A5036892941- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Frailty in Older Adults
- Healthcare Policy and Management
- Cardiac Arrest and Resuscitation
- Geriatric Care and Nursing Homes
- Delphi Technique in Research
- Hip and Femur Fractures
- Injury Epidemiology and Prevention
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Patient Satisfaction in Healthcare
- Chronic Disease Management Strategies
- Primary Care and Health Outcomes
- Health disparities and outcomes
- Healthcare Quality and Management
- Intensive Care Unit Cognitive Disorders
- Workplace Violence and Bullying
- Electronic Health Records Systems
- Machine Learning in Healthcare
- Opioid Use Disorder Treatment
- Nursing Roles and Practices
- Nutrition and Health in Aging
- Parkinson's Disease Mechanisms and Treatments
- Global Healthcare and Medical Tourism
- Genetic Neurodegenerative Diseases
St. Joseph’s Healthcare Hamilton
2024-2025
McMaster University
2019-2025
Impact
2019-2025
Toronto Public Health
2025
University of Toronto
2016-2023
Regional Municipality of Durham
2022-2023
The Wilson Centre
2022-2023
Sunnybrook Health Science Centre
2016
Health Sciences Centre
2016
St. Michael's Hospital
2016
<h3>Background:</h3> The increasing number of people living in high-rise buildings presents unique challenges to care and may cause delays for 911-initiated first responders (including paramedics fire department personnel) responding calls out-of-hospital cardiac arrest. We examined the relation between floor patient contact survival after arrest residential buildings. <h3>Methods:</h3> conducted a retrospective observational study using data from Toronto Regional RescuNet Epistry database...
Objectives Paramedic services face increasing challenges due to delays in patient transfer of care (TOC) at emergency departments (EDs). Prolonged TOC times directly impact paramedic services' ability provide response, though the and clinical factors contributing these remain unclear. We examined for all transports ED analyzed associated with prolonged TOC.
Abstract Background SARS-CoV-2 vaccines are effective in reducing hospitalization, COVID-19 symptoms, and mortality for nursing home (NH) residents. We sought to compare the accuracy of various machine learning models, examine changes model performance, identify resident characteristics that have strongest associations with 30-day mortality, before after vaccine availability. Methods conducted a population-based retrospective cohort study analyzing data from all NH facilities across Ontario,...
The COVID-19 pandemic led to a decline in emergency department (ED) visits and subsequent return baseline pre-pandemic levels. It is unclear if this trend extended paramedic services patient cohorts accessing paramedics changed. We examined trends associations between utilization (9-1-1 calls ED transports) the timeframe.
We examined changes in annual paramedic transport incidence over the ten years prior to COVID-19 comparison increases population growth and emergency department (ED) visitation by walk-in. conducted a population-level cohort study using National Ambulatory Care Reporting System from January 1, 2010 December 31, 2019 Ontario, Canada. included all patients triaged ED who arrived either or clustered geographical regions Local Health Integration Network boundaries. Descriptive statistics, rate...
The aim for this study was to provide information about how community paramedicine home visit programs best "navigate" their role delivering preventative care frequent 9-1-1 users by describing demographic and clinical characteristics of patients comparing them existing populations. Our used secondary data from standardized assessment instruments in the delivery care, support services, Ontario. Identical items each instrument enabled comparisons demographic, clinical, social...
Increasing hospitalization rates present unique challenges to manage limited inpatient bed capacity and services. Transport by paramedics the emergency department (ED) may influence hospital admission decisions independent of patient need/acuity, though this relationship has not been established. We examined whether mode transportation ED was independently associated with admission.We conducted a retrospective cohort study using National Ambulatory Care Reporting System (NACRS) from April 1,...
Introduction The Emergency Department Avoidability Classification (EDAC) retrospectively classifies emergency department (ED) visits that could have been safely managed in subacute primary care settings, but has not validated against a criterion standard. A EDAC enable accurate and reliable quantification of avoidable ED visits. We compared agreement between the physician judgements to specify Materials methods conducted cluster randomized, single-blinded study an academic hospital Hamilton,...
Introduction Ontario ambulances are restricted from patient transportation to sub-acute levels of care when these facilities may be more suitable than emergency departments for non-emergent conditions. There is no known classification specifically constructed inform ED diversion protocols and guidance centre primary care–like Objective To construct a novel potentially preventable department visits following transport by ambulance, analyse patient-level characteristic associations with this...
As the number of patients with nonemergent conditions who are transported by paramedics continues to increase in Ontario, redirecting specific subacute settings may be more beneficial and suitable for both emergency departments. We aimed evaluate whether department interventions conducted on could health centres.We a RAND/UCLA modified Delphi study Ontario between Oct. 13 Dec. 19, 2020. used purposive sampling recruit practising primary care physicians an expert panel. abstracted given adult...
To evaluate the prognosis of 30-day survival post-cardiac arrest among patients receiving home care and nursing residents.We conducted a population-level retrospective cohort study community-dwelling adults (≥18 years) who received cardiac at hospital in Ontario, Canada, between 2006 to 2018. We linked population-based health datasets using Home Care Dataset identify Continuing Reporting System residents. included both out-of-hospital in-hospital arrests. determined unadjusted adjusted...
Emergency nurses commonly conduct geriatric assessments in the emergency department (ED). However, little is known about what syndromes or clinical presentations prompt a nurse to document an identified need for comprehensive assessment (CGA).To examine association between syndromes, like frailty, and nurse-identified CGA following care.We conducted secondary analysis of multi-province Canadian cohort from InterRAI Multinational Cohort Study. We collected data at ED registration patients 75...
Objective Paramedic redirection from emergency department (ED) to subacute centres may be more beneficial for some patients, though little is known about which patients are potentially appropriate. We examined whether patient characteristics were associated with ED visits when the main intervention was suitable performed in a centre. Methods conducted retrospective observational study using National Ambulatory Care Reporting System 2014 2018 Ontario, Canada. included all adult transported by...
Community paramedicine programme are often designed to address repeated and non-urgent use of paramedic services by providing patients with alternatives the traditional 'treat transport' ambulance model care. We sought investigate level consensus that could be found a panel experts regarding appropriate health, social environmental domains should assessed in community home visit programme.We applied RAND/UCLA Appropriateness Method modified Delphi method on assessment for included...
Introduction The influence of neighborhood characteristics and socioeconomic status (SES) factors on avoidable emergency department (ED) utilization is not well understood in a universal healthcare system. We examined correlations between these ED visits at Canadian academic hospital. Materials methods conducted retrospective cohort study using administrative data from hospital Hamilton, Canada April 1, 2018 to August 31, 2023, the Statistics Census Population 2021. Avoidable were classified...
<h3>Background:</h3> Most patients transported by Ontario paramedics to the emergency department have non-emergent conditions and may be more appropriately served subacute community-based care centres. We sought determine consensus on a set of patient characteristics that could useful classify retrospective visits had high probability being primary care–like potentially redirectable centre paramedics. <h3>Methods:</h3> conducted modified Delphi study assess expert from August October 2021....
Paramedics redirecting non-emergent patients from emergency departments (EDs) to urgent care centres is a new and forthcoming strategy reduce overcrowding improve primary integration. Which are likely not suitable for paramedic redirection unknown. To describe specify inappropriate centres, we examined associations between patient characteristics transfer the ED after initially presented an centre.