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Exploring Quality and Safety Best Practices at Leading International Centres. 探索国际领先中心的质量和安全最佳做法。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-10-01 DOI: 10.12927/hcq.2024.27489
Sarah Tosoni, Lucas B Chartier
{"title":"Exploring Quality and Safety Best Practices at Leading International Centres.","authors":"Sarah Tosoni, Lucas B Chartier","doi":"10.12927/hcq.2024.27489","DOIUrl":"10.12927/hcq.2024.27489","url":null,"abstract":"<p><strong>Background: </strong>This project aimed to go beyond published literature to glean strategies and lessons learned on quality and safety (Q&S) best practices from centres with pre-eminent international reputations.</p><p><strong>Methods: </strong>Nine centres participated in an interview; questions centred on approaches to building Q&S infrastructure around the Institute for Healthcare Improvement's (IHI's) Whole System Quality (WSQ) framework (Sampath et al. 2021).</p><p><strong>Results: </strong>Inductive thematic analyses revealed recommendations for quality planning (e.g., making Q&S the central focus of an organization), quality control (e.g., triangulating Q&S metrics) and quality improvement (e.g., Q&S champions at all levels).</p><p><strong>Conclusion: </strong>Recommendations provide a practical guide for the successful implementation of the IHI WSQ framework.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 3","pages":"34-40"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848760","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
Lung Cancer and COPD: Opportunities to Leverage Lung Cancer Screening Programs to Improve COPD Diagnostics. 肺癌和慢性阻塞性肺病：利用肺癌筛查项目提高慢性阻塞性肺病诊断的机会。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-10-01 DOI: 10.12927/hcq.2024.27494
Stacey J Butler, Lawrence Paszat, Andrea S Gershon
{"title":"Lung Cancer and COPD: Opportunities to Leverage Lung Cancer Screening Programs to Improve COPD Diagnostics.","authors":"Stacey J Butler, Lawrence Paszat, Andrea S Gershon","doi":"10.12927/hcq.2024.27494","DOIUrl":"https://doi.org/10.12927/hcq.2024.27494","url":null,"abstract":"<p><p>Lung cancer and chronic obstructive pulmonary disease (COPD) have many shared risk factors and not surprisingly, the two diseases often coexist. This article highlights the burden of COPD among patients with lung cancer in Ontario and explores opportunities to enhance lung cancer screening programs. We propose pursuing integrated strategies that incorporate new advances in artificial intelligence to improve disease diagnostics and navigate the complexity of caring for people with coexisting lung diseases. Evidence supports that this is a vulnerable population with unmet needs and poor outcomes that deserves urgent attention and action to promote earlier diagnosis and alleviate suffering.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 3","pages":"7-10"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848770","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
A Framework for Developing an Integrated Shelter Health Model in a Mid-Sized Community: The Windsor Shelter Health Experience. 在中等规模社区发展综合庇护所健康模式的框架：温莎避难所健康经验。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-10-01 DOI: 10.12927/hcq.2024.27487
Karen Michael, Kathryn A Pfaff, Kelly Goz, Jennifer N Bondy
{"title":"A Framework for Developing an Integrated Shelter Health Model in a Mid-Sized Community: The Windsor Shelter Health Experience.","authors":"Karen Michael, Kathryn A Pfaff, Kelly Goz, Jennifer N Bondy","doi":"10.12927/hcq.2024.27487","DOIUrl":"https://doi.org/10.12927/hcq.2024.27487","url":null,"abstract":"<p><p>Windsor Shelter Health is an integrated program that offers comprehensive on-site medical services at shelters and drop-in centres for people experiencing homelessness in Windsor, ON. Although homelessness exists in most Canadian communities, there is more understanding of homelessness responses in larger urban centres. Windsor is a mid-sized border city in southwestern Ontario. Here, we explore the structures and processes that have been used to build a shelter health model in a city of this size and some early outcomes. Examples of these include a thoughtful governance structure, a shared electronic medical record, co-location of services, embedded research and educational programs, sustainable funding sources and collaboration between partners. Using this model, we were able to divert patient visits from the emergency department to be better managed in an outpatient setting, increase patient attachment to primary care and create novel avenues for education for both learners and staff in Windsor. Therefore, we demonstrate why these are essential components of this new program, and how other mid- and smaller-sized cities might incorporate these elements into their own shelter health programs.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 3","pages":"49-55"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848755","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
From the Editors. 来自编辑。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-10-01 DOI: 10.12927/hcq.2024.27495
Anne Wojtak, Richard Lewanczuk
{"title":"From the Editors.","authors":"Anne Wojtak, Richard Lewanczuk","doi":"10.12927/hcq.2024.27495","DOIUrl":"https://doi.org/10.12927/hcq.2024.27495","url":null,"abstract":"<p><p>In October 2024, our team of co-editor-in-chiefs attended the North America Conference on Integrated Care in Calgary, AB. The conference provided an opportunity to learn from Canadian and international presenters about the progress toward greater collaboration and integration across health and social care. It was energizing to see how much leading-edge work is happening across Canada and reflect on the importance of creating purposeful space for knowledge sharing. Our team came away re-energized and committed to our work with <i>Healthcare Quarterly</i> (<i>HQ</i>) to continue bringing our readers examples of communities, organizations and teams implementing innovative solutions to some of our most complex system challenges.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 3","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848762","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
Insights on the Healthcare Trajectories of People Living With Dementia. 痴呆症患者医疗保健轨迹透视。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-10-01 DOI: 10.12927/hcq.2024.27493
Raquel Souza Dias Betini, Masud Hussain, Rachel Latus, Allie Chen, Liudmila Husak, Catherine Pelletier, Larry Shaver
{"title":"Insights on the Healthcare Trajectories of People Living With Dementia.","authors":"Raquel Souza Dias Betini, Masud Hussain, Rachel Latus, Allie Chen, Liudmila Husak, Catherine Pelletier, Larry Shaver","doi":"10.12927/hcq.2024.27493","DOIUrl":"https://doi.org/10.12927/hcq.2024.27493","url":null,"abstract":"<p><p>People living with dementia follow different healthcare trajectories based on the individual healthcare needs and external supports available to them. We explored healthcare trajectories involving home care and long-term care settings, associated factors and hospitalizations prior to transitioning to these settings. This study was part of a collaborative project between the Canadian Institute for Health Information and the Public Health Agency of Canada that supported the implementation of the national dementia strategy (PHAC 2019) through the Enhanced Dementia Surveillance Initiative (Government of Canada 2023). This initiative aimed to inform public health actions with new findings from surveillance and data.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 3","pages":"11-14"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848764","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
Promoting Psychological Health and Safety in Canadian Healthcare Organizations. 促进加拿大医疗保健机构的心理健康和安全。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-10-01 DOI: 10.12927/hcq.2024.27490
Graham Lowe
{"title":"Promoting Psychological Health and Safety in Canadian Healthcare Organizations.","authors":"Graham Lowe","doi":"10.12927/hcq.2024.27490","DOIUrl":"https://doi.org/10.12927/hcq.2024.27490","url":null,"abstract":"<p><p>This article analyzes findings from the Health Standards Organization's new Global Workforce Survey (GWS). The GWS enables healthcare organizations to measure, analyze and benchmark their workforce's perceptions of working conditions, safety culture and care quality against peers. The GWS measures key features of The National Standard of Canada for Psychological Health and Safety in the Workplace (CSA Group and Bureau de normalisation du Québec 2013; MHCC 2013). The article highlights how psychological health and safety in Canadian healthcare organizations can enhance the well-being of workers, improve patient care and ultimately contribute to a more effective healthcare system.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 3","pages":"22-27"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848774","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
An Integrated Rapid Response Model for Pediatric Patients Requiring In-Patient Medical Stabilization: Lessons Learned to Enable Regional Capacity Building. 针对需要住院医疗稳定的儿科病人的综合快速反应模式：汲取经验教训，促进地区能力建设。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-10-01 DOI: 10.12927/hcq.2024.27486
Natasha Bruno, Kayla Esser, Paul Davis, Debra K Katzman, Peter J Azzopardi, Joseph Wiley, Sarah Barker, Sarah Kearney, Leah Bartlett, Cheryl Hoare, Jonathan Sam, Ryan W Smith, Arif Manji, Maria Psihogios, Joan Abohweyere, Zeba Ansari, Samantha Martin, Sheri Ferkl, Ronik Kanani, Michelle Gordon, Celia Atkinson, Julia Orkin
{"title":"An Integrated Rapid Response Model for Pediatric Patients Requiring In-Patient Medical Stabilization: Lessons Learned to Enable Regional Capacity Building.","authors":"Natasha Bruno, Kayla Esser, Paul Davis, Debra K Katzman, Peter J Azzopardi, Joseph Wiley, Sarah Barker, Sarah Kearney, Leah Bartlett, Cheryl Hoare, Jonathan Sam, Ryan W Smith, Arif Manji, Maria Psihogios, Joan Abohweyere, Zeba Ansari, Samantha Martin, Sheri Ferkl, Ronik Kanani, Michelle Gordon, Celia Atkinson, Julia Orkin","doi":"10.12927/hcq.2024.27486","DOIUrl":"https://doi.org/10.12927/hcq.2024.27486","url":null,"abstract":"<p><p>There was an unprecedented surge in admissions for medical stabilization of pediatric patients with eating disorders during the COVID-19 pandemic in Ontario. Eleven hospitals established an integrated rapid response model to ensure timely in-patient access for these patients. This population was cared for in re-allocated community hospital beds as a result of engaging hospital leadership, strengthening partnerships, consulting experts, leveraging existing resources and developing regional bed access strategies. Innovative healthcare system changes were sustained, demonstrating how hospitals can partner to increase capacity and dynamically address crises. Our model can be applied to other populations requiring urgent and collaborative response.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 3","pages":"56-63"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848756","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
Accounting for Cognitive Impairment in Concurrent Disorders Treatment: Practical Resources to Meet the Needs of Our Most Complex Clients. 在并发症治疗中考虑认知障碍：满足最复杂客户需求的实用资源》。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-07-01 DOI: 10.12927/hcq.2024.27431
Carolyn Lemsky, Tim Godden
{"title":"Accounting for Cognitive Impairment in Concurrent Disorders Treatment: Practical Resources to Meet the Needs of Our Most Complex Clients.","authors":"Carolyn Lemsky, Tim Godden","doi":"10.12927/hcq.2024.27431","DOIUrl":"https://doi.org/10.12927/hcq.2024.27431","url":null,"abstract":"<p><p>Much has been written about the interplay between mental health and substance use disorders. However, there is a third dimension, which often complicates the provision of care and renders many mainstream approaches less effective. Cognitive impairments, including those that arise from traumatic brain injury, are increasingly being recognized as an important consideration in addictions programming. This article will discuss the findings from a cross-sectorial partnership between the Centre for Addiction and Mental Health (CAMH) and Community Head Injury Resource Services of Toronto (CHIRS). Four recommendations for program administrators are proposed: (1) support screening for brain injury; (2) use free resources to train staff members to recognize, accommodate and address neurocognitive impairment; (3) establish cross-sector partnerships to facilitate collaborative programming and cross training for the most complex clients being served; (4) when developing new programming, include structures and behavioural interventions that have been shown to benefit individuals with cognitive impairment.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 2","pages":"43-49"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570912","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
The Mental Health of Healthcare Workers: Navigating the New Normal. 医护人员的心理健康：驾驭新常态。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-07-01 DOI: 10.12927/hcq.2024.27451
Michael Cooper, Shauna Major
{"title":"The Mental Health of Healthcare Workers: Navigating the New Normal.","authors":"Michael Cooper, Shauna Major","doi":"10.12927/hcq.2024.27451","DOIUrl":"https://doi.org/10.12927/hcq.2024.27451","url":null,"abstract":"<p><p>Increased workloads, fear of illness, social disconnection and high burnout rates during the COVID-19 pandemic caused significant trauma throughout the medical community. Using evidence-based insights from Mental Health Research Canada's quantitative and qualitative data, this article explores how the healthcare community was impacted by the COVID-19 pandemic. Recent trends in national mental health indicators support a theory of a new normal, but some Canadians continue to fall behind. Overall, these insights highlight the need for sustained efforts from leaders, policy makers and researchers that are crucial to supporting the rebuilding of the healthcare sector in Canada.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 2","pages":"22-27"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570921","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
Observing Healthcare With Mary in Her Final Weeks of Life. 在玛丽生命的最后几周与她一起观察医疗保健。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-07-01 DOI: 10.12927/hcq.2024.27436
Neil Seeman
{"title":"Observing Healthcare With Mary in Her Final Weeks of Life.","authors":"Neil Seeman","doi":"10.12927/hcq.2024.27436","DOIUrl":"10.12927/hcq.2024.27436","url":null,"abstract":"<p><p>Early in the year 2024, my mother, Mary V. Seeman (MD, DSc, OC, FRCPC), received news that would recognize her lifelong goal, which was to humanize and empower some of the most stigmatized members of society - the severely mentally ill and their parents and, in particular, their mothers. The American Psychiatric Association had chosen to honour her with the 2024 Adolf Meyer Lifetime Achievement Award, a prestigious tribute to her life's work in improving women's mental health. This accolade arrived in her e-mail in January; she died three months later, on April 23, 2024.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 2","pages":"16-19"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570920","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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