A5021185522- Quality and Safety in Healthcare
- Occupational Health and Safety Research
- Disaster Response and Management
- Patient Safety and Medication Errors
- Patient-Provider Communication in Healthcare
- Frailty in Older Adults
- Infection Control and Ventilation
- Infection Control in Healthcare
- Intensive Care Unit Cognitive Disorders
- Viral Infections and Outbreaks Research
- Patient Satisfaction in Healthcare
- Geriatric Care and Nursing Homes
- Hospital Admissions and Outcomes
- Maternal and Perinatal Health Interventions
- Health Education and Validation
- Pressure Ulcer Prevention and Management
- Human-Automation Interaction and Safety
- Generational Differences and Trends
- Diagnosis and Treatment of Venous Diseases
- Biomedical and Engineering Education
- Telemedicine and Telehealth Implementation
- Medical Coding and Health Information
- COVID-19 and healthcare impacts
- Diabetic Foot Ulcer Assessment and Management
- Trauma and Emergency Care Studies
CARE Canada
2021-2024
University of Toronto
2021-2024
Humber River Regional Hospital
2017-2019
Digital Science (United States)
2019
Sunnybrook Health Science Centre
2015-2017
Health Sciences Centre
2015-2017
Engineering Associates (United States)
2016
Iowa City Public Library
2016
OBJECTIVE To identify issues during donning and doffing of personal protective equipment (PPE) for infectious diseases to inform PPE procurement criteria design. DESIGN A mixed methods approach was used. Usability testing assessed the appropriateness, potential errors, ease use various combinations PPE. qualitative constructivist used analyze participant feedback. SETTING Four academic health sciences centers: 2 adult hospitals, 1 trauma center, pediatric hospital, in Toronto, Canada....
OBJECTIVE To explore the impact of environmental design on doffing personal protective equipment in a simulated healthcare environment. METHODS A mixed-methods approach was used that included human-factors usability testing and qualitative questionnaire responses. patient room connecting anteroom were constructed for purposes. This experimental area designed to overcome failures identified previous study not based any generalizable hospital standard. RESULTS In total, 72 workers from...
Healthcare organizations have long been dependent on the vigilance of nurses to identify and intercept medication errors before they can adversely affect patients. New technologies implemented in an effort reduce errors; however, few studies evaluated long-term effects technology-based interventions reducing errors.The aim this study was evaluate barcode administration (BCMA) closed-loop system (CLMS) adverse drug event (ADE) rates.An autoregressive integrated moving average model for...
Hospital-acquired pressure injuries (HAPI) are a significant cause of morbidity and mortality, represent major health concern worldwide. Patients suffering from HAPI report poor quality life on several dimensions health. Moreover, is reported to lengthen in-hospital stay in the acute setting, posing healthcare resource utilisations costs. Given clinical economic burden HAPI, recent best practice guidelines provide recommendations reduce prevalence injuries. Humber River Hospital (HRH), large...
Abstract Objective We aimed to identify and seek agreement on factors that may influence decision-making related the distribution of patients during a mass casualty incident. Methods A qualitative thematic analysis literature review identified 56 unique in modified Delphi study was conducted used purposive sampling peer reviewers had either (1) peer-reviewed publication within area disaster management or (2) experience. In round one, ranked an additional 8 resulted 64 being two-round study....
Effective nurse-physician communication is critical to delivering high quality patient care. Interprofessional between surgical nurses and surgeons, often through the use of pagers, currently characterized by information gaps interprofessional tensions, both sources workflow interruption, potential medical error, impaired educational experience, job satisfaction.This study aims define current patterns of, understand enablers barriers in general surgery, order optimize technologies, teamwork,...
Purpose: There is a lack of empiric evidence and global standard for selection use personal protective equipment (PPE) highly infectious diseases. Using human factors methodologies, we identified contamination issues during donning doffing common PPE in order to inform procurement criteria design. Methods & Materials: The study took place between October December 2014 four academic health sciences centers (2 adult, 1 pediatric trauma center) Toronto, Canada. Participants (n = 82) were...
Collaboration across Canada’s healthcare system is critical to improving safety in the high-risk area of maternal neonatal care. Oak Valley Health (OVH) and Healthcare Insurance Reciprocal Canada (HIROC) collaborated on two applied projects, leveraging expertise from both organizations. These projects sought identify opportunities improve teamwork, communication workflow Childbirth Children’s Service program at OVH. In Project 1, human factors specialists HIROC implemented a series...
As a first step towards enhanced awareness and monitoring of cognitive safety, we review relevant literature develop list cognitively risky medical interventions that have been frequently cited. We then focus on delirium as major contributor to decline current emerging methods clinical assessment status, assessing their utility safety tools in practice. conclude by proposing framework for improving healthcare.
Integrated bedside terminals (IBTs) were implemented at Humber River Hospital with the goal of supporting patient independence and autonomy improving nursing workflows. The IBTs provide access to a range convenience entertainment services as well personal health information. Due novelty technology, there is paucity empirical data on patients' use of, satisfaction perceptions terminals.The purpose this study was evaluate impact empowerment workflows.A mixed methods design employed using...
Oak Valley Health, a community healthcare organization located in Ontario, Canada collaborated with the Healthcare Insurance Reciprocal of (HIROC) on quality improvement initiative. In March 2022, HIROC introduced multi-modal approach to support Childbirth and Children’s Service (CCS) program at Health better understand teamwork communication across patient safety. partnership facilitated focus groups, interviews, two workshops front-line multidisciplinary team members. CCS leaders...
Canada is currently facing a critical healthcare worker (HCW) shortage, in part resulting from absenteeism due to healthcare-associated infection (HAI). HCWs are at greater risk of and among the most common sources HAI transmission. Face touching behaviour that engage on average 20-23 times per hour, one way for infect themselves. While personal protective equipment (e.g., face masks) has been found decrease touching, still occurs. We conducted literature review previously proposed solutions...
Within hospital environments, whiteboards have become tools to facilitate communication, coordinate patient care, and engage patients.1 2 Humber River Hospital, a large community in Toronto Canada, moved into new building with blank wall-mounted dry-erase each inpatient room. Although were made available these rooms, there was no standard practice place guide how information should be shared patients families using the or often this updated. The aim of study design standardised whiteboard...
In Canada, over 15,000 residents of long-term care have died from COVID-19 since the start pandemic representing 59 percent all deaths (National Institute Ageing, 2021). Urgent research and subsequent applied action are needed to save life quality including presence family (CFHI, 2020). Social physical frailty major systemic patient safety gaps challenges for most healthcare organizations. This practitioner-led panel experienced human factors, implementation science experts used a case study...
The advancement of technological change within healthcare means that it is essential for nurses to have the necessary skills deliver safe and efficient nursing care. Few studies examined whether generational differences affect adoption technology system.The primary purpose this study was explore predictors influence technology.In cross-sectional study, were asked rate their level competency on 20 key related clinical devices (CTDs) in a self-administered questionnaire. Participants'...
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Improving the provision of supportive care for patients with Ebola is an important quality improvement initiative. We designed a simulated Treatment Unit (ETU) to assess performance and safety healthcare workers (HCWs) performing tasks wearing personal protective equipment (PPE) in hot (35 °C, 60% relative humidity) or thermo-neutral (20 20% conditions. In this pilot phase determine feasibility study procedures, HCWs PPE were non-randomly allocated conditions perform peripheral intravenous...
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This paper describes the collaborative work performed as part of a patient safety and quality improvement choking risk prevention initiative in specialty mental health hospital Ontario, Canada. In 2021, Ontario Shores Centre for Mental Health Sciences (Ontario Shores), collaboration with Healthcare Insurance Reciprocal Canada (HIROC), conducted Failure Modes Effects Analysis (FMEA) to identify potential failure modes their process. “Failure modes” refer states process that have unintended...
The COVID-19 pandemic has amplified systemic gaps in patient safety, including social frailty for vulnerable populations such as older adults (Briguglio et al., 2020). Public health measures, prolonged and frequent lockdowns, restricted access to visitors support networks extreme cases led confinement within a single room, negative impact of these restrictions focused new attention on frailty, which hitherto been somewhat neglected safety issue. Since is multifaceted construct, it needs be...
The Healthcare Insurance Reciprocal of Canada (HIROC) is a not-for-profit medical malpractice insurance reciprocal that has vision partnering to create the safest healthcare system. Each year, patients die from preventable patient safety incidents in Canada. A proactive focus on risk management and embedding into systems key improving safety. HIROC conducted semi-structured interviews help identify usability areas interest for two primary tools: Risk Assessment Checklist Register. total 16...
This panel discussion at the 2021 Human Factors and Ergonomics Society (HFES) Healthcare Symposium (HCS) touched upon several topics related to actioning safety intelligence improve patient safety. The had representation from both Canada England across a broad range of human factors expertise in healthcare: perspective academic research, operational hospital work, incident investigation national healthcare policy, nationwide liability insurer. panelists began with defining distinguishing...