- Emergency and Acute Care Studies
- Patient Safety and Medication Errors
- Cardiac, Anesthesia and Surgical Outcomes
- Medical Malpractice and Liability Issues
- Healthcare Policy and Management
- Pharmaceutical Practices and Patient Outcomes
- Frailty in Older Adults
- Health Systems, Economic Evaluations, Quality of Life
- Heart Failure Treatment and Management
- Medical Coding and Health Information
- Healthcare Quality and Management
- Venous Thromboembolism Diagnosis and Management
- Healthcare cost, quality, practices
- Electronic Health Records Systems
- Hospital Admissions and Outcomes
- Primary Care and Health Outcomes
- Atrial Fibrillation Management and Outcomes
- Hip and Femur Fractures
- Blood transfusion and management
- Sepsis Diagnosis and Treatment
- Chronic Disease Management Strategies
- Diagnosis and Treatment of Venous Diseases
- Geriatric Care and Nursing Homes
- Family and Patient Care in Intensive Care Units
- Patient-Provider Communication in Healthcare
Ottawa Hospital
2015-2024
Ottawa Hospital Research Institute
2015-2024
Ludwig-Maximilians-Universität München
2024
McGill University
2013-2024
University of Ottawa
2014-2023
University of Alberta
2007-2021
Williams (United States)
2021
McMaster University
2021
Kingston Health Sciences Centre
2018-2021
Queens University
2021
Background: Comorbidity measures are necessary to describe patient populations and adjust for confounding. In direct comparisons, studies have found the Elixhauser comorbidity system be statistically slightly superior Charlson at adjusting comorbidity. However, classification requires 30 binary variables, making its use reporting analysis of cumbersome. Objective: Modify into a single numeric score administrative data. Methods: For all hospitalizations Ottawa Hospital, Canada, between 1996...
Background: Studies of hospitalized patients identify safety as a significant problem, but few data are available regarding injuries occurring after discharge. Patients may be vulnerable during this transition period. Objective: To describe the incidence, severity, preventability, and ameliorability adverse events affecting discharge from hospital to develop strategies for improving patient interval. Design: Prospective cohort study. Setting: A tertiary care academic hospital. Patients: 400...
<b>Background:</b> Readmissions to hospital are common, costly and often preventable. An easy-to-use index quantify the risk of readmission or death after discharge from would help clinicians identify patients who might benefit more intensive post-discharge care. We sought derive validate an predict unplanned within 30 days community. <b>Methods:</b> In a prospective cohort study, 48 patient-level admission-level variables were collected for 4812 medical surgical discharged community 11...
Objective: To compare the accuracy of modified Fried Index (mFI) and Clinical Frailty Scale (CFS) to predict death or patient-reported new disability 90 days after major elective surgery. Background: The association frailty with outcomes, comparisons between preoperative instruments are poorly described. Methods: This was a prospective multicenter cohort study. We determined status in individuals ≥65 years having noncardiac surgery using mFI CFS. Outcomes included (primary); safety...
Emergency department (ED) overcrowding is a common problem. Despite widespread belief that low hospital bed availability contributes to ED overcrowding, there are few data demonstrating this effect.To identify the effect of occupancy on length stay for admitted patients and patient disposition.This was an observational study design using administrative at 500-bed acute care teaching hospital. All presenting between April 1993 June 1999 were included in study. The predictor variable daily...
Abstract Emergency department (ED) overcrowding is a common problem. Despite widespread belief that low hospital bed availability contributes to ED overcrowding, there are few data demonstrating this effect. Objectives: To identify the effect of occupancy on length stay for admitted patients and patient disposition. Methods: This was an observational study design using administrative at 500‐bed acute care teaching hospital. All presenting between April 1993 June 1999 were included in study....
<b>Background:</b> Adverse events are poor patient outcomes that due to medical care. Studies of hospital patients have demonstrated adverse common, but few data describe the timing them in relation admission. We evaluated characteristics affecting admitted a Canadian teaching hospital, paying particular attention timing. <b>Methods:</b> randomly selected 502 adults Ottawa Hospital for acute care nonpsychiatric illnesses over 1-year period. Charts were reviewed 2 stages. If an event was...
<h3>Background:</h3> Urgent, unplanned hospital readmissions are increasingly being used to gauge the quality of care. We reviewed urgent determine which were potentially avoidable and compared rates all-cause readmissions. <h3>Methods:</h3> In a multicentre, prospective cohort study, we all that occurred within six months among patients discharged community from 11 teaching hospitals between October 2002 July 2006. Summaries by at least four practising physicians using standardized methods...
<h3>Background</h3> In 2001, Canada Health Infoway unveiled a plan to implement national system of interoperable electronic health records. This government-funded corporation introduced novel model for interprovincial/territorial collaboration establish core aspects framework. Despite this $1.6 billion initiative, continues lag behind other Western countries in adopting We conducted study identify the success different Canadian and ways improve adoption <h3>Methods</h3> used case approach...