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Open AccessUnderstanding the integration of artificial intelligence in healthcare organisations and systems through the NASSS framework: a qualitative study in a leading Canadian academic centre
Artificial intelligence (AI) technologies are expected to “revolutionise” healthcare. However, despite their promises, their integration within healthcare organisations and systems remains limited. The objecti...
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Article
Open AccessTransitions of care for older adults discharged home from the emergency department: an inductive thematic content analysis of patient comments
Improving care transitions for older adults can reduce emergency department (ED) visits, adverse events, and empower community autonomy. We conducted an inductive qualitative content analysis to identify theme...
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Article
Open AccessPerceptions on barriers, facilitators, and recommendations related to mental health service delivery during the COVID-19 pandemic in Quebec, Canada: a qualitative descriptive study
There was an increase in self-reported mental health needs during the COVID-19 pandemic in Canada, with research showing reduced access to mental health services in comparison to pre-pandemic levels. This pape...
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Article
Open AccessAnxiety disorders in patients with noncardiac chest pain: association with health-related quality of life and chest pain severity
Patients with noncardiac chest pain (NCCP) report more severe symptoms and lowered health-related quality of life when they present with comorbid panic disorder (PD). Although generalized anxiety disorder (GAD...
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Article
Open AccessExploring the implementation and underlying mechanisms of centralized referral systems to access specialized health services in Quebec
In 2016, Quebec, a Canadian province, implemented a program to improve access to specialized health services (Accès priorisé aux services spécialisés (APSS)), which includes single regional access points for proc...
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Article
Is it time for a CT scanner in every Canadian rural hospital?
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Article
Open AccessArtificial intelligence in health care: laying the Foundation for Responsible, sustainable, and inclusive innovation in low- and middle-income countries
The World Health Organization and other institutions are considering Artificial Intelligence (AI) as a technology that can potentially address some health system gaps, especially the reduction of global health...
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Article
Open AccessRethinking the electronic health record through the quadruple aim: time to align its value with the health system
Electronic health records (EHRs) are considered as a powerful lever for enabling value-based health systems. However, many challenges to their use persist and some of their unintended negative impacts are incr...
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Open AccessImproving delivery of care in rural emergency departments: a qualitative pilot study mobilizing health professionals, decision-makers and citizens in Baie-Saint-Paul and the Magdalen Islands, Québec, Canada
Emergency departments (EDs) in rural and remote areas face challenges in delivering accessible, high quality and efficient services. The objective of this pilot study was to test the feasibility and relevance ...
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Article
Open AccessLack of CT scanner in a rural emergency department increases inter-facility transfers: a pilot study
Rural emergency departments (EDs) are an important gateway to care for the 20% of Canadians who reside in rural areas. Less than 15% of Canadian rural EDs have access to a computed tomography (CT) scanner. We ...
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Article
Open AccessFactors associated with pain level in non-cardiac chest pain patients with comorbid panic disorder
Panic disorder (PD) is highly prevalent in patients with non-cardiac chest pain (NCCP). This study aims to explore the role of psychological factors (PD intensity, anxiety sensitivity, heart-related fear, atte...
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Article
Open AccessPortrait of rural emergency departments in Québec and utilization of the provincial emergency department management Guide: cross sectional survey
Rural emergency departments (EDs) constitute crucial safety nets for the 20 % of Canadians who live in rural areas. Pilot data suggests that the province of Québec appears to provide more comprehensive access ...
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Article
Open AccessA majority of rural emergency departments in the province of Quebec use point-of-care ultrasound: a cross-sectional survey
Point-of-care ultrasound (POCUS) can be used to provide rapid answers to specific and potentially life-threatening clinical questions, and to improve the safety of procedures. The rate of POCUS access and use ...
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Article
Open AccessQuality of work life of rural emergency department nurses and physicians: a pilot study
Information about recruitment and retention factors and quality of work life (QWL) in rural emergency departments (EDs) is limited. A pilot study was used to determine the feasibility of a large-scale study of...