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Developing and implementing a new health information technology innovation to improve patient safety in the Canadian context. 开发和实施一项新的卫生信息技术创新，以改善加拿大的患者安全。
Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-06-05 DOI: 10.1177/08404704251346951
Corinne M Hohl, Arnold Ikedichi Okpani, Craig Kuziemsky
{"title":"Developing and implementing a new health information technology innovation to improve patient safety in the Canadian context.","authors":"Corinne M Hohl, Arnold Ikedichi Okpani, Craig Kuziemsky","doi":"10.1177/08404704251346951","DOIUrl":"10.1177/08404704251346951","url":null,"abstract":"<p><p>Adverse Drug Events (ADEs) are unintended and harmful events related to medication use. Many ADEs recur because patients are unintentionally re-exposed to medications that previously caused harm. To help address this, we designed ActionADE, an interoperable Health Information Technology (HIT) that allows clinicians to communicate ADEs across health sectors. We completed ethnographic workplace observations and a systematic review to inform design. After piloting, we integrated ActionADE with the provincial medication dispensing database to alert pharmacists when patients seek to fill a prescription for the same or a same-class drug as one that previously caused harm. Co-design, application of clinically meaningful field labels and data standards, and integration with other health information systems were critical to ActionADE's functionality and use. However, health system decision-makers need to proactively plan for how to spread and scale pilot project in the HIT ecosystem to ensure public benefit from successful innovation.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"418-424"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The research activities of Canadian community hospitals: A bibliometric analysis. 加拿大社区医院的研究活动：文献计量分析。
Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-06-05 DOI: 10.1177/08404704251345312
Kian Rego, Prey Patel, Alexandra Binnie, Jennifer Tsang
{"title":"The research activities of Canadian community hospitals: A bibliometric analysis.","authors":"Kian Rego, Prey Patel, Alexandra Binnie, Jennifer Tsang","doi":"10.1177/08404704251345312","DOIUrl":"10.1177/08404704251345312","url":null,"abstract":"<p><p>Community hospitals represent 90% of Canadian hospitals, yet many lack the necessary infrastructure to conduct health research. This shortfall limits patient access to research studies, reduces study efficiency, and decreases the generalizability of study results. Previous work from our group identified an increase in publications from Ontario's large community hospitals between 2013 and 2022. However, data from other Canadian provinces is lacking. This bibliometric analysis identified indexed publications from authors affiliated with Canada's 544 community hospitals between 2018 and 2023. Among 13,689 publications, 12,472 unique articles were identified. Most were primary research articles (67%), with only 5% being clinical trials. Ontario's community hospitals had the highest number of publications (n = 7,925), followed by Alberta (n = 2,086) and Quebec (n = 1,480). Of Canada's 544 community hospitals, only 42% were affiliated with one or more publications from 2018 to 2023, highlighting the need to strengthen Canadian community hospital research capacity at a systems level.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"449-455"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227068","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
Improving patient engagement in mental health: Exploring the potential of pre-visit notes in Canadian care settings. 提高患者对心理健康的参与度：探索加拿大医疗机构中就诊前记录的潜力。
Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-02-10 DOI: 10.1177/08404704251316424
Karishini Ramamoorthi, Iman Kassam, Brian Lo, Sarah Kimball, Gillian Strudwick
{"title":"Improving patient engagement in mental health: Exploring the potential of pre-visit notes in Canadian care settings.","authors":"Karishini Ramamoorthi, Iman Kassam, Brian Lo, Sarah Kimball, Gillian Strudwick","doi":"10.1177/08404704251316424","DOIUrl":"10.1177/08404704251316424","url":null,"abstract":"<p><p>OurNotes is a movement that advocates for patient engagement by encouraging patients to contribute to their care through a pre-visit note, where they can comment on their health progress and prioritize topics for discussion with their clinicians. To date, pre-visit notes have been implemented in primary and acute care settings internationally, and their reception has generally been positive. However, their use in Canada and in mental health settings is limited. To address this gap, we conducted semi-structured interviews with 26 mental health clinicians, patients, and care partners. Barriers, facilitators, and recommendations to implementing pre-visit notes in Canadian mental health settings were identified. Overall, clinicians, patients, and care partners had positive perceptions towards pre-visit notes, indicating that they may serve as an innovative model for improving patient engagement and satisfaction in mental health settings. The barriers and facilitators identified, provide guidance for mental health organizations considering the implementation of pre-visit notes.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"431-436"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392014","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
Enabling decision-making and innovation in learning health systems through simulation modelling. 通过模拟建模促进卫生系统学习的决策和创新。
Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-06-12 DOI: 10.1177/08404704251348857
Lysanne Lessard, Antoine Sauré
{"title":"Enabling decision-making and innovation in learning health systems through simulation modelling.","authors":"Lysanne Lessard, Antoine Sauré","doi":"10.1177/08404704251348857","DOIUrl":"10.1177/08404704251348857","url":null,"abstract":"<p><p>Canadian healthcare systems require profound transformations to enhance patient experience, improve population health, reduce costs, and improve the work life of healthcare providers. Learning Health Systems (LHSs) are an approach for undertaking this transformation in an effective, efficient, and sustainable manner with digital technologies as a key enabler for change. However, the successful implementation of a LHS brings with it challenging and potentially risky changes to clinical practices and operations. Simulation modelling is an advanced analytics technique particularly well-suited for informing decision-making and planning prior to and during the transformation of complex systems such as LHSs. Yet, despite the use and demonstrated benefits of simulation modelling in many different industries including healthcare, its application in the context of LHSs has received limited attention. In this article, we discuss how simulation modelling can be leveraged to support better-informed, lower-risk decisions and innovation in LHSs.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"470-476"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Incorporating digital health into organizational health literacy: An updated definition, tools, and recommendations. 将数字健康纳入组织健康素养：更新的定义、工具和建议。
Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-07-08 DOI: 10.1177/08404704251356518
Helen Monkman, Blake J Lesselroth
{"title":"Incorporating digital health into organizational health literacy: An updated definition, tools, and recommendations.","authors":"Helen Monkman, Blake J Lesselroth","doi":"10.1177/08404704251356518","DOIUrl":"10.1177/08404704251356518","url":null,"abstract":"<p><p>Health literacy is important from two perspectives: the individuals (personal health literacy) and the organizations providing information and services (organizational health literacy). While research has addressed digitalization in healthcare and associated barriers and enablers in personal health literacy (e.g., digital health literacy), these developments have not been paraleled in organizational health literacy. In this article, we proposed an augmented definition of organizational health literacy and conducted a gap analysis of the Health Literacy Universal Precautions Toolkit to expand it for digital health. Important advancements, specifically for virtual care, have been made, yet a broader approach must be adopted for all digital health technology. We proposed a series of modifications to emphasize the importance of digital health in organizational health literacy. Organizations must equitably enable individuals to understand and use digital information and services. In this monograph, we describe the current informatics gap and the required competencies, policies, and infrastructure to close the gap.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"437-448"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cost-analysis and rationale for implementing semi-urgent laparoscopic cholecystectomy programs in a public healthcare system. 在公共医疗系统中实施半紧急腹腔镜胆囊切除术的成本分析和理由。
Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-05-21 DOI: 10.1177/08404704251338668
Matthew Cornacchia, Victoria Ivankovic, Dexter Choi, Shahad Abdulkhaleq Mamalchi, Peter Glen, Maher Matar, Fady Balaa
{"title":"Cost-analysis and rationale for implementing semi-urgent laparoscopic cholecystectomy programs in a public healthcare system.","authors":"Matthew Cornacchia, Victoria Ivankovic, Dexter Choi, Shahad Abdulkhaleq Mamalchi, Peter Glen, Maher Matar, Fady Balaa","doi":"10.1177/08404704251338668","DOIUrl":"10.1177/08404704251338668","url":null,"abstract":"<p><p>Wait times for elective surgical procedures in publicly funded healthcare systems impede patient well-being and resource efficiency. Patients with gallstone disease requiring semi-urgent intervention are often treated via inpatient emergency pathways due to limited elective surgery access. This study aimed to evaluate the rationale and cost-effectiveness of providing timely outpatient semi-urgent cholecystectomy. We retrospectively reviewed 512 patients with urgent biliary disease (excluding cholecystitis) who underwent surgery between July 2019 and December 2022. The primary outcome was time from booking to operating room; the secondary was the estimated cost of prolonged hospital stays. Patients waited an average of 26.45 hours; 19.1% waited 48 hours or longer, and 6.2% waited 72 hours or more. The associated cost was $405,785 over 40 months. Implementing semi-urgent surgical resources could reduce costs, improve efficiency, and enhance patient quality of life. Future work should involve stakeholders to address barriers and facilitators in Canada.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"477-482"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Achieving success through ethical introduction of artificial intelligence in the healthcare ecosystem. 通过在医疗生态系统中道德地引入人工智能来取得成功。
Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-06-17 DOI: 10.1177/08404704251350766
Carolyn Petersen
{"title":"Achieving success through ethical introduction of artificial intelligence in the healthcare ecosystem.","authors":"Carolyn Petersen","doi":"10.1177/08404704251350766","DOIUrl":"10.1177/08404704251350766","url":null,"abstract":"<p><p>Just as healthcare organizations must carefully consider how to incorporate Artificial Intelligence (AI) into patient-facing apps and messaging, so must they also think about how to ethically introduce AI into the workplace. Unreasonable expectations, lack of training, insufficient AI tool maintenance, and other barriers to effective use of AI create significant challenges for leaders that can lead to lower productivity, less effectiveness at work, reduced satisfaction, and burnout. A thoughtful, measured approach to AI design and implementation that incorporates practices supporting user comfort and satisfaction is key to achieving success with AI in the workplace.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"510-513"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310546","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
Adapt to evaluate: Lessons from a multi-site trial of a digitally enabled care transition intervention. 适应评估：来自数字化护理过渡干预的多站点试验的经验教训。
Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-06-23 DOI: 10.1177/08404704251351459
Terence Tang, Michelle Nelson, Carolyn Steele Gray
{"title":"Adapt to evaluate: Lessons from a multi-site trial of a digitally enabled care transition intervention.","authors":"Terence Tang, Michelle Nelson, Carolyn Steele Gray","doi":"10.1177/08404704251351459","DOIUrl":"10.1177/08404704251351459","url":null,"abstract":"<p><p>Digital health interventions are complex, involving the interactions of organizations, people, workflows, and technology. Adaptability is needed in both implementation and evaluation strategies to meet the needs of organizations, clinicians, patients, and researchers. The Digital Bridge project aims to co-design, implement, and evaluate a digitally enabled care transition intervention for older adults with complex needs. We encountered varying ability of partners to engage at different times, alongside changes in technology infrastructure, vendor, and healthcare services offered including unanticipated emergence of other care transition interventions. Through collaboration with health system partners, implementation and evaluation strategies were adapted. In evaluating digital health interventions, adaptability and flexibility in implementation strategies and evaluation methods are needed to meet the real-world need of delivering digital health interventions at scale. The Learning Health System Action Framework may offer insights as to how to address these tensions.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"506-509"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477194","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
Physicians' experiences delivering provincial real-time virtual support services: A qualitative interview study. 医生提供省级实时虚拟支持服务的经验：一项定性访谈研究。
Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-07-09 DOI: 10.1177/08404704251351258
Michelle Yang, Kurtis Stewart, Amrit Bhullar, Joanne Chi, Elsie Jiaxi Wang, Ivjot Samra, Kendall Ho, Joan Assali, Mina Han, Helen Novak Lauscher
{"title":"Physicians' experiences delivering provincial real-time virtual support services: A qualitative interview study.","authors":"Michelle Yang, Kurtis Stewart, Amrit Bhullar, Joanne Chi, Elsie Jiaxi Wang, Ivjot Samra, Kendall Ho, Joan Assali, Mina Han, Helen Novak Lauscher","doi":"10.1177/08404704251351258","DOIUrl":"10.1177/08404704251351258","url":null,"abstract":"<p><p>Rural, remote, and Indigenous communities in British Columbia (BC) tend to have lower access to healthcare providers and poorer health outcomes-an inequality that the COVID-19 pandemic has exacerbated. In response, Real-Time Virtual Support (RTVS) pathways were developed to advance equitable access to care for patients and provide peer support to physicians working in underserved communities. This study aimed to describe the perspectives of Virtual Physicians (VPs) who delivered the RTVS services. Forty-five RTVS VPs engaged in 30-minute semi-structured interviews about their experiences and perspectives delivering RTVS. Three themes emerged: (1) RTVS's contributions to VPs' personal and professional development; (2) impacts on communities; and (3) considerations for the availability and expansion. VPs identified incremental expansion and attaining funding stability as critical next steps for virtual healthcare in BC. This evidence informed RTVS program evaluation and may provide learnings relevant to other jurisdictions.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"483-489"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health data access, quality, and use: Factors impacting physician performance. 健康数据访问、质量和使用——影响医生表现的因素。
Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-07-05 DOI: 10.1177/08404704251355187
Ewan Affleck, Nicole Kain, Cliff Lindeman, Iryna Hurava, Yeong-Bae Kim, Katie Kjelland, Kushagr Kumar
{"title":"Health data access, quality, and use: Factors impacting physician performance.","authors":"Ewan Affleck, Nicole Kain, Cliff Lindeman, Iryna Hurava, Yeong-Bae Kim, Katie Kjelland, Kushagr Kumar","doi":"10.1177/08404704251355187","DOIUrl":"10.1177/08404704251355187","url":null,"abstract":"<p><p>High-performing physicians are an essential attribute of quality health services and public safety. Inaccessibility to quality health data by health providers can lead to individual, population, or health system harm suggesting a relationship between health data and the delivery of high-performing health programs and services. Yet the characteristics of health data have not been considered as a factor that may impact physician performance. There is evidence that limitations in health data access, quality, and effective and appropriate use can impair the capacity of physicians to provide high-quality clinical health services and use secondary health data to generate beneficial insights. Failure to acknowledge and mitigate health data factors can potentially hinder efforts to promote patient safety, reduce physician burnout, and address broader healthcare inefficiencies including a lack of interoperability. Efforts to enhance physician performance and safeguard public well-being must include a proactive approach to improving health data access, quality, and user literacy.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"425-430"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567965","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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