Rom Duckworth
Presentation catalog

Quality & Performance Improvement

5 programs  ·  Full abstracts and learning objectives below

Change Management in Emergency Services

Leading the Charge for Change

Fiscal challenges and advances in technology are just two big reasons that leaders in emergency services must know the steps to facilitate and manage change for the advancement of their profession. Emergency service organizations today are facing perhaps their greatest test, managing the change essential to adopting the tactics, technology, and leadership styles necessary to meet the challenges of the future while, at the same time, respecting the history and traditions that are critical to our identity and function. This program uses organizational and individual case studies to identify both missteps and mastery in organizational change and walks attendees through each part of the six-step process of managing the changes necessary for success in their own organizations.

Session details

  • Audience: Emergency services leaders
  • Length: 60 minutes
  • Format: Case-based

Learning objectives

  • Employ the six-step process of effecting organizational change.
  • Leverage individuals and small groups as accelerators of change.
  • Ensure that the positive effects of change “stick” and take hold.

Five-Step Focus on Feedback

Simple Steps for Everyday Performance Improvement

Some people fear it. Others crave it. Whether you’re talking about real-world performance or simulation/education, there’s no denying that one of the most important tools that leaders and educators must use properly is feedback. This session presents a five-step approach to giving feedback that people can accept and act on, enhancing performance on both an individual and an organizational level.

Session details

  • Audience: Leaders and educators
  • Length: 60 minutes

Learning objectives

  • Prepare individuals to accept and use the feedback you will provide.
  • Help people think past their own perception to better connect their performance with patient outcomes.
  • Use feedback to help people correct mistakes and build on achievements to make significant differences in real-world patient outcomes.

Closing the Performance Gap

Identifying and Implementing the Best Solutions

It’s frustrating when an individual, group, or entire organization isn’t performing their best. In some cases, potential exists for improvement but isn’t being captured. In others, problems arise that shouldn’t. Often it’s a combination of both. Identifying what to work on and how best to deploy resources can be a challenge, especially when there is confusion between the meaning of quality improvement, quality assurance, and quality management. Focusing on the practical use of the tried and trusted PDSA model, this program helps leaders identify the issues they most need to tackle, set effective goals, and determine the most important steps to help the individuals, groups, or organizations achieve their peak performance.

Session details

  • Audience: Emergency services leaders
  • Length: 60 minutes

Key concepts

  • Problems and missed potential
  • Education is not always the answer
  • Evaluating JPRs
  • Evaluating KSAs
  • Teaching to competencies
  • Identifying and solving supply, situation, and system problems
  • 4-step (PDSA) system for performance improvement
  • Kaizen

Learning objectives

  • Differentiate quality planning, improvement, assurance, control, and management.
  • Demonstrate effective goal-setting using ABCD or SMART formats
  • Identify issues that truly affect quality, not just irritations and outliers
  • Implement the Plan - Do - Study - Act process within their own group or organization

The Beginner’s Guide to Making Meaning of Medical Research

If you're the person who wants to know “Why?” and are looking to take your first steps into finding, understanding, and making meaning from research, then this class is for you. Set the statistics aside for now. We’ll tell you where to find original research as well as expert commentary on that research. You’ll learn how to decide what research is worth reading, how to tell which research is going to change practice and which is simply raising new questions. Most importantly, you’ll learn to begin applying relevant research to your own work. Making meaning of medical research is a must-have skill for any modern healthcare provider and this class will help you get started.

Session details

  • Audience: Healthcare providers new to reading research
  • Length: 60 minutes

Key concepts

  • Define EBM
  • Recommendation Strength and level of evidence
  • Define “original research”
  • Where to find research to read
  • Is it worth reading? (abstract)
  • Appraising using AA BB CC method
  • Types of studies / research (prospective randomized controlled double-blinded)
  • The format of a research paper
  • Correlation vs causation
  • Generalizing and applying (or not)
  • Define critical review
  • Where to find critical reviews
  • #FOAMed
  • Cochrane reviews

Learning objectives

  • Explain how levels of recommendation and strength of evidence apply to modern medical practice.
  • Identify where to find relevant research to a particular topic.
  • Appraise original medical research.
  • Apply relevant research to their own medical practice.

Intermediate-Level Reading Research

Understanding P Values, NNTs, and More

Have you begun to read research, but you’re swamped in a sea of statistics? Are you trying to make sense of a study, but you don’t know your odds ratio from your confidence interval? You’re in luck! This program takes you through many of the basic statistical concepts found in today’s research and focuses more on the meaning than the math and gets to the bottom line. If you’ve always wanted to know what some of these numbers mean and more importantly, what they should mean to you, then odds are this class is for you.

Session details

  • Audience: Healthcare providers who have begun reading research
  • Length: 60 minutes

Key concepts

  • PICO questions
  • GRADE methodology
  • null hypothesis vs alternative hypothesis
  • Mean, median, mode
  • Quartiles, standard deviation, range, variance
  • N = number
  • P value
  • NNT/NNH
  • Confidence interval
  • Odds ratio
  • Receiver operating characteristic (ROC) curve

Learning objectives

  • Differentiate between the null and alternative hypothesis
  • Define and use the terms that describe the grouping and spread of data.
  • Use basic medical statistical tools and techniques in the application of original research to real-world critical care, emergency, and pre-hospital medicine.
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The rest of the catalog

Sixty programs across nine domains, clinical through leadership.

All categories

Independent services. The education, speaking, writing, and consulting described on this site are Rommie L. Duckworth’s own professional work, provided personally or through the New England Center for Rescue & Emergency Medicine, LLC. They are separate and distinct from his municipal position and from his work for any other employer, company, association, board, or publisher. They are not offered by, for, or on behalf of the Town of Ridgefield, Connecticut, the Ridgefield Fire Department, or any other organization named here. No NECREM work is done on Town time or with Town equipment, vehicles, or staff. Titles, affiliations, and photos in uniform describe professional background only, and views expressed are his own. Naming an organization does not indicate its endorsement, sponsorship, or affiliation.