Monthly Archives: August 2018

QuRE project update

The Quality Referral Evolution (QuRE) project, www.ahs.ca/qure, is making good progress.

QuRE checklist for referrals

The QuRE Project started in Alberta, as an initiative to enhance the quality of clinical referrals and consults in healthcare. With 2.3 million referrals created every year in Alberta alone, the potential for improvements and savings is enormous. Now several other Canadian provinces, including Saskatchewan and British Columbia, are starting to engage in similar and collaborative efforts.

Earlier this year, the Office of Health & Medical Education Scholarship (OHMES) at the Cumming School of Medicine, University of Calgary, became involved with this project. The QuRE group had some tremendous work to establish an evidence-informed approach to quality referrals and consults. Some educational materials had been created and seminars given.

OHMES saw an opportunity to create a more interactive approach to the educational processes of the QuRE Project. Rather than simply telling healthcare learners what to do, we used OpenLabyrinth virtual scenarios and CURIOS video mashups, along with other educational tools such as GrassBlade, PowToons, to create more interactive materials, with built-in activity metrics and analytics.

This approach will enable us to continually modify our materials (its own quality evolution, as it were), based on learner performance, not just on yet more questionnaires.

What has particularly excited us at OHMES about this project is that it represents an opportunity to study how an educational intervention can have an impact on patient care. For years, especially in CME circles, there have been repeated calls for educational approaches that can actually demonstrate a change in how we provide care, and ultimately, on improved patient outcomes.

One particular aspect of this project is that we intend to longitudinally track, over several years, how feedback and these interventions may iteratively improve the quality of referrals and consults in participating groups. We will have sufficient data to demonstrate useful changes, thanks to the ongoing use of activity metrics, gathered from across multiple healthcare systems.

Vaccine evidence on College Humor

The blog College Humor has created a very amusing, if somewhat coarse, series entitled:

“If Google were a Guy”

As you can imagine with college stuff, some of the humor is quite smutty. But we love this particular segment in the 3rd episode.

You can explore the rest of series at your leisure.

(Sadly the link using CURIOS does not work at present but will be fixed soon.)

Intermittent interruptions

We have an unusual situation where our web server is being clobbered by standard updates to RedHat Linux.

Because of this, we are encountering “Error connecting to database” on an all too frequent basis.

There is a manual fix for this, but a simple OS update should not be clobbering the underlying MariaDB service. We have asked our local support team for a more robust fix.

We apologize for the current patchy service. No data has been lost. And the OpenLabyrinth virtual scenario servers themselves seem to be unaffected.

[Update: 15aug2018] – yay, I think we have a fix. There is an odd bug but, with UCIT’s help, I think we now have a more robust fix. Thank you, all.