Edmonton Zone Medicine Quality Council - Strategic Clinical Improvement Committee

• Mathura P, Marini S, Yacychyn E, Suranyi Y, Kassam N. Physician insights on strategies for leading quality improvement. Can J Physician Leadersh. 2024;10(1):13-23 https://doi.org/10.37964/cr24778
• Sharfuddin N, Mathura P, Mac A, Ling E, Tan M, Khatib E, Suranyi Y, Kassam N. Advancing language concordant care: a multimodal medical interpretation intervention. BMJ Open Quality. 2024 Jan 1;13(1):e002511.
• Ambasta, A, Holroyd-Leduc, J, Pokharel, S, Mathura, P, Wei-Yeh Shih, A, Stelfox, H, Ma, I, Manns, B, Faris, P, Williamson, T, Shukalek, C, Santana, M, Omodon, O, McCaughey, D, Kassam, N., Naugler, C. Re-Purposing the Ordering of Routine Laboratory Tests in Hospitalized Medical Patients (RePort): protocol for a multicenter stepped‑wedge cluster randomised trial to evaluate the impact of a multicomponent intervention bundle to reduce laboratory test over‑utilization. BMC Implementation Science. 2024 July 2
• James, M, Dixon, E, Tan, Z, Mathura, P, Datta, I, Lall, R, Landry, J, Minty, E, Samis, G, Winkelaar, G, Pannu, N. Stepped-Wedge Trial of Decision Support for Acute Kidney Injury on Surgical Units. KI REPORTS. 2024
• Nanda, K, Mathura, P, Kovacs Burns, K, Pagnoux, C, Garner, S, Stewart, J, Yacyshyn, E. Social determinants of health as barriers to care for vasculitis: perspectives of patients and healthcare providers. Clinical Rheumatology. 2024 August 13.
• Alhaidari, S, Alzahrani, I, Alhanaee, M, Decanini, A, Mohamed, M, Zepeda-Gomez, S, Mathura, P, Zhang, J, Sandha, G. Optimising the indications for biliary stent placement during endoscopic retrograde cholangiopancreatography: a quality improvement initiative to enhance patient care and reduce healthcare resource utilisation. BMJ Open Gastroenterology. 2024;11:e001375.

• Godfrey MR, Mathura PV, Damani Z, Dytoc M. Trialing empathetic approaches in dermatology: from theory to practice. Journal of Cutaneous Medicine and Surgery. 2023 Mar;27(2):165-6.
• Lee DH, Mathura PV, Shkrobot J, Kassam N, Aziz K. Teaching quality improvement concepts to pharmacy students using the Evidence-based Practice for Improving Quality (EPIQ) workshop. Currents in Pharmacy Teaching and Learning. 2023 Jul 18.
• Li M, Mathura P, Hagtvedt R, Dytoc M. Sun safety in elementary school: trialing strategies for keeping children protected. Journal of Cutaneous Medicine and Surgery. 2023;0(0). doi:10.1177/12034754231211329
• Liu C, Chan M, Beard V, Mathura P, Dytoc M. Beyond skin deep: case-based online modules to teach multidisciplinary care in dermatology among clerkship students. BMC Medical Education. 2023 Feb 4;23(1):90.
• Mathura P, Marini S, Spalding K, Duhn L, Kassam N, Medves J. Characteristics promoting behaviour change: physician experience with a coalition-led quality improvement initiative to reduce excessive laboratory test ordering. BMJ Open Quality. 2023 Jan 1;12(1):e001965.

• Identifying quality improvement opportunities in a vulvar dermatology clinic. Laura C. Soong, Trang T. Vu, Pamela Mathura, Marlene T. Dytoc
• Implementing a diabetic algorithm for ophthalmology surgery patients: a quality improvement initiative. Simrenjeet Sandhu, Aleena Virani, Hilary Salmonson, Karim Damji, Pamela Mathura, Rany Al-Agha
• Reduction of urea test ordering in the emergency department: multicomponent intervention including education, electronic ordering, and data feedback. Pamela Mathura, Cole Boettger, Reidar Hagtvedt, Colleen Sweeney, Stephen Williams, Yvonne Suranyi, Narmin Kassam, Manpreet Gill
• Through the eyes of hospital-based healthcare professionals: exploring their lived experience during the COVID-19 pandemic. Pamela Mathura, Miriam Li, Jennie Vegt, Zoe Penrod, Yvonne Suranyi, Cathy Osborne, Narmin Kassam
• Stopping routine urine screening studies for stroke rehabilitation inpatient admissions. Arjun Singh Ghuman, Pamela Mathura, Jaime C Yu
• Strategies for enabling physician leadership and involvement in quality improvement: a scoping review---see page 11 of the journal (CJPL). Pamela Mathura, Tarek Turk, Liz Dennette, Karen Spalding, Lenora Duhn, Narmin Kassam, Jennifer Medves
• Understanding approaches to empathy in dermatologic patient care. Pamela V. Mathura, Madison R. Godfrey, Kendra R. Martel, Zaheed Damani, Marlene Dytoc
• Win-win: Summer QI programme for medical students. Pamela Mathura, Paul Barber, Ted Han, Tracey Hillier, Narmin Kassam
• Physician-led quality improvement: a blueprint for building capacity. Pamela Mathura, Sandra Marini, Karen Spalding, Lenora Duhn, Natalie McMurtry, and Narmin Kassam
• Establishing an alternative accommodation for stable hospitalised antepartum patients: barriers and challenges. M Brad Sullivan, Abby Rentz, Pamela Mathura, Megan Gleddie, Tania Luthra, Allison T Thiele, Katharina Kovacs Burns, Rebecca Rich, Winnie W Sia

• Psoriasis education tool for patient-physician decision-making about biologics: a pilot study. Nahirney M, Hum M, Mathura P, Dytoc M.
• Patient-centered approaches to targeting incomplete bowel preparations for inpatient colonoscopies. Lindsey Russell, Pamela Mathura, Amanda Lee, Raveena Dhaliwal, Narmin Kassam, Ali Kohansal
• Identifying quality improvement opportunities in a vulvar dermatology clinic. Laura C. Soong, Trang T. Vu, Pamela Mathura, Marlene T. Dytoc
• Patient perspectives and consultation preferences for in-hospital blood testing. Pamela Mathura, Kendra Raffael, Carley Campbell, Mae Deans, Karen Binns, Yvonne Suranyi, Narmin Kassam
• Patient feedback identifies “Rheum” to improve clinic visit preparedness. Pamela Mathura, Miriam Li, Xing Sun, Lenora Duhn, Narmin Kassam, Elaine Yacyshyn
• Does admission order form design really matter? A reduction in urea blood test ordering. Pamela Mathura, Cole Boettger, Reidar Hagtvedt, Yvonne Suranyi, Narmin Kassam
• Applying improvement science to establish a resident sustained quality improvement (QI) educational model. Caitlyn Collins, Pamela Mathura, Shannon Ip, Narmin Kassam, Anca Tapardel
• Trauma of hospitalization is common in medical inpatients but is not associated with post-discharge outcomes. Akshatha Raghuveer, Erik Youngson, Pamela Mathura, Narmin Kassam, Finlay A. McAlister

• Glove-induced allergic contact hand dermatitis: a quality improvement initiative. AnneLiese Smylie, Navjeet Gill, Rylee Oosterhuis, Pamela Mathura, John Elliott, Sebastian Straube, and Marlene Dytoc.
• Enhancing the healthcare quality improvement storyboard using photovoice. Pamela Mathura, Miriam Li, Natalie McMurtry, Narmin Kassam
• Providing quality improvement training in an advanced pharmacy practice experience elective. Pamela Mathura, Dillon H. Lee, Ann Thompson, Natalie McMurtry, Narmin Kassam
• Implementation of a clinical decision laboratory ordering algorithm for preeclampsia: a quality improvement initiative. Xavier Thompson, M. Brad Sullivan, Pamela Mathura, Alexander Wong, Jennifer Crawford, Winnie Sia
• Sun-safety interventions for elementary schools. Miriam Li, Navjeet Gill, Pamela Mathura, Marlene Dytoc
• Psychodermatology in Canada: a national survey assessment of dermatologists’ perception, practice patterns, and challenges. Tarek Turk, Esther Fujiwara, Adam Abba- Aji, Pamela Mathura, Marlene Dytoc

• A multifaceted quality improvement initiative to reduce unnecessary laboratory testing on internal medicine inpatient wards. Inka Toman, Pamela Mathura, Narmin Kassam
• Deprescribing benzodiazepines among hospitalised older adults: quality improvement initiative. Frances Carr, Peter Tian, Jeffrey Chow, Jennifer Guzak, Jean Triscott, Pamela Mathura, Xing Sun, Bonnie Dobbs
• High-users of acute care in a teaching hospital: a retrospective chart review and survey of primary care physicians. Arpita Gantayet, Pamela Mathura, Alexis Fong-Leboeuf, Natalie McMurtry, Julie Zhang, Finlay A. McAlister, Narmin Kassam

• Active Mind, Active Body in action: assessing the impact of medical student volunteerism in the hospital
• Competency-based medical education: O-score characteristics of procedural and cognitive assessments in gastroenterology residency training
• Improving patient outcomes in the Vulvar Dermatology Clinic
• Optimizing point-of-care capillary blood glucose utilization in hospitalized patients: a quality improvement initiative
• Prescribing improvement for the prescription refill process
• Understanding barriers to referring patients to a deprescribing clinic
• Understanding provincial ambulatory patient concerns and commendation data
• What about physician wellness? Impact of a quality improvement intervention

• Decreasing the number of patients waiting to be seen at the General Internal Medicine Kaye Edmonton Clinic
• Exploring the deprescribing needs of hospitalized medicine patients
• Improving coding practices for alternative level of care (ALC) in hospital medicine units
• Optimizing the indications for biliary placement in patients with CBD stones: a quality improvement initiative to improve patient care and reduce healthcare resource utilization
• Outcomes of first subsequent taxane (FST) therapy in patients with metastatic castration-resistant prostrate cancer who previously received docetaxel intensification for metastatic castration-sensitive prostrate cancer
• Teledermatology: Canadian dermatologists' practice patterns, perceived challenges and future recommendations
• Teledermatology in atopic dermatitis: a systemic review

• Applied patient safety education for resident physicians: results of the pilot test
• ED consult volumes and predictive factors for delayed ED consult to decision to admit for GIM in 2021
• Enhancing the adoption of MyAHS Connect patient portal on the University of Alberta General Internal Medicine (GIM) Units
• Evaluation of a patient-administered, physician supervised allergy patch test
• Looking through the COVID-19 lens: exploring the lived experiences of hospital-based healthcare
• Optimizing IV fluids therapy on medicine wards
• The effectiveness of a sequenced multicomponent intervention: reducing blood urea nitrogen (BUN) test ordering in Alberta hospitals
• Understanding approaches to empathy and efficiency in dermatologic patient care

• • Beyond skin deep: case-based online learning modules to teach multidisciplinary care in dermatology among clerkship students
  • Development of a standardized digital medical interpretation services toolkit: a quality improvement initiative to advance health equity during the COVID-19 pandemic
  • Education and order systems effect on reduction of urea test ordering in the emergency department
  • Identifying quality improvement opportunities in a vulvar dermatology clinic
  • Urine screening on stroke rehabilitation inpatients: a quality improvement initiative

• Determining areas for improvement: sun safety knowledge and practices in Edmonton elementary school children
• Development of a multi-faceted quality improvement study to improve clinical assessments and communication with patients with limited english proficiency
• Development of a standardized referral pathway to link refugee patients with General Internal Medicine specialists
• Improving healthcare delivery to patients with psychodermatological conditions
• Improving timely treatment of adult sickle cell anemia patients presenting with vaso-occlusive pain episodes at the University of Alberta Hospital emergency department
• Trialing a psoriasis education tool for patient-physician decision-making about biologics
• Training pharmacy students in quality improvement (QI) using the Evidence-based Practice for Improving Quality (EPIQ) Workshop: a pilot study

• Determining key intervention components to reduce laboratory test ordering overuse in General Internal Medicine wards
• Ending PJ paralysis: a quality improvement initiative
• Evaluation of a summer healthcare improvement program (SHIP) in undergraduate medicine education
• Exploring the patient perspective of in-hospital blood testing
• Improving oxygen use on General Internal Medicine (GIM) ward
• Reducing laboratory test ordering overuse in General Internal Medicine units at the Grey Nuns Community Hospital
• Reducing length-of-stay for stable antepartum patients

Oral Presentations

• Implementing a new diabetic algorithm for opthamology day surgery patients at the Royal Alexandra Hospital (RAH)
• Procedural sedation: QI in the ED
• Using quality improvement (QI) methodology to develop a standardized QI educational curriculum for internal medicine residents

Poster Presentations

• A standardized order set with a structured process was effective in reducing unnecessary bloodwork in the alternate level of care inpatients
• AHS WHS programs and creating a "culture of QI": Applying AIW QI principles to the Fit Test Designate program
  
• An alphanumeric paging system - an ongoing quality improvement project
  
• Edmonton Zone, Department of Medicine Access Partnership Project (APP) access to care survey audit tool and action planning
  
• Edmonton Zone Virtual Hospital; development of a new care model
• Enhancing physician engagement and leadership in health system transformation
• Grey Nuns Community Hospital - Emergency Department (ED) General Internal Medicine (GIM) physician consultation and triage process
  
• Implementing a new diabetic algorithm for opthalmology day surgery patients at the Royal Alexandra Hospital
• Implementing a procedural sedation checklist as a quality improvement initiative
• Implementing of the Canadian nutrition screening tool on the General Internal Medicine units at the University of Alberta
• Improving cervical cancer screening rates in HIV positive women
  
• Improving the efficiency of handover in pediatrics: a resident-led quality improvement project
• Improving timely treatment of patients with suspected TTP
• Living Kidney Donor (LKD) hero assessment process
  
• Reducing inappropriate lab draws on Unit 5A4 - a quality improvement initiative
  
• Reducing inappropriate lab ordering in General Internal Medicine units at Misericordia Hospital
• Sturgeon Community Hospital (SCH): from the Emergency Department General Internal Medicine Consultation and Triage Service (GIM-ED) to the Hospital Medical Consult Service (HMCS) (PDSA #2)
• Targeting incomplete bowel preparations for inpatient colonoscopies
  
• Understanding the educational needs of patients with adrenal insufficiency
• University of Alberta Hospital (UAH) standardization GI on call resident handover
• University of Alberta Hospital (UAH) GIM ED evening service: formalized on-call staff physician check-in
  
• University of Alberta Hospital (UAH) General Internal Medicine (GIM) units - ensuring adequate nutritional intake and reducing oral nutritional supplement wastage
  
• University of Alberta Hospital UAH) Pet Healing program - Dogs that heal. Determining capacity, capability and clinical outcomes for program improvement
• Using quality improvement (QI) methodology to develop a standardized QI educational curriculum for internal medicine residents
• Using the 'Confusion Assessment Method' (CAM) tool to screen for delirium amongst hospitalized inpatients - a quality improvement initiative
  

Poster Presentations

• Building organizational capacity for clinical quality omprovement in an academic health centre
• Edmonton Zone (EZ) Adult Medicine- INSPIRED COPD collaborative-transcendent care of complex populations
• Edmonton Zone, Department of Medicine Access Partnership Project (APP)
• Glenrose Rehabilitation Hospital (GRH) - deprescribing benzodiazepines: a quality improvement initiative
• Grey Nuns Community Hospital: improving collaboration and access to rehabilitation for stroke patients
• Kaye Edmonton Clinic-Dermatology - Allergic Contact Dermatitis (ACD) glove-induced hand dermatitis
• Kaye Edmonton Clinic - Patch Testing Evaluation
• Kaye Edmonton Rheumatology Clinic - Pre-visit outpatient planning - improving patient preparedness for clinic visits
• Mealtime companionship program at the University of Alberta Hospital: a study on the views of patients, volunteers, health care providers, and relevant stakeholders
• Misericordia Community Hospital (MCH) - Improving discharge communication-changing our approach to discharge summaries
• Royal Alexandra Hospital / Lois Hole Hospital: Reducing excessive laboratory ordering for preeclampsia bloodwork: Be Hip Gone with PIH
• Sturgeon Community Hospital (SCH) - Emergency Department General Internal Medicine (GIM) physician consultation and triage process
• University of Alberta Hospital admission protocol impact on emergency department and patient flow
• University of Alberta Hospital ‐ Ensuring appropriate laboratory ordering 
• University of Alberta Hospital-high-users of acute care: a deeper dive into predictive patient and system factors 
• University of Alberta Hospital - nursing perceptions and identification of improvement strategies for patients with post-operative acute kidney injury