A5051603035- Pharmaceutical Practices and Patient Outcomes
- Electronic Health Records Systems
- Healthcare Systems and Technology
- Healthcare Systems and Practices
- Medication Adherence and Compliance
- Mobile Health and mHealth Applications
- Health, Medicine and Society
- Chronic Disease Management Strategies
- Telemedicine and Telehealth Implementation
- Supramolecular Self-Assembly in Materials
- Health Literacy and Information Accessibility
- Emergency and Acute Care Studies
- Patient Safety and Medication Errors
- Artificial Intelligence in Healthcare and Education
- Interprofessional Education and Collaboration
- Clinical practice guidelines implementation
- Primary Care and Health Outcomes
- Biomedical Text Mining and Ontologies
- Health Policy Implementation Science
- Patient-Provider Communication in Healthcare
- Healthcare Policy and Management
- Pharmacovigilance and Adverse Drug Reactions
- Evaluation and Performance Assessment
- Carbohydrate Chemistry and Synthesis
- Nursing Roles and Practices
Université de Montréal
2015-2025
Centre Hospitalier de l’Université de Montréal
2017-2025
Sante Montreal
2025
McGill University
2015-2019
Institut National de Santé Publique du Québec
2018
Quebec Research and Development Centre
2015
Université Laval
2015
Objective To examine off-label indications for antidepressants in primary care and determine the level of scientific support prescribing.Design Descriptive study antidepressant prescriptions written by physicians using an indication based electronic prescribing system.Setting Primary practices around two major urban centres Quebec, Canada.Participants Patients aged 18 years or older who visited a physician between 1 January 2003 30 September 2015 were prescribed through system.Main outcome...
This pharmacoepidemiology study uses national Canadian electronic medical record data to describe treatment indications for antidepressants and temporal trends in antidepressant prescribing depression Quebec, Canada, from 2006 through 2015.
Purpose Artificial intelligence (AI) raises many expectations regarding its ability to profoundly transform health care delivery. There is an abundant literature on the technical performance of AI applications in clinical fields (e.g. radiology, ophthalmology). This article aims bring forward importance studying organizational readiness integrate into Design/methodology/approach The reflection based our experience digital technologies, diffusion innovations and healthcare organizations...
BACKGROUND Admission to hospital provides the opportunity review patient medications; however, extent which safety of drug regimens changes after hospitalization is unclear. OBJECTIVE To estimate number potentially inappropriate medications (PIMs) prescribed patients at discharge and their association with risk adverse events 30 days discharge. DESIGN Prospective cohort study. SETTING Tertiary care hospitals within McGill University Health Centre Network in Montreal, Quebec, Canada....
Telehealth was rapidly adopted by various types of primary healthcare(PHC) providers in teaching PHC clinics Quebec during the COVID-19pandemic. This paper identifies perceived advantages and disadvantages telehealth.The variation telehealth adoption type provider may inform strategiesto maximize potential help create guidelines for its use more normal times.
<h3>Importance</h3> Adverse drug events (ADEs) account for up to 16% of emergency department (ED) visits and 7% hospital admissions. Medication reconciliation is required accreditation because it can reduce medication discrepancies, but there no evidence that reducing discrepancies reduces ADEs or other adverse outcomes. <h3>Objective</h3> To evaluate whether electronic ADEs, outcomes compared with usual care. <h3>Design, Setting, Participants</h3> This cluster randomized trial involved 3491...
The development of artificial intelligence (AI) systems to support diagnostic decision-making is rapidly expanding in health care. However, important challenges remain executing algorithmic at the frontlines clinical practice. Hence, most often, these have not been trained with local data nor do they fit context-specific patterns This research examines implementation an AI-based decision system (DSS) emergency department a large Academic Health Center (AHC) Canada, focusing specifically on...
To describe the usage of a novel application (The FLOW) that allows mobile devices to be used for rounding and handoffs.The FLOW provides view patient data capacity enter short notes via personal devices. It was deployed using "bring-your-own-device" model in 4 pilot units. Social network analysis (SNA) applied audit trails order visualize patterns. A questionnaire user experience.Overall, 253 health professionals The with their from October 2013 March 2015. In pediatric neonatal intensive...
Many countries require hospitals to implement medication reconciliation for accreditation, but the process is resource-intensive, thus adherence poor. We report on impact of prepopulating and aligning community hospital drug lists with data from population-based hospital-based information systems reduce workload enhance adoption use an e-medication application, RightRx.The prototype e-medical web-based software was developed a cluster-randomized trial at McGill University Health Centre....
Abstract Objective To evaluate the hypothesis that nonadherence to medication changes made at hospital discharge is associated with an increased risk of adverse events in 30 days postdischarge. Study Setting Patients admitted hospitals Montreal, Quebec, between 2014 and 2016. Design Prospective cohort study. Data Collection Nonadherence was measured by comparing medications dispensed community those prescribed discharge. Patient, health system, drug regimen‐level covariates were using...
Aligning digitalization efforts at multiple levels in health systems is challenging. This case study traces digital development six academic centres (AHC) the province of Ontario (Canada) to understand factors that influence internal capacities and their contribution system-level policy objectives. Data were collected through document review interviews with AHC leaders 2019 repeated 2021 explore Covid-19 pandemic system reforms. Results point AHCs unfolded over three decades minimal...
This qualitative case study investigates the main barriers that arise during digital transformation (DT) of public hospitals. Based on a thematic analysis 29 interviews with informants leading DT or implementing initiatives in hospital Canada, we found hindering were: fragmented leadership, competing strategic priorities, insufficient resources, limited inter-departmental collaboration and literacy gap between professionals.
Abstract Background and objective The of this study was to identify physicians’ pharmacists’ perceptions the challenges benefits implementing a nationwide electronic prescribing network linking medical clinics community pharmacies in Quebec, Canada. Methods Forty-nine people (12 general practitioners, 2 managers, 33 pharmacists, pharmacy staff members) from 40 points care (10 primary (42% all connected sites) 30 (44%)) were interviewed 2013. Verbatim transcripts analyzed using thematic...