A5103192348- Innovations in Medical Education
- Patient Safety and Medication Errors
- Clinical Reasoning and Diagnostic Skills
- Interprofessional Education and Collaboration
- Hospital Admissions and Outcomes
- Simulation-Based Education in Healthcare
- Empathy and Medical Education
- Palliative Care and End-of-Life Issues
- Radiology practices and education
- Medical Malpractice and Liability Issues
- Healthcare Quality and Management
- Mental Health and Patient Involvement
- Patient-Provider Communication in Healthcare
- Surgical Simulation and Training
- Ethics in medical practice
- Cardiac, Anesthesia and Surgical Outcomes
- Geriatric Care and Nursing Homes
- Medical Education and Admissions
- Evaluation of Teaching Practices
- Healthcare professionals’ stress and burnout
- Chronic Disease Management Strategies
- Heart Failure Treatment and Management
- Doctoral Education Challenges and Solutions
- Nursing Roles and Practices
- Patient Dignity and Privacy
Western University
2013-2022
Canadian Institutes of Health Research
2016
Western University of Health Sciences
2015-2016
Children's Hospital of Philadelphia
2015
GTx (United States)
2012
St Joseph's Health Care
2012
University Health Network
2004-2010
University of Toronto
2001-2010
Mount Sinai Hospital
2010
Hospital for Sick Children
2004-2010
<b>Background:</b> Ineffective team communication is frequently at the root of medical error. The objective this study was to describe characteristics failures in operating room (OR) and classify their effects. This part a larger project develop checklist improve OR. <b>Methods:</b> Trained observers recorded 90 hours observation during 48 surgical procedures. Ninety four members participated from anesthesia (16 staff, 6 fellows, 3 residents), surgery (14 8 13 residents, clerks), nursing (31...
Although the communication that occurs within health care teams is important to both team function and socialization of novices, nature its educational influence are not well documented. This study explored communications among operating room (OR) members from surgery, nursing, anesthesia identify common communicative patterns, sites tension, their impact on novices.Paired researchers observed 128 hours OR interactions during 35 procedures four surgical divisions at one teaching hospital....
Background: Ineffective team communication is frequently at the root of medical error. The objective this study was to describe characteristics failures in operating room (OR) and classify their effects. This part a larger project develop checklist improve OR. Methods: Trained observers recorded 90 hours observation during 48 surgical procedures. Ninety four members participated from anesthesia (16 staff, 6 fellows, 3 residents), surgery (14 8 13 residents, clerks), nursing (31 staff). Field...
Pilot studies of complex interventions such as a team checklist are an essential precursor to evaluating how these affect quality and safety care. We conducted pilot implementation preoperative communication checklist. The objectives the study were assess feasibility (that is, members' willingness ability incorporate it into their work processes); describe tool was used by operating room (OR) teams; perceived functions discussions.A prototype developed OR members asked implement before 18...
Abstract Background The intensive care unit (ICU) is a nexus for interspecialty and interdisciplinary tensions because of its pivotal role in the hospital's most critically ill patients management critical resources. In an environment charged with temporal, financial professional tensions, learning how to get results collaboratively aspect competence. This study explored team members ICU interact achieve daily clinical goals, delineate boundaries negotiate complex systems issues. Methods...
Clinical supervisors make frequent assessments of medical trainees' competence so they can provide appropriate opportunities for trainees to experience clinical independence. This study explored context-specific independent work.In Phase One, 88 teaching team members from internal and emergency medicine were observed during activities (216 hours), 65 participants completed brief interviews. In Two, 36 in-depth interviews conducted using video vignettes. Data collection analysis employed...
Automaticity is integral to expert performance, but experts must be able transition from an automatic mode into a more effortful state when required. In this study, the authors identified and characterized manifestations of phenomenon "slowing down you should" stay out trouble in operative practice.The interviewed 28 surgeons (60-minute, semistructured format) various specialties at four academic medical centers observed 5 hepatopancreatobiliary operating room (29 cases, 147 hours) during...
Context Medical trainees demonstrate a reluctance to ask for help unless they believe it is absolutely necessary, situation which could impact on the safety of patients. This study aimed develop theoretical exploration pressure medical be independent and generate theory-based approaches implications patient this towards working. Methods In Phase 1, 88 teaching team members from internal emergency medicine were observed during clinical activities (216 hours), 65 participants completed brief...
Despite the importance of leadership in interprofessional health care teams, little is understood about how it enacted. The literature emphasizes a collaborative approach shared leadership, but this may be challenging for clinicians working within traditionally hierarchical system.Using case study methodology, authors collected observation and interview data from five teams at teaching hospitals urban Ontario, Canada. They interviewed 46 providers conducted 139 hours January 2008 through...
Medical Education 2012: 46 : 869–877 Objectives In order to be relevant and impactful, our research into health care teamwork needs better reflect the complexity inherent this area. This study explored of collaborative practice on a distributed transplant team. We employed theoretical lenses activity theory understand nature its implications for current approaches interprofessional collaboration (IPC) education (IPE). Methods Over 4 months, two trained observers conducted 162 hours...
<h3>Background:</h3> Shorter resident duty periods are increasingly mandated to improve patient safety and physician well-being. However, increases in continuity-related errors may counteract the purported benefits of reducing fatigue. We evaluated effects 3 schedules intensive care unit (ICU) on safety, well-being continuity care. <h3>Methods:</h3> Residents 2 university-affiliated ICUs were randomly assigned (in 2-month rotation-blocks from January June 2009) in-house overnight 24, 16 or...
"Improved team communication" is broadly advocated in the discourse on safety but rarely supported by a precise understanding of relationship between specific communication practices and concrete improvements collaborative work processes. We sought to improve such analyzing arising from structured preoperative briefings among surgeons, nurses, anesthesiologists prior general surgery procedures. Analysis observers' fieldnotes 302 yielded two-part model communicative "utility", defined as...
Background Suboptimal communication within healthcare teams can lead to adverse patient outcomes. Team briefings were previously associated with improved patterns, and we assessed the impact of on clinical practice. To quantify preoperative team briefing direct care, studied timing antibiotic administration as compared accepted treatment guidelines. Study design A retrospective pre-intervention/post-intervention study a checklist-guided prophylactic in surgical cases (N=340 pre-intervention...
Feedback seeking is an expected learner competency. Motivations to seek feedback are well explored, but we know little about how supervisors perceive such requests for feedback. These perceptions matter because judge can affect the they give. This study explores and attribute motivations behind better understand benefits hazards of seeking.
Background A recent study of operating room (OR) team communication in a large, urban hospital described recurrent tension catalysts and preliminary theory members' interpretive processes. To determine to what extent these findings were transferable other institutional contexts, we conducted validation 2 small, academic hospitals mid-size city. Methods Eight focus groups 8 interviews with 6 general surgeons, 22 OR nurses, 5 anaesthesiologists 10 trainees. Observations surgeons their members...