A5044440031- Geriatric Care and Nursing Homes
- Palliative Care and End-of-Life Issues
- Intensive Care Unit Cognitive Disorders
- Healthcare Decision-Making and Restraints
- Substance Abuse Treatment and Outcomes
- Emergency and Acute Care Studies
- Dementia and Cognitive Impairment Research
- COVID-19 and Mental Health
- Disaster Response and Management
- Cardiac Arrest and Resuscitation
- Alcohol Consumption and Health Effects
- Pharmaceutical Practices and Patient Outcomes
- Smoking Behavior and Cessation
- Management of metastatic bone disease
- Healthcare Policy and Management
- Homelessness and Social Issues
- Chronic Disease Management Strategies
- AI in cancer detection
- Healthcare Quality and Management
- Traumatic Brain Injury Research
- Patient Satisfaction in Healthcare
- Prostate Cancer Treatment and Research
- Hospital Admissions and Outcomes
- Sepsis Diagnosis and Treatment
- Mental Health Treatment and Access
Bruyère
2021-2025
University of Ottawa
2022-2025
Queen's University
2024
Ottawa Hospital
2022-2023
Ottawa Hospital Research Institute
2022-2023
Lakeridge Health
2022
Canadian Institute of Public Health Inspectors
2015
Medications are often needed to manage distressing end-of-life symptoms (eg, pain, agitation).
Background At the end of life, individuals may experience physical symptoms such as pain, and guidelines recommend medica-tions to manage these symptoms. Yet, little is known about symptom management long-term care (LTC) residents receive at life. Our research team developed a metric—whether one or more prescriptions for an end-of-life medication in their last two weeks—to explore LTC residents. This qualitative study aimed inform refinement prescribing metric, including acceptability...
Purpose Traditional quality metrics do not adequately represent the clinical work done by residents and, thus, cannot be used to link residency training health care quality. This study aimed determine whether electronic record (EHR) data can meaningfully assess residents’ performance in pediatric emergency medicine using resident-sensitive measures (RSQMs). Method EHR for asthma and bronchiolitis RSQMs from Cincinnati Children’s Hospital Medical Center, a quaternary children’s hospital,...
Prescribing rates for subcutaneous medications may be an indicator of quality end-of-life care in long-term (LTC). It is not known if this system level measure valid across jurisdictions. We compared prescribing used symptom relief among LTC residents Alberta and Ontario. This retrospective cohort study those who died between January 1, 2017, March 17, 2020 Alberta, with a published from Prescribed during resident's last 14 days life were extracted administrative dispensation records. homes...
This study examines the incidence of cognitive decline among long-term care residents in Ontario before and during COVID-19 pandemic.
Most individuals prefer to spend their final moments of life outside a hospital setting. This study compares the places care and death long-term (LTC) home residents in Ontario last 90 days life, according LTC rurality.
IMPORTANCE: Outcomes for critically ill COVID-19 are well described; however, the impact of pandemic on patients without infection is less clear. OBJECTIVES: To demonstrate characteristics and outcomes non-COVID admitted to an ICU during pandemic, compared with previous year. DESIGN: A population-based study conducted using linked health administrative data comparing a cohort from March 1, 2020, June 30, 2020 (pandemic) 2019, 2019 (nonpandemic). SETTING AND PARTICIPANTS: Adult (18 yr old) in...
Background: The end-of-life period is associated with disproportionately higher health care utilization and cost at the population level but there little data in Parkinson’s disease (PD). Objective: goals of this study were to 1) compare use last year life between decedents without PD, 2) identify factors palliative consultation death hospital. Methods: Using linked administrative datasets held ICES, we conducted a retrospective, population-based cohort all Ontario, Canada from 2015 2017. We...
Abstract Background The impact of delirium on cognition has not been well‐studied in long‐term care (LTC) residents. This study examined changes 1 year after a probable episode among LTC residents, compared to residents without delirium. We also evaluated whether the relationship between and cognitive change differed according diagnosis dementia. Methods conducted population‐based retrospective cohort using linked health administrative data. population included adults aged 65+ residing...
Background: This study, conducted in October 2017 at two Canadian universities, aimed to explore the relationships between gender expression, protective coping strategies, alcohol saliency, and high-risk use. Methods: Validated scales were employed assess these variables using survey data. Multivariate analyses investigate associations factors drinking. Results: The study revealed significant drinking androgynous roles (OR=1.58, 95% CI: 1.19-2.10) as well among self-reported males (OR=2.21;...
Background: This study, conducted in October 2017 at two Canadian universities, aimed to explore the relationships between gender expression, protective coping strategies, alcohol saliency, and high-risk use. Methods: Validated scales were employed assess these variables using survey data. Multivariate analyses investigate associations factors drinking. Results: study revealed significant drinking androgynous roles (OR = 1.58, 95% CI: 1.19–2.10) as well among self-reported males 2.21;...
The Canadian Institute of Public Health Inspectors (CIPHI) has acknowledged the importance having a competent membership. As result, it developed Continuing Professional Competencies Program in 2010 to assist its members maintaining their skills, knowledge, and expertise, formally recognize these activities. Participation this program is mandatory for CIPHI members; however, membership not compulsory order practice as public health inspector (PHI). PHIs Ontario do have participate an...
Prognostication following ICU admission can often be determined based on known risk factors, including demographics and illness severity; however, little is about outcomes of patients deemed to "low-risk" at the time hospital who subsequently are admitted ICU.The objectives this study were determine characteristics, outcomes, costs for requiring despite having lower predicted mortality when they hospital.In historical cohort study, we used a prospectively maintained registry that included...
Objectives The aim of this study was to investigate physician benzodiazepine (BZD) self-use pre-COVID-19 pandemic and examine changes in BZD during the first year pandemic. Design Population-based retrospective cohort using linked routinely collected administrative health data comparing period before Setting Province Ontario, Canada between March 2016 2021. Participants Intervention Onset COVID-19 2020. Outcomes measures primary outcome measure receipt one or more prescriptions for BZD,...