A5078754318- Patient Safety and Medication Errors
- Emergency and Acute Care Studies
- Medical Malpractice and Liability Issues
- Suicide and Self-Harm Studies
- Hospital Admissions and Outcomes
- Healthcare Policy and Management
- Electroconvulsive Therapy Studies
- Family and Patient Care in Intensive Care Units
- Ethics in medical practice
- Mental Health Treatment and Access
- Pharmaceutical studies and practices
- Interpreting and Communication in Healthcare
- Digital Mental Health Interventions
- Opioid Use Disorder Treatment
- Pharmaceutical Practices and Patient Outcomes
- Substance Abuse Treatment and Outcomes
- Healthcare cost, quality, practices
- Occupational Health and Safety Research
- Primary Care and Health Outcomes
- Perfectionism, Procrastination, Anxiety Studies
- Clinical Reasoning and Diagnostic Skills
- Healthcare Decision-Making and Restraints
- Innovations in Medical Education
- Maternal Mental Health During Pregnancy and Postpartum
- Health Systems, Economic Evaluations, Quality of Life
University of Toronto
2014-2025
Hospital for Sick Children
2012-2025
Commonwealth Medical College
2023-2025
Workit Health
2023-2025
SickKids Foundation
2010-2024
Toronto Metropolitan University
2016-2023
Geisinger Medical Center
2023
National Patient Safety Foundation
2011-2022
Canadian Patient Safety Institute
2022
Geisinger Health System
2021
Miscommunications are a leading cause of serious medical errors. Data from multicenter studies assessing programs designed to improve handoff information about patient care lacking.We conducted prospective intervention study resident handoff-improvement program in nine hospitals, measuring rates errors, preventable adverse events, and miscommunications, as well workflow. The included mnemonic standardize oral written handoffs, communication training, faculty development observation program,...
Abstract Objective To determine whether medical errors, family experience, and communication processes improved after implementation of an intervention to standardize the structure healthcare provider-family on centered rounds. Design Prospective, multicenter before study. Setting Pediatric inpatient units in seven North American hospitals, 17 December 2014 3 January 2017. Participants All patients admitted study (3106 admissions, 13171 patient days); 2148 parents or caregivers, 435 nurses,...
<h3>Importance</h3> Medical errors and adverse events (AEs) are common among hospitalized children. While clinician reports the foundation of operational hospital safety surveillance a key component multifaceted research surveillance, patient family not routinely gathered. We hypothesized that novel family-reporting mechanism would improve incident detection. <h3>Objective</h3> To compare error AE rates (1) gathered systematically with vs without reporting, (2) reported by families...
<h3>Background:</h3> Limited data are available on adverse events among children admitted to hospital. The Canadian Paediatric Adverse Events Study was done describe the epidemiology of in hospital Canada. <h3>Methods:</h3> We performed a 2-stage medical record review at 8 academic pediatric centres and 14 community hospitals reviewed charts from patients April 2008 through March 2009, evenly distributed across 4 age groups (0 28 d; 29 365 > 1 5 yr 18 yr). In stage 1, nurses health...
Background Healthcare leaders look to high-reliability organisations (HROs) for strategies improve safety, despite questions about how translate these into practice. Weick and Sutcliffe describe five principles exhibited by HROs. Interventions aiming foster are common in healthcare; however, there have been few examinations of the perceptions those who planned or experienced efforts. Objective This single-site qualitative study explores healthcare professionals understand enact HRO response...
Hospital engagement networks supported by the US Centers for Medicare & Medicaid Services Partnership Patients program have reported significant reductions in hospital-acquired harm, but methodological limitations and lack of peer review led to persistent questions about effectiveness this approach.To evaluate associations between membership Children's Hospitals' Solutions Patient Safety (SPS), a federally funded hospital network, harm using standardized definitions secular trend...
Handoff miscommunications are a leading source of medical errors. Harmful errors decreased in pediatric academic hospitals following implementation the I-PASS handoff improvement program. However, across specialties has not been assessed.
BACKGROUND/OBJECTIVES Patients who use a language other than English (LOE) for health care communication are at increased risk of experiencing adverse events and worse outcomes. The objectives this research (1) to understand the lived experience families speak LOEs around hospitalization their child (2) perspectives patients on opportunities improve experiences during hospitalization. METHODS This study is grounded in patient- family-informed research. We designed qualitative involving...
Background: Telehealth has grown as a common treatment modality for substance use disorders following expanded telehealth flexibilities during the COVID-19 pandemic. can increase access to in rural areas, where there are limited local addiction providers.
Background Emerging evidence has shown racial and ethnic disparities in rates of harm for hospitalised children. Previous work also demonstrated how highly heterogeneous approaches to collection race ethnicity data pose challenges population-level analyses. This aims both create an approach aggregating safety from multiple hospitals by apply the examination potential high-frequency conditions. Methods In this cross-sectional, multicentre study, a cohort Solutions Patient Safety network with...
Purpose Although experts advise disclosing medical errors to patients, individual physicians' different levels of knowledge and comfort suggest a gap between recommendations practice. This study explored pediatric residents' attitudes about disclosure. Method In 2006, the authors this single-center, mixed-methods surveyed 64 residents at University Toronto then held three focus groups with total 24 those residents. Results Thirty-seven (58%) completed questionnaires. Most agreed that are one...
Although commonly linked to psychiatric disorders, catatonia is frequently identified secondary neurological and general medical conditions (GMCs). The present study aimed characterize the diagnostic workup of cases in a hospital setting. authors performed retrospective chart review 54 catatonia, over 3 years. Clinical suspicion comorbid delirium was strongest predictor more thorough workup. Attribution etiology associated with significantly less Prospective studies should help clarify...
Project-based experiential learning is a defining element of quality improvement (QI) education despite ongoing challenges and uncertainties. The authors examined stakeholders' perceptions experiences QI project-based to increase understanding factors that influence project experiences.The used case study approach examine in 3 advanced longitudinal programs, 2 at the University Toronto 1 an academic tertiary-care hospital. From March 2016 June 2017, they undertook 135 hours program...