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	Email	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
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	Email	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	Email	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
Site/Region												Project Status