A5042346317- Emergency and Acute Care Studies
- Pediatric Pain Management Techniques
- Child and Adolescent Health
- Family and Patient Care in Intensive Care Units
- Viral gastroenteritis research and epidemiology
- Adolescent and Pediatric Healthcare
- Cardiac Arrest and Resuscitation
- Healthcare Quality and Management
- Medical Malpractice and Liability Issues
- Healthcare cost, quality, practices
- Nursing Roles and Practices
- Patient Safety and Medication Errors
- Infant Development and Preterm Care
- Gastroesophageal reflux and treatments
- Primary Care and Health Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Policy and Management
- Patient-Provider Communication in Healthcare
- Respiratory viral infections research
- Palliative Care and End-of-Life Issues
- Pediatric health and respiratory diseases
- Health Sciences Research and Education
- Infant Health and Development
- Cardiovascular Syncope and Autonomic Disorders
- Childhood Cancer Survivors' Quality of Life
University of Calgary
2016-2025
Alberta Children's Hospital
2013-2024
Alberta Children's Hospital Research Institute
2020-2023
Alberta Health Services
2020-2022
University of Alberta
2019
Centre Hospitalier Universitaire Sainte-Justine
2016
University of Toronto
2008-2014
Hospital for Sick Children
2008-2011
SickKids Foundation
2008-2009
The goal was to determine, in children with myocarditis, the frequency of various presenting symptoms and sensitivity clinical laboratory investigations routinely available emergency department.We performed a retrospective review all patients < 18 years age who were diagnosed as having myocarditis at our institution between May 2000 2006 initially presented an department. Patients categorized definite (positive endomyocardial biopsy results) or probable (diagnosis assigned by pediatric...
To determine the proportion of children evaluated in an emergency department because crying who have a serious underlying etiology. Secondary outcomes included individual contributions history, physical examination, and laboratory investigations determining diagnosis.We performed retrospective review all afebrile patients <1 year age presented with chief complaint crying, irritability, screaming, colic, or fussiness. All illness were identified by using priori defined criteria. Chart was...
The prevalence of urinary tract infection (UTI), bacteremia, and bacterial meningitis in febrile infants with SARS-CoV-2 is largely unknown. Knowledge the these infections among can inform clinical decision-making. To describe UTI, aged 8 to 60 days vs without SARS-CoV-2. This multicenter cross-sectional study was conducted as part a quality improvement initiative at 106 hospitals US Canada. Participants included full-term, previously healthy, well-appearing bronchiolitis temperature least...
Importance The emergency department (ED) is an important safety net for children experiencing mental and behavioral health crises can serve as a navigational hub families seeking support these concerns. Objectives To evaluate the outcomes of novel care bundle on child well-being, satisfaction with care, system metrics. Design, Setting, Participants Nonrandomized trial 2 pediatric EDs in Alberta, Canada. Children younger than 18 years presentations were enrolled before implementation...
Little is known about changes in child well-being and family quality of life (QoL) among children seeking emergency department care because mental health concerns over the course pandemic. Prospective cohort study < 18 who visited two paediatric EDs Alberta, Canada, for an acute concern. Early late pandemic time periods were defined as 15 March 2020-14 2021 1 July 2021-30 June 2022, respectively. The Stirling Children's Well-being Warwick-Edinburgh Mental scales quantified well-being; Family...
Presentation Quality Improvement (QI) research may be defined as “the design, development and evaluation of complex interventions aimed at the re-design health care systems to produce improved outcomes”. The challenge QI lies in bridging gap between knowing what needs happen an individual patient level implementing this a level. inherent complexity poses challenges terms implementation, but also presents researcher with circumstances for which conventional methods not prove useful....
ABSTRACT Objectives: The aim of the study was to determine whether intravenous fluid administration is independently associated with a reduction in unscheduled emergency department (ED) revisits within 7 days. Methods: We conducted single‐center, retrospective observational cohort pediatric ED Toronto, Canada. Participants were younger than 18 years, diagnosed as having gastroenteritis, and discharged home between July 2003 June 2008. Multivariable regression models used associations...
ABSTRACT Objectives: Limited knowledge exists surrounding the pharmacologic management of pediatric constipation in emergency department (ED) setting and success interventions. Our primary objective was to determine whether enema administration is associated with 7‐day ED revisits for persistent symptoms. Secondary objectives focused on assessing other predictors revisits. Methods: We conducted a retrospective cohort study children <18 years old, diagnosed as having ( International...
Abstract Background Antibiotic administration within 60 minutes of presentation for medical care may be used as a treatment target febrile neutropenia (FN); however, anecdotal evidence suggests this is often missed. Few studies have examined the prevalence or causes delay. We describe median time to antibiotic at our institution, predictors delay, and barriers prompt inform quality improvement strategies. Procedure A random sample 50 episodes FN presenting emergency department (ED) between...
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The aim of the study was to determine proportion children with hematemesis who experience a clinically significant upper gastrointestinal hemorrhage (UGIH) and identify variables predicting their occurrence.A retrospective cohort conducted. All emergency department visits by ages 0 18 years presented between 2000 2007 were reviewed. primary developed UGIH; secondary risk factors predictive UGIH. A UGIH defined any following: hemoglobin drop >20 g/L, blood transfusion, or emergent endoscopy...
In 2013, the TRAPPED-1 survey reported inconsistent availability of pain and distress management strategies across all 15 Canadian paediatric emergency department (PEDs). The objective TRAPPED-2 study was to utilize a procedural quality improvement collaborative (QIC) evaluate number newly introduced distress-reducing in PEDs over 2-year period. A QIC created increase implementation new strategies, through information sharing among PEDs. 2015, 11 participated TRAPPED QIC. At end year,...
Children and youth with mental health addiction crises are a vulnerable patient group that often brought to the hospital for emergency department care. We propose evaluate effect of novel, acute care bundle standardises patient-centred approach care.Two paediatric departments in Alberta, Canada involved this prospective, pragmatic, 29-month interventional quasi-experimental study. The comprises three components, applied when appropriate: (1) assessing self-harm risk at triage using Ask...
Abstract Background Patients and their families often have preferences for medical care that relate to wider considerations beyond the clinical effectiveness of proposed interventions. Traditionally, these not been adequately considered in research. Research questions where patients strong may be appropriate traditional randomized controlled trials (RCTs) due threats internal external validity, as there high levels drop-out non-adherence or recruitment a sample is representative treatment...
To describe patient-reported experience in a pediatric emergency department (ED) and determine: (1) whether there are differences between the children report comparison to their parents; (2) factors such as time of visit (day, evening, night) ED census associated with patient experience.We conducted prospective cross-sectional survey ≥8 years age parents/guardians 0 17 who visited using validated measure. The proportion respondents for each question indicating that an aspect care could have...