A5076327948- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Healthcare Operations and Scheduling Optimization
- Cardiac Arrest and Resuscitation
- Hospital Admissions and Outcomes
- Airway Management and Intubation Techniques
- Traffic and Road Safety
- Acute Ischemic Stroke Management
- Facility Location and Emergency Management
- Healthcare Policy and Management
- Disaster Response and Management
- Clinical practice guidelines implementation
- Urban Transport and Accessibility
- Injury Epidemiology and Prevention
- Occupational Health and Safety Research
- Green IT and Sustainability
- Network Traffic and Congestion Control
- Environmental and Ecological Studies
- Burn Injury Management and Outcomes
- Global Healthcare and Medical Tourism
- Aviation Industry Analysis and Trends
- Older Adults Driving Studies
- Simulation-Based Education in Healthcare
- Traumatic Brain Injury Research
- Trauma Management and Diagnosis
Hamilton General Hospital
2021
Quality Research
2015-2016
University of Toronto
2010-2013
Transport Canada
2010-2011
Ornge provides air-ambulance services to the province of Ontario. A major part its involves prescheduled transports between medical facilities. These almost exclusively require fixed-wing aircraft because distances involved and cost considerations. The requests are received in advance, scheduled overnight, typically executed following day. We describe our work developing a planning tool that determines an assignment minimize cost, subject range complicating constraints. flight planners use...
Abstract Customer contact centers that provide different types of services to customers who place phone calls or send e-mail messages are studied. Customers calling impatient; hence requests have a higher priority over messages. E-mails not responded within specified time limit can be prioritized. The goal this paper is assess the performance improvement via cross-training agents. operated under strategies compared. An extensive simulation study presented shows permitting pre-emptive-resume...
Traumatic injury is a leading cause of morbidity and mortality, but these can be minimized by timely transport to definite care. Helicopter emergency medical services (HEMS) provide influence survival. However, accident analyses indicate that landing at an unsecured zone (LZ), particularly night, increases the risk aviation accidents. To ensure safety, some HEMS operations land only designated, secured LZs.This study utilized geographic information systems (GISs) compare locations scene call...
Patients undergoing interfacility transfers are at potentially greater risk of adverse or critical events than those in hospital, and efficient play a significant role reducing mortality morbidity. Medical dispatchers rely on accurate estimations transfer time determining the most appropriate method transportation, often either helicopter and/or land ambulance, situations that characterized by high pressure uncertainty. In this paper, we propose design data-driven decision support tool to...
The transport of thermally injured patients can involve significant costs; however, not all necessitate transfer to a burn center. purpose this study was review transfers an American Burn Association–verified regional center determine whether the were necessary and cost associated with unnecessary transfers. A retrospective chart identified 707 transferred acute injury during 7-year period. For purposes study, "unnecessary transfer" defined as any patient admitted fewer than 7 days who did...
Objective. Identification of modifiable risk factors for hypotension during critical care transport is important to optimize patient preparation, crew training, and safety. We set out determine the incidence hemodynamic deterioration after administration opioids or sedatives transport, identify patient- transport-level predictors. Methods. assembled a retrospective cohort adults undergoing urgent between January 1, 2005, December 31, 2010. The primary outcome was post-medication hypotension,...
Timely transfer of patients among facilities within a regionalized critical-care system remains large obstacle to effective patient care. For medical transport systems where dispatchers are responsible for planning these interfacility transfers, accurate estimates times play role in and resource-allocation decisions. However, the impact adverse weather conditions on is not well understood.Precipitation negatively impacts driving can decrease free-flow speeds increase travel times. The...
Background: The use of air ambulance to facilitate interfacility transfer has been associated with improved mortality; however, is a limited resource and sometimes the optimal transport patient unavailable. When non-optimal used there an inherent delay critically unwell patients may deteriorate as result. This study aimed identify risk factors utilization for adult undergoing emergent by in Ontario, Canada. A secondary objective was determine if deterioration clinical status measuring delta...
Air medical transport relies on effective dispatching of air and land vehicles to provide the fastest best care possible for patient transfers. These difficult dispatch decisions are characterized by high time pressure, uncertainty, dynamic complex environment transportation. This paper describes a preliminary study decision making processes that occur during at Ornge, transportation system in Ontario, Canada. We drew upon Critical Decision Method structured data analysis approach understand...
Background A coordinated care system helps provide timely access to treatment for suspected acute stroke. In Northwestern Ontario (NWO), Canada, communities are widespread with several hospitals offering various diagnostic equipment and services. Thus, resources limited, health providers must often transfer patients stroke different hospital locations ensure the most appropriate within recommended time frames. However, frequently situated temporarily (locum) in NWO or providing remotely from...
Efficient transfer of patients between facilities is a key component regionalized critical care systems, but interfacility transfers pose added risks to patients. We created decision support tool for dispatchers in medical transportation systems which provides estimates the time definitive care, receiving request and patient handoff, dispatch decisions. This point-estimates times that are more accurate than own estimates, resource allocation triage However, additional information about...
<h3>Background</h3> There is currently no integrated data system to capture the true burden of injury and its management within Ontario's regional trauma networks (RTNs), largely owing difficulties in identifying these patients across multiple health care provider records. Our project represents an iterative effort create ability chart course for all injured Central South RTN. <h3>Methods</h3> Through broad stakeholder engagement major organizations RTN, we obtained research ethics board...
<sec> <title>BACKGROUND</title> A coordinated care system helps provide timely access to treatment for suspected acute stroke. In Northwestern Ontario (NWO), Canada, communities are widespread with several hospitals offering various diagnostic equipment and services. Thus, resources limited, health providers must often transfer patients stroke different hospital locations ensure the most appropriate within recommended time frames. However, frequently situated temporarily (locum) in NWO or...
Abstract Background A coordinated system of care is essential to provide timely access treatment for patients who present with a suspected acute stroke. In Northwestern Ontario (NWO), Canada, resources are limited and healthcare providers often must transfer stroke different hospital locations within recommended timeframes. However, providers, situated temporarily in NWO or remotely, may lack sufficient information about which route would be the most efficient appropriate circumstance....