QIHI Journal of Healthcare Improvement and Patient Safety 2016-05-04T23:14:49-04:00 Natalia Mukhina Open Journal Systems <p>QIHI Journal focuses on various aspects of healthcare improvement and patient safety.</p> “We all make errors. It’s recovering from the error that’s crucial” 2016-05-04T23:14:48-04:00 Roy Ilan <p>The interview with Dr. Roy Ilan, an Associate Professor of Medicine and Queen's University and an Internal Medicine and Critical Care physician at Kingston General Hospital.</p> 2016-05-04T23:14:48-04:00 ##submission.copyrightStatement## ELECTRONIC MEDICAL RECORD: Developing an Optimal Interface for Optimal Care 2016-05-04T23:14:48-04:00 Mehar Kang <p><span><span style="font-size: medium;">The electronic medical record (EMR) has tremendous potential to become a robust tool and advance the prevention and management of chronic disease. Although the rate of EMR use has increased substantially, it’s presence is limited and less coordinated in Canada than in other countries.</span></span></p> 2016-05-04T23:14:48-04:00 ##submission.copyrightStatement## CALL FOR NURSES: The Multi-Dimensional Manifestation of Nursing Shortage on Patient Care 2016-05-04T23:14:48-04:00 Tyler McKechnie <p><span><span style="font-size: medium;">The shortage of nurses is an unquestioned occurrence, and with an increasing need for health care due to the aging baby boomer generation, this issue seems to be increasing in severity. According to the World Health Organization (WHO), the shortage of nurses is not new and has been ongoing in many countries for at least the past decade.</span></span></p><p><span><span style="font-size: medium;">Accentuating the issue of the nursing shortage is the high rate of nursing turnover. The tendency of nurses to leave their jobs are often correlated to unsurmountable workload and stress. Such outcomes are a result of the nurse shortage and are direct causes of the phenomenon known as nurse burnout.</span></span></p> 2016-05-04T23:14:48-04:00 ##submission.copyrightStatement## TRANSVERSING THE ELEMENTS TO HEALTH: An Overview of Aboriginals Health Barriers in Northern British Columbia 2016-05-04T23:14:48-04:00 Shaughnelene Smith Lauren Smail Giselle Hunt <p><span><span style="font-size: medium;">Health care access should not be a luxury; however, Aboriginal people in Northern British Columbia often feel this to be the case. For those in remote villages, access to medical professionals is both a timely and costly process. The purpose of the article is to highlight the barriers many Aboriginals face. </span></span></p> 2016-05-04T23:14:48-04:00 ##submission.copyrightStatement## LIVING IN THE SHADOW: Caregiver Burden in Huntington’s disease 2016-05-04T23:14:48-04:00 Mehar Kang <p><span><span style="font-size: medium;">Caregivers for patients with chronic illnesses play a pivotal role in the provision and maintenance of care, but this often occurs at the expense of their quality of life and well-being. Fostering patient safety and a higher quality of care requires advocacy and mobilization of resources to cope with the growing demands of caregiving, in addition to involving family caregivers as collaborative partners in the plan of a dignified, caring process. </span></span></p> 2016-05-04T23:14:48-04:00 ##submission.copyrightStatement## The Implication of a Rise in Premature Newborns on Neonatal Intensive Care: How Can the Increased Burden Be Managed? 2016-05-04T23:14:48-04:00 Tyler McKechnie <p><span style="font-family: Calibri; font-size: medium;">Since it’s inception around the early 1920s, the domain of neonatal intensive care in a hospital setting grew substantially, becoming an established part of most hospitals in the developed world by the 1970s. Technological advances, such as improved incubators, extracorporeal membrane oxygenation (ECMO), and extracorporeal life support (ECLS), have led to its continued growth. The beneficial effects of these neonatal intensive care units (NICU) on newborn health-related outcomes reflect this growth, with a cohort born in 2006 having a 13% greater survival rate than a cohort born in 1995 (Duffin, 2013). Despite such reductions in the rate of adverse health-outcomes, there has been approximately a 40% increase in the number of admissions into NICUs over the same period (Duffin, 2013). Such statistics indicate that there is an increasing burden on neonatal medical teams across the developed world.</span></p> 2016-05-04T23:14:48-04:00 ##submission.copyrightStatement## WHERE THE POLAR BEARS ARE: Should Physician Placements in Rural Locations Be Mandatory? 2016-05-04T23:14:49-04:00 Shaughnelene Smith Lauren Smail <p><span><span style="font-size: medium;">Currently, the Canadian government and partnered medical associations have numerous incentives as part of their effort to recruit physicians to the remote areas. For example, the BC medical association has an initial bonus of providing physicians with $100 000 if they agree to work in a rural town for a minimum of three years, as well as higher salary and other added benefits for individual practices. Despite these enticing offers, the Canadian government still struggles with a shortage of physicians, indicating that there is still more to be done to satisfy the needs of rural residents. The current question on whether or not it should be mandatory for physicians to be stationed for a year and practice in a rural location could solve the issue of lack of physicians in remote locations; however, we need to take into account these effects on physicians, not just the patients. </span></span></p> 2016-05-04T23:14:49-04:00 ##submission.copyrightStatement## ALLOCATION OF RESOURCES AND ACCESS IN CANADIAN HEALTHCARE: International Point of View 2016-05-04T23:14:49-04:00 Gokce Ozdemir <p><span lang="EN-US"><span style="font-size: medium;">Overall in the article, QIHI Journal columnist is aiming to underscore the intersectionality of two major issues, which are faced by Canadian healthcare: allocation of resources and access. The columnist discusses these issues by bringing in her international point of view. </span></span></p> 2016-05-04T23:14:49-04:00 ##submission.copyrightStatement##