A5027647504- Emergency and Acute Care Studies
- Healthcare Systems and Technology
- Hospital Admissions and Outcomes
- Patient Satisfaction in Healthcare
- Patient Safety and Medication Errors
- Trauma and Emergency Care Studies
- Healthcare Policy and Management
- Disaster Response and Management
- Healthcare Systems and Public Health
- Diabetes and associated disorders
- COVID-19 and healthcare impacts
- Chronic Disease Management Strategies
- Clinical Reasoning and Diagnostic Skills
- Electronic Health Records Systems
- Innovative Teaching and Learning Methods
- E-Learning and Knowledge Management
- Healthcare cost, quality, practices
- Biomedical and Engineering Education
- Renin-Angiotensin System Studies
- Diabetes Management and Research
- Diet and metabolism studies
- Healthcare Systems and Practices
- Acute Myocardial Infarction Research
- Clinical practice guidelines implementation
- Cardiac Arrest and Resuscitation
University of Ottawa
2015-2024
Ottawa Hospital
2015-2024
McMaster University
2024
Queen's University
2006-2024
University of Saskatchewan
2024
University of Calgary
2017-2024
University of British Columbia
2002-2024
Kelowna General Hospital
2024
Canadian Association of Emergency Physicians
2023
North York General Hospital
2023
Background Dizziness is a common presenting symptom in the emergency department (ED). The HINTS exam, battery of bedside clinical tests, has been shown to have greater sensitivity than neuroimaging ruling out stroke patients with acute vertigo. present study sought assess practice patterns assessment ED peripherally-originating vertigo respect utilization and neuroimaging. Methods A retrospective cohort was performed using data pertaining 500 randomly selected visits at tertiary care centre...
Abstract Objectives The objective of this study was to determine the feasibility and acceptability a structured morbidity mortality (M&M) rounds model through an innovative educational intervention. Methods authors engaged Departments Emergency Medicine ( EM ) Trauma Services at tertiary care teaching hospital. A needs assessment performed; Ottawa M&M developed, implemented, then evaluated as four‐part This consisted of: 1) physician training on case selection analysis, 2) engaging...
<h3>Background:</h3> Comprehensive diagnostic imaging referral guidelines are an important tool to assist referring clinicians and radiologists in determining the safest best-clinical-value study for their patients; Canadian Association of Radiologists (CAR) last produced its 2012. In partnership with several national organizations, clinicians, radiologists, patient family advisors from across Canada, association is redoing using a new methodology guideline development, these recommendations...
Importance There is a paucity of literature on the quality and effectiveness institutional morbidity & mortality (M&M) rounds processes. Objective We sought to implement evaluate hospital-wide structured M&M model at improving across multiple specialties. Design, setting, participants conducted prospective interventional study involving 24 clinical groups (1584 physicians) tertiary care teaching hospital from January 2013 June 2015. Intervention implemented published Ottowa Model...
<p>Background</p> <p>The rise of free open‐access medical education (FOAM) has led to a wide range online resources in emergency medicine. Canadian physicians have been active contributors FOAM.</p> <p>Objectives</p> <p>We aimed create virtual community practice that would serve as national platform for collaboration, learning, and knowledge dissemination.</p> <p>Methods</p> <p>CanadiEM was formed 2016 from the merger two...
The rise of free open-access medical education (FOAM) has led to a wide range online resources in emergency medicine. Canadian physicians have been active contributors FOAM.We aimed create virtual community practice that would serve as national platform for collaboration, learning, and knowledge dissemination.CanadiEM was formed 2016 from the merger two websites podcast. Using community-of-practice model, we introduced training programs support junior members becoming core editorial team...
<p>Background</p> <p>The rise of free open‐access medical education (FOAM) has led to a wide range online resources in emergency medicine. Canadian physicians have been active contributors FOAM.</p> <p>Objectives</p> <p>We aimed create virtual community practice that would serve as national platform for collaboration, learning, and knowledge dissemination.</p> <p>Methods</p> <p>CanadiEM was formed 2016 from the merger two...
Purpose: Emergency department (ED) crowding is a growing crisis and beds with cardiac monitors are very limited resource. This study aims to assess the use of monitoring among patients waiting in ED for inpatient bed, interventions due monitoring, identify risk factors serious adverse events (SAE) optimize monitors. Methods: We performed 2-week health records review hospitalized/boarded on collected baseline characteristics outcomes including (SAE; e.g., arrhythmia, hypotension) during stay....
Introduction: Public health response to the coronavirus 2019 (COVID-19) pandemic has emphasized social distancing and stay-at-home policies. Reports of decreased emergency department (ED) visits in non-epicenters outbreak have raised concerns that patients with non-COVID-19 emergencies are delaying or avoiding seeking care. We evaluated impact on ED at an academic tertiary care center. Methods: conducted observational records review between January 1–April 22, 2020, comparing characteristics...
Background Structured handover can reduce communication breakdowns and potential medical errors. In our emergency department (ED) we identified a safety risk due to variation in quality content of overnight handovers between physicians. Aim Our goal was develop implement standardised ED-specific tool using improvement (QI) methodology. We aimed increase the proportion patients having adequate information conveyed at shift change from baseline 50%–75% 4 months. Methods used published best...
Abstract Objective We assessed the impact of transition from a primarily paper‐based electronic health record (EHR) to comprehensive EHR on emergency physician work tasks and efficiency in an academic department (ED). Methods conducted time motion study physicians shift our ED. Fifteen were directly observed for two 4‐hour sessions prior implementation, during go live, then post‐implementation. Observers performed continuous observation measured times following tasks: chart review, direct...
The antifibrotic effects of recombinant human relaxin (RLX) in the kidney are dependent on an interaction between its cognate receptor (RXFP1) and angiotensin type 2 (AT2R) male models disease. Whether RLX has therapeutic effects, which also mediated via AT2R, hypertensive adult aged/reproductively senescent females is unknown. Thus, we determined whether treatment with provides cardiorenal protection AT2R-dependent mechanism aged female stroke-prone spontaneously rats (SHRSPs).In...
Introduction: Highly frequent users (HFU) of the emergency department (ED) are a poorly defined population. This study describes patient and visit characteristics for Canadian ED HFU subgroups with mental illness, substance misuse, or ≥ 30 yearly visits. Methods: We reviewed health records from random selection adult patients whose frequency comprised 99th percentile visits to The Ottawa Hospital. excluded scheduled repeat assessments. collected following: 1) – age, sex, comorbidities; 2)...
Exposure to an adverse environment in early life can have lifelong consequences for risk of cardiovascular disease. Maternal alcohol (ethanol) intake is common and associated with a variety harmful effects the fetus. However, examining on system adult offspring has largely been neglected. The objectives this study were investigate influence chronic, low ethanol consumption throughout pregnancy blood pressure, vascular reactivity wall stiffness, all key determinants health, both male female...
Background Under the pandemic conditions created by novel coronavirus of 2019 (COVID-19), physicians have faced difficult choices allocating scarce resources, including but not limited to critical care beds and ventilators. Past experiences with severe acute respiratory syndrome (SARS) current reports suggest that making these decisions carries a heavy emotional toll for around world. We sought explore Canadian physicians' preparedness attitudes regarding resource allocation decisions....