Quality Improvement basics to impact frontline critical care

Professor Carol Peden

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Lecture overview

This talk will provide a background to quality improvement with key tools and techniques that can be used in intensive care.  There will be a focus on how to make change happen, and discussion of the rapid innovation that has had to happen in the face of COVID-19.  The application of plan, do, study, act (PDSA) cycles to the COVID 19 pandemic will be mentioned. Measurement for improvement will be covered.

Learning Objectives:
By the end of this lecture, the attendee will be able to:

  1. Understand the concept of the PDSA cycle and how to apply it in ICU.
  2. Understand what a “run chart” is and why you should use them in your ICU.  
  3. Be able to discuss at least two basic change management concepts.
  4. Understand the basic concept of a “driver diagram” and how it can be used to plan and manage care.
  5. Discuss tools to understand patient death or harm, such as structured reviews and fishbone analysis. 

This lecture is equal to 1 CE Contact Hour, 1 CPD Point, and 1 AMA PRA Category 1 Credit



Additional CME Info

Release Date: February 1, 2020, Termination Date: January 31, 2023

Accreditation: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of EB Medicine and Continulus. EB Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation: EB Medicine designates this internet enduring material for a maximum of 1 AMA PRA Category 1 Credit™ per lecture. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Commercial Support: This activity received no commercial support.

Earning Credit: In order to earn CME credit, the participant must take the pre-test, listen to the lecture, take the CME post-test, and complete the post-test evaluation.

Duration 1 hour(s).

Lecture speaker

Professor Carol Peden

Dr. Carol Peden is Executive Director of the Centre for Health System Innovation and Professor of Anaesthesiology at the Keck School of Medicine of the University of Southern California. She is Vice Chair for Performance Improvement of the Perioperative Brain Health Initiative. Prof. Peden has designed and led quality improvement projects around the world and is a Fellow and Faculty of the Institute for Healthcare Improvement (IHI). In 2016 she was named “Public Health Innovator of the Year” by Harvard School of Public Health for her work using quality improvement to improve outcomes for high risk surgical patients. Her research interests include innovation in healthcare, perioperative medicine, patient and person-centred care and patient safety. 

Prof. Peden is dually accredited in Anaesthesiology and Intensive Care Medicine. She gained her medical degree and research doctorate in medicine at the University of Edinburgh in the UK, and has an MPH from Harward. She also is a visiting Professor at the University of Bath (UK) Centre for Health Innovation and Improvement. 


CME Faculty Disclosure: It is the policy of EB Medicine to ensure objectivity, balance, independence, transparency, and scientific rigor in all CME-sponsored educational activities. All faculty participating in the planning or implementation of a sponsored activity are expected to disclose to the audience any relevant financial relationships and to assist in resolving any conflict of interest that may arise from the relationship. In compliance with all ACCME Essentials, Standards, and Guidelines, all faculty for this CME activity were asked to complete a full disclosure statement. The speaker did not report any relevant financial interest or other relationship with the manufacturer(s) of any commercial product(s) discussed in this educational presentation.