position/Title | Project contact method | Project Contact Email | Project Contact Phone | Project Status | Conclusions | Notes | Supporting Documentation / Files | |
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BC | Krishna Poinen | kpoinen@gmail.com | 1-604-505-9733 | HHD, PD | Cross-sectional survey of multidisciplinary renal team members across five renal programs in British Columbia, Canada. The survey contained questions regarding primary work area, modality preference, patient and system factors that may influence modality candidacy, perceived knowledge of home therapies and need for further education. | Our objective was to evaluate the perceptions of all renal team members towards home dialysis therapies. | Krishna Poinen | MD | Email & Phone | kpoinen@gmail.com | 1-604-505-9733 | Completed | The majority of multidisciplinary team members, including allied health staff, acknowledged the benefits of home therapies. There were significant discrepancies amongst team members regarding patient/system-level factors that may impact home therapies candidacy. Structured, focused and repeated education sessions for all renal team members may help to address misperceptions around factors that influence modality candidacy. | Kidney360. DOI https://doi.org/10.34067/KID.0006222020 | |
ON | Sam Silver | Samuel.silver@queensu.ca | 613-549-6666 x4895 | HD | Routine labs changed from Q-4 weeks to Q-6 weeks | To decrease the frequency of HD labs without affecting patient outcomes or quality of care | Sam Silver/Ed Ilescu N/A | MD | Samuel.silver@queensu.ca | Completed | The reduced lab frequency resulted in cost-savings to the dialysis program, without affecting anemia or phosphate targets. There was also no change in all-cause mortality. This may allow the healthcare team to focus less on labs and more on other health issues that matter to patients (e.g., symptom control) | Please refer to attached publications | |||
ON | Sam Silver | Samuel.silver@queensu.ca | 613-549-6666 x4895 | HD | Creation of dedicated chairs in the in-centre unit for patients new to dialysis. This includes 1:1 nursing care and early follow-up with modality educator, access nurse, dietician, and pharmacist. Patients are not moved out of this area until long-term kidney plan has been made and patient is clinically stable, as per physician assessment. | To increase the # of patients starting home dialysis | Sam Silver/Claire Kennedy N/A | MD | Samuel.silver@queensu.ca | Ongoing | This model of care was feasible in a dialysis unit without dedication of additional resources. Ideally, new starts could be dialyzed in their own separate room if resources permit. Next steps include using the model to improve mental health and prevent rehospitalizations during the transition to dialysis. | Please refer to CSN poster for further details | |||
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