A5074595818- Health Policy Implementation Science
- Hemodynamic Monitoring and Therapy
- Primary Care and Health Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Mobile Health and mHealth Applications
- Adolescent and Pediatric Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Non-Invasive Vital Sign Monitoring
- Health Sciences Research and Education
- Mental Health and Patient Involvement
- Interprofessional Education and Collaboration
- Healthcare Technology and Patient Monitoring
- Healthcare innovation and challenges
- Simulation-Based Education in Healthcare
- Complex Systems and Decision Making
- Biotechnology and Related Fields
- Telemedicine and Telehealth Implementation
- Leadership and Management in Organizations
- Healthcare cost, quality, practices
- Healthcare Policy and Management
- Organizational Strategy and Culture
- COVID-19 and healthcare impacts
- Economic and Financial Impacts of Cancer
- COVID-19 and Mental Health
- Multiple and Secondary Primary Cancers
Trillium Health Centre
2023-2025
University of Toronto
2023-2025
McMaster University
2019-2024
Public Health Ontario
2023
Université de Montréal
2023
University of British Columbia
2023
3M (United States)
2023
University of Alberta
2021
Williams (United States)
2021
Kingston Health Sciences Centre
2021
Plain English summary Background Continual improvements to health systems, products, and services are necessary for in health. However, many of these not incorporated into everyday practice. When designing new services, involving members the healthcare community public with personal experience can help make sure that will be useful relevant others like them. Methods Together workers family experience, we developed applied a step-by-step guide those design system improvements. Results Our has...
Abstract Objective To determine if virtual care with remote automated monitoring (RAM) technology versus standard increases days alive at home among adults discharged after non-elective surgery during the covid-19 pandemic. Design Multicentre randomised controlled trial. Setting 8 acute hospitals in Canada. Participants 905 (≥40 years) who resided areas mobile phone coverage and were to be from hospital either RAM (n=451) or (n=454). 903 participants (99.8%) completed 31 day follow-up....
Use of synchronous digital health technologies for care delivery to children with special needs (having a chronic physical, behavioral, developmental, or emotional condition in combination high resource use) and their families at home has shown promise improving outcomes increasing access this medically fragile resource-intensive population. However, comprehensive description the various models interventions does not exist, nor impact such been summarized date.
Cardiac and major vascular surgeries are common surgical procedures associated with high rates of postsurgical complications related hospital readmission. In-hospital remote automated monitoring (RAM) virtual hospital-to-home patient care systems have potential to improve outcomes following cardiac surgery. However, the science deploying evaluating these is complex subject risk implementation failure.As a precursor randomized controlled trial (RCT), this user testing study aimed examine...
OBJECTIVES/GOALS: The primarygoal is to understand the challenges and barriers associated with procurement of innovative technologies.Specifically, our research will answer following question: what are minimal requirements for a startup’s solution beprocuredby anOntariohealthcare institution? METHODS/STUDY POPULATION: Participants include professionals at startups, healthcare institutions, facilitating agencies. Semi-structured interviews be conducted in order different pathways possible...
Few validated instruments are available to measure team functioning in acute and primary care teams. To address this, we developed a questionnaire measuring healthcare provider perceptions of effectiveness (Provider-PTE) assessed its psychometric properties.Empirical evidence conceptual model were used for item generation. The 41-item self-completed was developed. A cross-sectional survey providers (n=283) across range settings performed. Psychometric properties French English language...
Abstract Youth with medical complexity (YMC) are a small subset of youth who have combination severe functional limitations and extensive health service use. As these become adults, they required to transition adult health, education, social services. The services is especially difficult for YMC due the sheer number that access. Service disruptions can profound impacts on their families, potentially leading an unsuccessful adulthood. This meta-ethnography aims synthesize qualitative...
Wearable continuous monitoring biosensor technologies have the potential to transform postoperative care with early detection of impending clinical deterioration.Our aim was validate accuracy Cloud DX Vitaliti vital signs monitor (CVSM) noninvasive blood pressure (cNIBP) measurements in postsurgical patients. A secondary examine user acceptance CVSM respect comfort, ease application, sustainability positioning, and aesthetics.Included participants were ≥18 years old recovering from surgery a...
Background Children with medical complexity (CMC) are a group of young people who have severe complex chronic conditions, substantial family-identified service needs, functional limitations, and high health care resource use. Technology-enabled hospital-to-home interventions designed to deliver comprehensive in the home setting needed ease CMC family stress, provide proactive this fragile population, avoid hospital admissions, where possible. Objective In usability testing study, we aimed...
: With coronary heart disease affecting over 2.4 million Canadians, annual cardiac and major vascular surgery rates are on the rise. Unrelieved postoperative pain is among top five causes of hospital readmission following surgery; little done to address this complication. Barriers effective assessment management have been conceptualized patient, health care provider, system levels.
A simulated research practicum was developed in our nursing program to increase the number of quality placements for students. In order evaluate success this simulation activity, we compared students' experiences and traditional mentored placements.A convenience sample baccalaureate students enrolled an introductory course Ontario, Canada, surveyed. two-group posttest survey design used assess activities experienced their satisfaction with placements. Data were between (MRP) (SRP) using...
<h3>Background:</h3> After nonelective (i.e., semiurgent, urgent and emergent) surgeries, patients discharged from hospitals are at risk of readmissions, emergency department visits or death. During the coronavirus disease 2019 (COVID-19) pandemic, we undertaking Post Discharge after Surgery Virtual Care with Remote Automated Monitoring Technology (PVC-RAM) trial to determine if virtual care remote automated monitoring (RAM) compared standard will increase number days adult remain alive home...
<sec> <title>BACKGROUND</title> In learning health systems (LHS), real-time evidence, informatics, patient-provider partnerships and experiences, organizational culture are combined to conduct “learning cycles” that support improvements in care. Though the concept of LHS is fairly well established literature, evaluation methods, mechanisms, indicators less consistently described. Further, often use “usual care” or “status quo” as a benchmark for comparing new approaches care, but...
Objective: To determine timing and risk factors associated with readmission within 30 days of discharge following noncardiac surgery. Background: Hospital after surgery is costly. Data on the drivers have largely been derived from single-center studies focused a single surgical procedure uncertainty regarding generalizability. Methods: We undertook an international (28 centers, 14 countries) prospective cohort study representative sample adults ≥45 years age who underwent Risk for were...
Background In learning health systems (LHSs), real-time evidence, informatics, patient-provider partnerships and experiences, organizational culture are combined to conduct “learning cycles” that support improvements in care. Although the concept of LHSs is fairly well established literature, evaluation methods, mechanisms, indicators less consistently described. Furthermore, often use “usual care” or “status quo” as a benchmark for comparing new approaches care, but disentangling usual care...
As the COVID-19 pandemic recedes, importance of population health has come into sharp focus, prompting many systems to explore leveraging data (PHD) for operational planning. This approach requires that healthcare leaders embrace dual priorities maintaining excellence in patient care while promoting overall populations. However, are new population-based thinking, posing a threat successful operationalization if mental models not aligned.
This qualitative case study explores the perspectives of approximately 270 leaders at all levels within Canada's largest community hospital to identify qualities effective and their aspirations for future healthcare leadership. Responses a structured visioning exercise with three open-ended prompts were anonymously collected, sorted using ChatGPT thematically analyzed. Connection, integrity impact identified as central These results align expand on existing leadership competency frameworks...
Purpose A synthesis of integrated care models classified by their aims and central characteristics does not yet exist. We present a collection five “archetypes” care, defined aims, to facilitate model comparison dialogue. Design/methodology/approach used purposive literature search expert consultation strategy generate archetypes. Data were extracted from included articles describe the defining features models. Findings total 25 examples (41 papers) archetypes care. The include: (1) whole...