A5064272252- Emergency and Acute Care Studies
- Acute Myocardial Infarction Research
- Trauma and Emergency Care Studies
- Telemedicine and Telehealth Implementation
- Primary Care and Health Outcomes
- Clinical Reasoning and Diagnostic Skills
- Healthcare Policy and Management
- Innovations in Medical Education
- Cardiac Imaging and Diagnostics
- Patient Satisfaction in Healthcare
- Patient Safety and Medication Errors
- Venous Thromboembolism Diagnosis and Management
- Coronary Interventions and Diagnostics
- COVID-19 and healthcare impacts
- Medical Malpractice and Liability Issues
- Nursing Diagnosis and Documentation
- Educational Games and Gamification
- Cardiac Arrest and Resuscitation
- Healthcare Systems and Technology
- Sepsis Diagnosis and Treatment
- Simulation-Based Education in Healthcare
- Disaster Response and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac electrophysiology and arrhythmias
- Clinical practice guidelines implementation
University of Toronto
2019-2025
McMaster University
2017-2025
St. Joseph’s Healthcare Hamilton
2020-2025
Public Health Ontario
2021-2025
Hamilton General Hospital
2024
Ege University
2022-2024
Institute for Work & Health
2020-2023
Schwartz/Reisman Emergency Medicine Institute
2023
Sunnybrook Health Science Centre
2023
Health Sciences Centre
2023
The objective was to compare specialty-specific 7- and 30-day outcomes between virtual care visits in-person which occurred during the SARS-CoV-2 pandemic. Using administrative data from provincial databases in Ontario, ambulatory occurring virtually specific timeframes within pandemic were analyzed. Virtual matched with corresponding based on multiple baseline patient characteristics. We assessed short-term at 7 30 days, including subsequent visits, hospital ICU admissions, surgeries,...
Early descriptions of clinical reasoning have described a dual process model that relies on analytical or nonanalytical approaches to develop working diagnosis. In this classic research, is portrayed as an individual-driven cognitive based gathering information from the patient encounter, forming mental representations rely previous experience and engaging developed patterns drive diagnoses management plans. Indeed, safety, well teaching assessing focus individual clinician, often ignoring...
Virtual patient care has seen incredible growth since the beginning of COVID-19 pandemic. To provide greater access to safe and timely urgent care, in fall 2020, Ministry Health introduced a pilot program 14 virtual (VUC) initiatives across province Ontario. The objective this paper was describe overall design, facilitators, barriers, lessons learned during implementation seven emergency department (ED) led VUC programs Ontario, Canada.
Virtual urgent care (VUC) is intended to support diversion of patients with low-acuity complaints and reduce the need for in-person emergency department visits. We aimed describe subsequent health utilization outcomes who used VUC compared similar had an visit.We patient-level encounter data that were prospectively collected using services provided by 14 pilot programs in Ontario, Canada. linked provincial administrative databases identify 30-day outcomes. defined 2 subgroups users; those a...
Background: Mental health and substance use disorders affect more than 1 billion people globally are the leading cause of disability in children youth (under age 25). While mild to moderate mental and/or (MHSU) concerns often best addressed community, have increasingly relied on emergency departments (EDs) address their MHSU needs, contributing ED overcrowding. For instance, Canada, there was a 66% rise visits by (ages 5-24) presenting with between 2007 2017. Due long wait times ED, hours,...
We examined changes in annual paramedic transport incidence over the ten years prior to COVID-19 comparison increases population growth and emergency department (ED) visitation by walk-in. conducted a population-level cohort study using National Ambulatory Care Reporting System from January 1, 2010 December 31, 2019 Ontario, Canada. included all patients triaged ED who arrived either or clustered geographical regions Local Health Integration Network boundaries. Descriptive statistics, rate...
The COVID-19 pandemic led to a decline in emergency department (ED) visits and subsequent return baseline pre-pandemic levels. It is unclear if this trend extended paramedic services patient cohorts accessing paramedics changed. We examined trends associations between utilization (9-1-1 calls ED transports) the timeframe.
Background Increasing demand and crowding in emergency departments (EDs) remain persistent challenges for healthcare systems worldwide. A portion of these visits is avoidable, indicating they could have been effectively managed non-ED care settings. There has increased attention on paramedics redirecting avoidable to community-based before ED transport. However, limited evidence exists identify which patients might be suitable models, particularly based prehospital clinical presentations....
Abstract Rationale Coronavirus (COVID‐19)‐related stressors precipitated the mental health crisis and increased substance use in Canada worldwide. As pandemic continues to evolve, monitoring updating use‐related ED visit trends is essential ensure stability quality of services under prolonged timeline. Aims Objectives This study examined characterization visits during among adolescents young adults (aged 13–25 years) Ontario, Canada. Methods Descriptive statistics binary logistic regression...
High-sensitivity cardiac troponin (hs-cTn) testing has enabled physicians to make earlier diagnostic and prognostic decisions in the hospital setting than previous assays. Analytical improvements have permitted one measure precisely nanogram per litre (ng/L) range with hs-cTn assays which resulted fast 0/1-h 0/2-h algorithms for ruling-in ruling-out myocardial infarction. Although analytical interferences that affect reporting of are uncommon, not all designed same nor undergone clinical...
Introduction. As serious games are a relatively new phenomenon in medical education, there is little data on end user demographics or usage. In this study our goal was to describe the and usage for purchasers of GridlockED board game, game teaching about systems approach managing care emergency department. Methods. We conducted two-phase survey individuals interested purchasing GridlockED. Users were asked complete brief demographic before accessing site. A follow-up performed 3-6 months...
Introduction The Emergency Department Avoidability Classification (EDAC) retrospectively classifies emergency department (ED) visits that could have been safely managed in subacute primary care settings, but has not validated against a criterion standard. A EDAC enable accurate and reliable quantification of avoidable ED visits. We compared agreement between the physician judgements to specify Materials methods conducted cluster randomized, single-blinded study an academic hospital Hamilton,...
<h3>Background:</h3> The ability to rule out or in a major adverse cardiac event (MACE) patients with suspected acute coronary syndrome at emergency department (ED) presentation would be beneficial patient care and the health system. clinical chemistry score (CCS) was evaluated this context. <h3>Methods:</h3> This diagnostic accuracy study 2 different ED cohorts syndrome. For cohort 1, who presented of 3 hospitals Hamilton, Ontario, between May August 2013, retrospective measurements were...
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Background Cardiopulmonary resuscitation (CPR) metrics including compression rate and depth are associated with improved outcomes the need for high-quality CPR is emphasized in both American Heart Association (AHA) Stroke Foundation of Canada (HSFC) guidelines. While these can be utilized to assess quality CPR, they infrequently measured an objective fashion emergency department. Objectives As part Emergency Department (ED) Quality Improvement (QI) project, we sought determine impact...