A5056112893- Emergency and Acute Care Studies
- Child and Adolescent Health
- Healthcare Systems and Technology
- Innovations in Medical Education
- Health Sciences Research and Education
- Child and Adolescent Psychosocial and Emotional Development
- Clinical practice guidelines implementation
- Family and Patient Care in Intensive Care Units
- Suicide and Self-Harm Studies
- Adolescent and Pediatric Healthcare
- Health Policy Implementation Science
- Health Literacy and Information Accessibility
- Digital Mental Health Interventions
- Chronic Disease Management Strategies
- Cardiac Arrest and Resuscitation
- Pneumonia and Respiratory Infections
- Infant Development and Preterm Care
- Healthcare Policy and Management
- LGBTQ Health, Identity, and Policy
- Viral gastroenteritis research and epidemiology
- Reproductive Health and Technologies
- Injury Epidemiology and Prevention
- Trauma and Emergency Care Studies
- Clinical Reasoning and Diagnostic Skills
- Team Dynamics and Performance
University of Ottawa
2015-2025
Children's Hospital of Eastern Ontario
2014-2025
Agricultural Research Institute of Ontario
2021-2025
London Health Sciences Centre
2023
Children’s Health Research Institute
2023
McMaster University
2023
Centre Hospitalier Universitaire Sainte-Justine
2023
Université de Montréal
2023
Dalhousie University
2023
Women and Children’s Health Research Institute
2019-2023
While clinical pathways have the potential to improve patient outcomes and reduce healthcare costs, their true impact has been limited by variable implementation strategies suboptimal research designs. This paper explores a comprehensive set of factors perceived emergency department staff administrative leads influence pathway within complex dynamic environments community settings. descriptive, qualitative study involved health professionals administrators 15 hospitals across Ontario,...
Abstract Background The clinical pathway is a tool that operationalizes best evidence recommendations and practice guidelines in an accessible format for ‘point of care’ management by multidisciplinary health teams hospital settings. While high-quality, expert-developed pathways have many potential benefits, their impact has been limited variable implementation strategies suboptimal research designs. Best implementing into settings remain unknown. This study will seek to develop...
<h3>BACKGROUND:</h3> Emergency department overcrowding has been associated with increased odds of hospital admission and mortality after discharge from the emergency in predominantly adult cohorts. The objective this study was to evaluate association between crowding several adverse outcomes among children seen at a pediatric department. <h3>METHODS:</h3> We conducted retrospective cohort involving all visiting 8 Canadian departments across 4 provinces 2010 2014. analyzed mean departmental...
The COVID-19 pandemic had profound effects on the mental wellbeing of adolescents. We sought to evaluate pandemic-related changes in health care use for suicidal ideation, self-poisoning and self-harm. obtained data from Canadian Institute Health Information emergency department visits hospital admissions April 2015 March 2022 among adolescents aged 10-18 years Canada. calculated quarterly percentage a composite outcome comprising self-harm relative all-cause admissions. used interrupted...
Emergency departments (EDs) are often the first access point for children and youth seeking mental health (MH) addiction care. However, many EDs unprepared to manage large volumes of pediatric MH patients. In addition, fragmented Canadian system is challenged in connecting seen ED follow-up community services. A provincial Department Mental Health Clinical Pathway (EDMHCP) presenting with concerns was developed address these challenges. The objective current study determine if EDMHCP...
Background Canadian pediatric emergency department visits are increasing, with a disproportionate increase in low-acuity locally (33% of volume 2008-09, 41% 2011-12). We sought to understand: 1) presentation patterns and resource implications; 2) parents' perceptions motivations; 3) alternate health care options considered prior presenting problems. Methods conducted prospective cohort study at our tertiary serving two provinces explore differences between patients without primary provider....
Background: Our aim was to develop and evaluate a multidisciplinary pediatric mock trauma code orientation program for residents on their hospital rotation. Methods: A before after evaluation of team from various programs conducted. The 1-hour educational session consisted 15-minute code, debriefing teaching intervention, then new, postintervention code. Before each session, completed self-assessment questionnaire. All codes were videotaped later evaluated by two blinded observers using...
Objectives This effectiveness study aimed to evaluate the clinical use of HEADS-ED tool for patients presenting a pediatric emergency department (PED) mental health (MH) care. Methods In this pragmatic trial, PED physicians used guide their assessment and identify areas MH need in 639 (mean [SD], 15.16 [1.40] years; female, 72.6%) who presented with concerns between May 2013 March 2014. Results The guided consultation psychiatry/crisis, 86% receiving recommended consult. Those score greater...
TREKK (Translating Emergency Knowledge for Kids) was established to address knowledge needs support care of children in general emergency departments. To achieve this goal, we developed an integrated translation (KT) process based on identified priorities create the Evidence Repository, containing “knowledge pyramids” and Bottom Line Recommendations (summary documents) diagnosis treatment pediatric conditions. The objective article is describe our methods developing disseminating Repository...
While the emergency department (ED) is often a first point of entry for children and youth with mental health (MH) concerns, there limited capacity to respond MH needs in this setting. Child systems are typically fragmented among multiple ministries, organizations, providers. Communication these groups poor, resulting gaps, particularly transitions care, vulnerable population. The evidence-based Emergency Department Mental Health Clinical Pathway (EDMHCP) was created two main goals: (1)...
Internet-based cognitive behavioral therapy (ICBT) is a treatment approach recently developed and studied to provide frontline adolescents with anxiety disorders.This study aimed pilot procedures obtain data on methodological processes intervention satisfaction determine the feasibility of definitive randomized controlled trial (RCT) test effectiveness self-managed ICBT program, Breathe (Being Real, Easing Anxiety: Tools Helping Electronically), for concerns.This employed two-arm, multisite,...
One of the most important transitions in continuum care for children is discharge to home. Optimal communication between healthcare providers and caregivers (e.g., parents or other guardians) who present emergency department (ED) with their not well understood. The lack policies considerable variation practice regarding pediatric EDs pose a quality safety risk parents. aim this mixed methods study better understand process structure ED context contribute design development interventions. We...
Residents must strive for excellence in their nontechnical skills (NTS). However, NTS have not traditionally been well-assessed pediatric emergency departments (EDs). One underutilized assessment strategy is to parents assess the residents caring children. Prior involving resident assessment, it essential identify which EDs can assess.To explore assess.An exploratory qualitative study design was used. It included interviews with faculty members involved supervision and of a ED who had...
Discharge communication is an important aspect of patient care but frequently has shortcomings in emergency departments (EDs). In a paediatric context, youth or parents with young children often leave the ED minimal opportunity to ask questions ensure comprehension information. Strategies for improving discharge have primarily targeted patients and/or parents, although neither group been engaged intervention design implementation. Furthermore, healthcare providers (HCPs), actors practice,...
The period following discharge from a pediatric emergency department (ED) can be time of significant vulnerability for caregivers who provide ongoing care to their child when they return home. Discharge communication practice varies widely at the individual practitioner and departmental level. At present, there are no nationally accepted guidelines children and/or in ED. primary objective this knowledge synthesis is understand how why instructions work under what conditions. We will also...
Feedback on presentation skills is important for developing skilled educators, but often this feedback based evaluation tools that have been developed with little concern psychometric issues or how the information will be used feedback. The purpose of study was to develop a reliable participant questionnaire assess quality continuing medical education (CME) presentations and provide presenters feedback.The using an iterative approach, doctors as raters, tested during variety CME...