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Create and Sustain a Culture of Curiosity: A Case Study of a Home Healthcare Organization in Toronto. 创造和维持好奇心的文化:多伦多家庭保健组织的案例研究。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2022-10-01 DOI: 10.12927/hcq.2022.26940
Sandra McKay, Emily King, Kathryn Nichol
{"title":"Create and Sustain a Culture of Curiosity: A Case Study of a Home Healthcare Organization in Toronto.","authors":"Sandra McKay,&nbsp;Emily King,&nbsp;Kathryn Nichol","doi":"10.12927/hcq.2022.26940","DOIUrl":"https://doi.org/10.12927/hcq.2022.26940","url":null,"abstract":"<p><p>Increased integration in the healthcare sector requires traditionally non-research-based organizations to contribute to evidence-based decision making as equal partners. This requires a culture and infrastructure that support structured inquiry to improve best practice, quality and safety. We present the roadmap used by one home healthcare organization to create an embedded research unit to drive this transformation. The use of a relevant model and a framework provided structure to guide and sustain the process. We expect that the core strategies and combination of frameworks should be transferrable to others wishing to contribute meaningfully to evidence-based health system transformation.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40701306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Identifying Opportunities for Greenhouse Gas Reductions and Cost Savings in Hospitals: A Knowledge Translation Tree. 识别医院温室气体减排和成本节约的机会:知识转化树。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2022-10-01 DOI: 10.12927/hcq.2022.26946
Myles Sergeant, Richard Webster, Linda Varangu, Anita Rao, Sujane Kandasamy, Madeline Rampton, Neha Mathur, Ana Hategan
{"title":"Identifying Opportunities for Greenhouse Gas Reductions and Cost Savings in Hospitals: A Knowledge Translation Tree.","authors":"Myles Sergeant,&nbsp;Richard Webster,&nbsp;Linda Varangu,&nbsp;Anita Rao,&nbsp;Sujane Kandasamy,&nbsp;Madeline Rampton,&nbsp;Neha Mathur,&nbsp;Ana Hategan","doi":"10.12927/hcq.2022.26946","DOIUrl":"https://doi.org/10.12927/hcq.2022.26946","url":null,"abstract":"<p><p>Research has shown that the healthcare sector is among the least green sectors and constitutes one of the largest contributors to greenhouse gas (GHG) emissions, posing risks to human health. This review discusses the development of a knowledge translation tool that aims to compare a range of interventions that can be applied in hospital settings to reduce the local GHG emissions and associated financial costs. It discusses several interventions that potentially have the most impact on GHG reduction and compares these to interventions that are commonly used in different hospital departments. The authors propose opportunities to advance the implementation of these interventions within hospital operations across many other geographic locations.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40700346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Dangerous "Toys": The Burden of Non-Powdered Firearm Injuries in Canadian Children and Youth. 危险的“玩具”:加拿大儿童和青少年非粉末火器伤害的负担。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2022-10-01 DOI: 10.12927/hcq.2022.26949
Natasha Ruth Saunders, Misty Pratt, Charlotte Moore Hepburn
{"title":"Dangerous \"Toys\": The Burden of Non-Powdered Firearm Injuries in Canadian Children and Youth.","authors":"Natasha Ruth Saunders,&nbsp;Misty Pratt,&nbsp;Charlotte Moore Hepburn","doi":"10.12927/hcq.2022.26949","DOIUrl":"https://doi.org/10.12927/hcq.2022.26949","url":null,"abstract":"<p><p>Injuries in children and youth from non-powdered firearms are a significant public health concern in Canada and other high-income countries. Injury burden, healthcare utilization and costs related to non-powdered firearm use in Ontarians under 25 years of age were analyzed using ICES data. They demonstrate the need for effective policy interventions and awareness campaigns to improve the safety of these popular \"toys.\"</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40700343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of the COVID-19 Pandemic on Virtual Care: A Major Shift for Physicians and Patients. COVID-19大流行对虚拟医疗的影响:医生和患者的重大转变。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2022-10-01 DOI: 10.12927/hcq.2022.26948
Liudmila Husak, Vanessa Sovran, Alison Ytsma, Marc Comeau
{"title":"Impact of the COVID-19 Pandemic on Virtual Care: A Major Shift for Physicians and Patients.","authors":"Liudmila Husak,&nbsp;Vanessa Sovran,&nbsp;Alison Ytsma,&nbsp;Marc Comeau","doi":"10.12927/hcq.2022.26948","DOIUrl":"https://doi.org/10.12927/hcq.2022.26948","url":null,"abstract":"<p><p>To reduce the spread of COVID-19 in Canada, patients receiving physician services experienced a significant shift to virtual appointments by telephone, video conference and online messaging as many physician visits moved from in-person to virtual delivery. The Canadian Institute for Health Information's analysis of the physician billing data in five provinces (Ontario, Manitoba, Saskatchewan, Alberta and British Columbia) shows that during the first year of the pandemic in 2020, up to twice as many physicians provided care virtually compared to 2019. At the same time, the rate at which patients received virtual services quadrupled. Furthermore, data from the 2021 Commonwealth Fund (CMWF) survey of older adults show that almost twice as many Canadian seniors (71%) had a virtual appointment with a doctor or healthcare provider compared to seniors in other CMWF countries (39%). Going forward, virtual care remains a significant mode of delivery and has important implications for the future of patient care and the relationships between patients and providers.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40700344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Empowering Patients and Families to Create, Inform and Endorse a New Patient and Family Declaration of Values. 授权患者和家庭创造、告知和支持新的患者和家庭价值观宣言。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2022-07-01 DOI: 10.12927/hcq.2022.26884
Julie Finnigan, Susan Gibson, Phillip Valvasori, Lindsay Pietrangelo, Sonia Pagura
{"title":"Empowering Patients and Families to Create, Inform and Endorse a New Patient and Family Declaration of Values.","authors":"Julie Finnigan,&nbsp;Susan Gibson,&nbsp;Phillip Valvasori,&nbsp;Lindsay Pietrangelo,&nbsp;Sonia Pagura","doi":"10.12927/hcq.2022.26884","DOIUrl":"https://doi.org/10.12927/hcq.2022.26884","url":null,"abstract":"<p><p>In 2019, Niagara Health embarked on a partnership journey to develop the Patient and Family Declaration of Values (PFDoV). The initiative leveraged all five International Association for Public Participation domains of engagement, integrating patient partners (PPs) in all facets of co-design methodology including planning, data collection, analysis and document formation. A qualitative data analysis in grounded theory yielded seven themes forming the PFDoV, fully endorsed by the executive team and board of directors. The model of engagement and co-design empowered PPs to take ownership of the PFDoV creation. This article describes the strengths, weaknesses and lessons learned from our approach.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33480712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Considerations for Virtual Care Following the Pandemic. 大流行后虚拟医疗的考虑因素。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2022-07-01 DOI: 10.12927/hcq.2022.26886
Melanie Powis, Monika K Krzyzanowska
{"title":"Considerations for Virtual Care Following the Pandemic.","authors":"Melanie Powis,&nbsp;Monika K Krzyzanowska","doi":"10.12927/hcq.2022.26886","DOIUrl":"https://doi.org/10.12927/hcq.2022.26886","url":null,"abstract":"<p><p>The pandemic has served as an impetus for rapid uptake of virtual care into clinical practice, creating new patient and clinician needs and a willingness to adopt new technologies. It is obvious that healthcare will not return to pre-pandemic levels of in-person care and that patients expect virtual care to remain an option. However, the underlying structural and behavioural barriers related to equity, access, infrastructure, provider licensing and remuneration structures that limited pre-pandemic use of virtual care still persist. Herein, we provide recommendations and tangible next steps to sustain virtual care moving forward.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33480710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reducing Hospital Harm: Establishing a Command Centre to Foster Situational Awareness. 减少医院伤害:建立指挥中心以培养态势感知。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2022-07-01 DOI: 10.12927/hcq.2022.26885
Barbara E Collins
{"title":"Reducing Hospital Harm: Establishing a Command Centre to Foster Situational Awareness.","authors":"Barbara E Collins","doi":"10.12927/hcq.2022.26885","DOIUrl":"https://doi.org/10.12927/hcq.2022.26885","url":null,"abstract":"<p><p>Humber River Hospital (HRH) implemented the world's first Command Centre (Generation 2) tiles to support early identification and real-time management of patients at risk of harm and clinical deterioration. To rescue patients and mitigate patient safety threats, situational awareness must be maximized. The development of the Generation 2 tiles was aligned with 18 out of 31 categories and clinical groupings of the Hospital Harm framework. Results of the 2019/20 Hospital Harm report (CIHI 2021) revealed that the overall rate of harm score for HRH was lower than that of peer hospitals, suggesting that there may be an association between the tiles and these patient outcomes.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33480711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Responding to Ontario's Overdose Crisis in the Context of the COVID-19 Pandemic. 在COVID-19大流行背景下应对安大略省的药物过量危机。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2022-07-01 DOI: 10.12927/hcq.2022.26896
Tara Gomes, Sophie Kitchen, Tonya Campbell, Regan Murray, Pamela Leece, Gillian Kolla
{"title":"Responding to Ontario's Overdose Crisis in the Context of the COVID-19 Pandemic.","authors":"Tara Gomes,&nbsp;Sophie Kitchen,&nbsp;Tonya Campbell,&nbsp;Regan Murray,&nbsp;Pamela Leece,&nbsp;Gillian Kolla","doi":"10.12927/hcq.2022.26896","DOIUrl":"https://doi.org/10.12927/hcq.2022.26896","url":null,"abstract":"<p><p>The COVID-19 pandemic has exacerbated the overdose crisis in Canada. Using data from ICES and the Office of the Chief Coroner of Ontario, the authors characterized changing patterns of medication use and health services utilization during the pandemic. This analysis suggests that responses to the overdose crisis must confront the rapidly changing unregulated drug supply with a tailored response that addresses varied population needs, expands accessible treatment and harm reduction services and responds to the missed opportunities for engagement and support within various healthcare settings.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33481691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Strategic Clinical Network Teams Improve Effectiveness, Team and Leadership Processes and Inputs: Theory-Based Longitudinal Survey. 战略临床网络团队提高有效性、团队和领导过程和投入:基于理论的纵向调查。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2022-07-01 DOI: 10.12927/hcq.2022.26888
Deborah E White, Jill M Norris, Danielle A Southern, Tracy Wasylak, William A Ghali
{"title":"Strategic Clinical Network Teams Improve Effectiveness, Team and Leadership Processes and Inputs: Theory-Based Longitudinal Survey.","authors":"Deborah E White,&nbsp;Jill M Norris,&nbsp;Danielle A Southern,&nbsp;Tracy Wasylak,&nbsp;William A Ghali","doi":"10.12927/hcq.2022.26888","DOIUrl":"https://doi.org/10.12927/hcq.2022.26888","url":null,"abstract":"<p><p>Strategic Clinical Networks (SCNs) in Alberta include multidisciplinary teams that work toward health system innovation and improvement; however, what contributes to team effectiveness is unclear. This theory-informed longitudinal survey (n = 826) evaluated team effectiveness within SCNs and predictors of effectiveness. Satisfaction, inter-team relationships and seven predictors including team inputs and team and leadership processes improved over two years. Attitudinal outputs were predicted by the same factors over time, whereas performance outputs were predicted by different factors. This innovative study emphasizes that SCN teams and their effectiveness evolve over time and that team-based research can refine network evaluations.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33480708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhancing Hospital Accreditation Practices: Building and Implementing a Continuous Readiness Model. 加强医院认证实践:建立和实施持续准备模式。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2022-07-01 DOI: 10.12927/hcq.2022.26891
Nicole A Thomson, Kimberly Hunter, Rani H Srivastava, Masooma Hassan, Leila Anderson, Lydia Sequeira
{"title":"Enhancing Hospital Accreditation Practices: Building and Implementing a Continuous Readiness Model.","authors":"Nicole A Thomson,&nbsp;Kimberly Hunter,&nbsp;Rani H Srivastava,&nbsp;Masooma Hassan,&nbsp;Leila Anderson,&nbsp;Lydia Sequeira","doi":"10.12927/hcq.2022.26891","DOIUrl":"https://doi.org/10.12927/hcq.2022.26891","url":null,"abstract":"<p><p>Accreditation Canada is moving from a three-to-five-year assessment cycle to a continuous assessment program. As our organization shifted to a culture of continuous readiness, we aimed to develop a model that would support a seamless transition. To develop our model, we completed a literature review, environmental scan and an organizational needs assessment. Grounded in quality management theory, our continuous readiness model includes overarching supporting infrastructure and tasks, tools and initiatives to embed the principles of continuous readiness across the organization. Our model provides organizations with a practical, evidence-informed process to support a state of continuous readiness for accreditation.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33480705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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