- Sepsis Diagnosis and Treatment
- Homelessness and Social Issues
- Geriatric Care and Nursing Homes
- Emergency and Acute Care Studies
- Intensive Care Unit Cognitive Disorders
- Ethics in medical practice
- Nosocomial Infections in ICU
- Food Security and Health in Diverse Populations
- Family and Patient Care in Intensive Care Units
- Patient Safety and Medication Errors
- Cardiac, Anesthesia and Surgical Outcomes
- Patient Dignity and Privacy
- Hemodynamic Monitoring and Therapy
- Clostridium difficile and Clostridium perfringens research
- Medical Malpractice and Liability Issues
- Healthcare Operations and Scheduling Optimization
- Advanced Queuing Theory Analysis
- Trauma and Emergency Care Studies
- Healthcare professionals’ stress and burnout
- Pulmonary Hypertension Research and Treatments
- Clinical Laboratory Practices and Quality Control
- Global Health Care Issues
- Cardiac Arrest and Resuscitation
- Health disparities and outcomes
- Healthcare Policy and Management
Centre for Advancing Health Outcomes
2008-2023
University of British Columbia
2010-2023
St. Paul's Hospital
2004-2023
Providence Health Care
2007-2021
Providence Health Care Research Institute
2021
St. Paul's Hospital
2004-2019
University of Alabama at Birmingham
2009
Royal Columbian Hospital
2004
HIV Legal Network
2004
Medical Council of Canada
2004
Section:ChooseTop of pageAbstract <<MethodsResultsDiscussionConclusionsReferencesCITING ARTICLES
Emerging data suggest that direct oral anticoagulants may be a suitable choice for anticoagulation cerebral venous thrombosis (CVT). However, conducting high-quality trials in CVT is challenging as it rare disease with low rates of adverse outcomes such major bleeding and functional dependence. To facilitate the design future trials, SECRET (Study Rivaroxaban Cerebral Venous Thrombosis) assessed (1) feasibility recruitment, (2) safety rivaroxaban compared standard-of-care anticoagulation,...
Residents frequently encounter situations in their workplace that may induce moral distress or burnout. The objective of this study was to measure overall and rotation-specific burnout medical residents, the relationship between demographics burnout.The revised Moral Distress Scale Maslach Burnout Inventory (Human Service version) were administered Internal Medicine residents 2013-2014 academic year at University British Columbia.Of 88 45 completed surveys. Participants (mean age 30+/-3; 46%...
To determine whether hospital site is independently associated with length of intensive care unit (ICU) stay in those patients who die after experiencing a cardiac arrest.Retrospective cohort study.Thirty-one Canadian ICUs, all but one being members the Critical Care Research Network.All admitted to these ICUs resuscitation from arrest.None.Retrospective analysis prospectively collected clinical data. Using gamma regression ICU as dependent variable, we found following variables be stay:...
Objective: Individuals who are homeless or vulnerably housed have a higher prevalence of concurrent disorders, defined as having mental health diagnosis and problematic substance use, compared to the general population. The study objective was investigate effect disorders on care utilization among individuals, using longitudinal data from Health Housing in Transition Study. Methods: In 2009, 1190 adults were recruited Ottawa, Toronto, Vancouver, Canada. Participants completed baseline...
Digital health programs may have the potential to prevent hospitalizations among patients with chronic diseases by supporting patient self-management, symptom monitoring, and coordinated care.To compare effect of an internet-based self-management monitoring program targeted 2 or more (internet disease management [CDM]) usual care on over a 2-year period.This single-blinded randomized clinical trial included multiple from 71 primary clinics in small urban rural areas throughout British...
To measure the effect of computerized physician order entry on timeliness urgent laboratory and imaging tests.Before-after.Eleven-bed medical-surgical intensive care unit in a tertiary teaching hospital.All patients who had "stat" or tests ordered during each two 1-month periods 10 months before 2 after introducing entry.Introduction entry.After was introduced, median time from ordering to obtaining specimens decreased 77 21.5 mins, result being reported 148 74 completed 96.5 29.5...
Screening is available and effective in colorectal cancer (CRC) control, but underutilized. The purpose of this study was to use focus group data develop recommendations for the development educational interventions increase CRC screening, using an audience segmentation strategy. Demographic segments were based on urban–rural residence, race (African-American, White) sex. One hundred sixty-five participants age 50+, with no history participated 17 groups Alabama urban rural communities....
Purpose Use of sedation protocols is associated with fewer mechanical ventilation days in critically ill patients. Canadian intensive care units (ICUs) often have a higher nurse–patient ratio and more specialised training ICU nurses than French ICUs. Considering these differences, the purpose this study was to compare implementation as indicated by frequency assessment response levels between ICU. Methods This retrospective observational 30 patients who were mechanically ventilated for at...
One of the complications associated with insertion central venous catheters (CVCs) is pneumothorax (PTX). Because housestaff inexperience, it was hypothesised that rates PTX after CVCs in teaching hospitals would be highest July and August first week month (beginning intensive care unit (ICU) rotation).In a retrospective analysis data from patients admitted to ICU two tertiary British Columbia 1999 2005, occurring were calculated, evaluated whether increased during certain times...