A5027378826- Cardiac, Anesthesia and Surgical Outcomes
- Patient Safety and Medication Errors
- Diversity and Career in Medicine
- Health Policy Implementation Science
- Evaluation and Performance Assessment
- Delphi Technique in Research
- Sex and Gender in Healthcare
- Simulation-Based Education in Healthcare
- Hospital Admissions and Outcomes
- Innovations in Medical Education
- Healthcare cost, quality, practices
- Surgical Simulation and Training
- Health disparities and outcomes
- Meta-analysis and systematic reviews
- Medical Education and Admissions
- Hemodynamic Monitoring and Therapy
- Healthcare professionals’ stress and burnout
- Diabetic Foot Ulcer Assessment and Management
- Long-Term Effects of COVID-19
- COVID-19 Clinical Research Studies
- Global Health Care Issues
- Health and Medical Research Impacts
- Gender Roles and Identity Studies
- Youth Education and Societal Dynamics
- Family and Disability Support Research
Ottawa Hospital
2017-2024
Ottawa Hospital Research Institute
2017-2024
University of Ottawa
2019-2024
University of British Columbia
2024
St. Michael's Hospital
2018
Western University
2013-2016
St Bartholomew's Hospital
1985
A key component of the implementation process is identifying potential barriers and facilitators that need to be addressed. The Theoretical Domains Framework (TDF) one most commonly used frameworks for this purpose. When applying TDF, it critical understand context in which behaviours occur. Intersectionality, accounts interface between social identity factors (e.g. age, gender) structures power ageism, sexism), offers a novel approach understanding how shapes individual decision-making...
Effective teamwork is critical for safe, high-quality care in the operating room (OR); however, interventions have not consistently resulted expected gains patient safety or surgical culture. In order to optimize OR a targeted and evidence-based manner, it first necessary conduct comprehensive, theory-informed assessment of barriers enablers from an interprofessional perspective.This qualitative study was informed by Theoretical Domains Framework (TDF). Volunteer, purposive snowball sampling...
Abstract Background Models, theories, and frameworks (MTFs) provide the foundation for a cumulative science of implementation, reflecting shared, evolving understanding various facets implementation. One under-represented aspect in implementation MTFs is how intersecting social factors systems power oppression can shape There value enhancing research practice account these factors. Given large number MTFs, we sought to identify exemplar that represent key phases within which embed an...
This study examined racial disparities in health among women, particular, the relationship between social status and both development of psychosocial resources good health. These relationships were investigated using a sample 869 women from 2007 wave U.S. Panel Study Income Dynamics, Child Development Supplement. While Black developed intrapersonal rewards self-efficacy self-esteem through socioeconomic status, they did not experience same degree benefits with these advantages as White...
While optimizing quality of life (QOL) is a key goal rehabilitation care, no previous study has reported on what 'QOL' means to youth with chronic health conditions. In addition, qualitative studies have explored the relationship between QOL and self-determination (SD). Objectives this were examine: terms 'quality life' 'self-determination' mean conditions; factors these think are linked concepts; they see concepts, types future goals how view connection their SD goals. A descriptive...
Despite substantial implications for healthcare provider practice and patient outcomes, gender has yet to be systematically explored with regard interprofessional operating room (OR) teamwork. We aimed explore describe how additional social identity factors shape experiences perceptions of teamwork in the OR.This study was a qualitative secondary analysis semi-structured interviews OR team members conducted between November 2018 July 2019. Participants were recruited across hospitals...
Background Effective teamwork between anaesthesiologists and surgeons is essential for optimising patient safety in the cardiac operating room. While many factors may influence relationship these two physicians, role of sex gender have yet to be investigated. Objectives We sought determine association physician team discordance outcomes. Design performed a population-based, retrospective cohort study. Participants setting Adult patients who underwent coronary artery bypass grafting (CABG)...
Intraoperative teamwork is vital for patient safety. Conventional tools studying intraoperative typically rely on behaviorally anchored rating scales applied at the individual or team level, while others capture narrative information across several units of analysis. This prospective observational study characterizes using two conventional (Operating Theatre Team Non-Technical Skills Assessment Tool [NOTECHS]; Emergency Measure [TEAM]), and one alternative approach (modified-Systems...
Background A large proportion of surgical patient harm is preventable; yet, our ability to systematically learn from these incidents and improve clinical practice remains limited. The Operating Room Black Box was developed address the need for comprehensive assessments performance in operating room. It captures synchronized audio, video, patient, environmental data real time, which are subsequently analyzed by a combination expert raters software-based algorithms. Despite its significant...
Background Systematically observing clinical performance in the operating room (OR) to support patient safety initiatives faces numerous logistical and methodological challenges. These may be solved by new audio-video recording technologies like OR Black Box, which is a tool similar black boxes aviation. This study aimed identify barriers enablers that influence patients’, clinicians’ senior leadership team members’ of Box order guide its future implementation. Methods Patients, clinicians...
Abstract Sex and gender considerations are understood as essential components of knowledge translation in the design, implementation reporting interventions. Integrating sex ensures more relevant evidence for translating into real world. Canada offers specific funding opportunities projects that integrate gender. This Commentary reflects on challenges solutions integrating encountered six funded projects. In 2018, research teams by Canadian Institutes Health Research’s Institute Gender met...
Research examining gender differences in self-rated health (SRH) has typically not distinguished between age and cohort-related changes the of men women over time. Using longitudinal data from Panel Study Income Dynamics, this study finds diffegrences SRH may actually be an artifact cohort. Prior to across cohorts, reported worse than men. With introduction cohort models, no difference was found except earliest (born 1924-1933). Historical context is therefore critical understanding...
There is little known about what spirituality means for youth with disability or the potential relevance of youths’ in pediatric rehabilitation. This study explored perceptions disabilities. Using a qualitative descriptive methodology, we examined lived experiences eighteen ages 11-20 years disabilities including cerebral palsy, central nervous system disorder autism spectrum disorder. In individual interviews, followed by focus group, identified key spiritual themes – importance their...
Abstract Background Hepatitis C virus (HCV) infection is a significant global health burden, particularly among people who inject drugs. Rapid point-of-care HCV testing has emerged as promising approach to improve detection and linkage care in harm reduction organizations such needle syringe programs. The objective of this study was use an intersectionality lens explore the barriers enablers program. Methods A qualitative conducted using semi-structured interviews with clients (people drugs)...