Understand data

• Complete root cause analysis of data to understand current state and contributing factors
  Understand the problem using tools for root cause analysis
  Sickle Cell Quality Standard Measurement Guide

Identify best practices for care of patients with sickle cell disease

• Identify local participants from the provincial Quality Standards Advisory Committee to advise on best practices
  Sickle Cell Disease Quality Standard Package - Ontario Health
  Sickle Cell, What Every Nurse Should Know- RNAO
• Train ED staff to recognize and follow Clinical Practice Guidelines for patients with sickle cell disease, such as the importance of accurate Canadian Triage and Acuity Scale (CTAS) and pain scale
  Canadian Triage and Acuity Scale
  Canadian Paediatric Society- Best practices in pain assessment and management for children
  *Note: Ontario Health has examples of several of the above (e.g. Order Sets, Medical Directives, Clinical Practice Guidelines) from various organizations. Email qualitystandards [at] ontariohealth.ca if you are interested in accessing these and similar resources.

Community supports

• Meet with other organizations to identify local barriers and target areas for improvement
  Respite, Emergency, and Transportation (RET) Support - Sickle Cell Awareness Group of Ontario
  About Sickle Cell Anemia - Job Accommodation Network

Anti-racism education and training

• Include equity, inclusion, and diversity (EID) awareness opportunities as part of quality improvement opportunities (for example, use one huddle per week to teach an EID concept)
  Anti-Black racism eLearning module - Toronto Academic Health Science Network (TAHSN)
  Sickle Cell Disease Education Program for Healthcare Providers - Sickle Cell Awareness Group of Ontario
  Centering Black Youth Wellbeing: A Certificate on Combatting Anti-Black Racism - YouthREX
  Sickle Cell Awareness Group of Ontario Counselling Supports