Summary and next steps
In this first article of the series, the QI team moved forward with their aim to increase ADR. A root cause analysis was undertaken using multiple diagnostic tools including a fishbone diagram and a Pareto chart. Finally, change ideas were generated based on the earlier-described root causes and established change concepts. The next steps involve undertaking PDSA cycles to test change ideas and monitor for improvement.
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Dr. Weizman is at the Mount Sinai Hospital Centre for Inflammatory Bowel Disease, and Institute of Health Policy, Management and Evaluation, department of medicine; Dr. Mosko is in the division of gastroenterology, St. Michael’s Hospital, department of medicine, and Institute of Health Policy, Management and Evaluation; Dr. Bollegala is in the division of gastroenterology, Women’s College Hospital, department of medicine; Dr. Bernstein is in the division of gastroenterology, Sunnybrook Health Sciences Centre, department of medicine; Dr. Brahmania is at the Toronto Center for Liver Diseases, division of gastroenterology, University Health Network, department of medicine; Dr. Liu is in the division of gastroenterology, University Health Network, department of medicine; Dr. Steinhart is at Mount Sinai Hospital Centre for Inflammatory Bowel Disease, department of medicine, and Institute of Health Policy, Management and Evaluation; Dr. Silver is in the division of nephrology, St. Michael’s Hospital; Dr. Bell is in the division of internal medicine, Mount Sinai Hospital, department of medicine, and Institute of Health Policy, Management and Evaluation; and Dr. Nguyen is at Mount Sinai Hospital Centre for Inflammatory Bowel Disease, department of medicine and Institute of Health Policy, Management and Evaluation; all are at the University of Toronto. Dr. Steinhart is an advisory board member for Abbvie, Janssen, Takeda, Shire, Allergan, Pfizer, Merck, Ferring, and Pharmascience; has received research grants from Abbvie, Amgen, Genentech, Cellgene, Arena Pharmaceuticals, Red Hill Biopharma, Millenium, Roche, and Centocor; and has received speaking honoraria from Abbvie, Janssen, Takeda, Shire, Pfizer, Merck, and Ferring.
The remaining authors declare no conflicts for this article.
