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Nurse rostering: understanding the current shift work scheduling processes, benefits, limitations, and potential fatigue risks
BackgroundImplementing appropriate shift work schedules can help mitigate the risk of sleep impairment and reduce fatigue of healthcare workers,...
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Applying Sydney Triage to Admission Risk Tool (START) to improve patient flow in emergency departments: a multicentre randomised, implementation study
BackgroundTo determine the effectiveness of applying the Sydney Triage to Admission Risk Tool (START) in conjunction with senior early assessment in...
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Using the consolidated framework for implementation research to guide a pilot of implementing an institution level patient informed consent process for clinical research at an outpatient setting
BackgroundIn Singapore, research teams seek informed patient consent on an ad hoc basis for specific clinical studies and there is typically a role...
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The impact of the adoption of a patient rostering model on primary care access and continuity of care in urban family practices in Ontario, Canada
BackgroundGreater continuity and access to primary care results in improved patient health, satisfaction, and reduced healthcare costs. Although...
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Association of patient-to-intensivist ratio with hospital mortality in Australia and New Zealand
PurposeThe impact of intensivist workload on intensive care unit (ICU) outcomes is incompletely described and assessed across healthcare systems and...
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The association between household food insecurity and healthcare costs among Canadian children
ObjectiveTo examine the relationship between household food insecurity and healthcare costs in children living in Ontario, Canada.
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Primary care services and emergency department visits in blended fee-for-service and blended capitation models: evidence from Ontario, Canada
IntroductionIt is well-known that the way physicians are remunerated can affect delivery of health care services to the population. Fee-for-service...
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Determining the influence of the primary and specialist network of care on patient and system outcomes among patients with a new diagnosis of chronic obstructive pulmonary disease (COPD)
IntroductionCare for patients with chronic obstructive pulmonary disease (COPD) is provided by both family physicians (FP) and specialists. Ideally,...
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Discharging the complex patient - changing our focus to patients’ networks of care providers
BackgroundA disconnect exists between the idealized model of every patient having a family physician (FP) who acts as the central hub for care, and...
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Disparities in Access to a Regular Primary Care Physician Among First-Generation Migrants with Early Psychosis in Ontario, Canada
Disparities in primary care utilization among migrants with early psychosis may be related to lack of access to a regular primary care physician....
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Adapting care provision in family practice during the COVID-19 pandemic: a qualitative study exploring the impact of primary care reforms in four Canadian regions
BackgroundOver the past two decades, Canadian provinces and territories have introduced a series of primary care reforms in an attempt to improve...
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Development, implementation and evaluation of a seven-day clinical pharmacy service in a tertiary referral teaching hospital during surge-2 of the COVID-19 pandemic
BackgroundSeven-day clinical pharmacy services in the acute sector of the National Health Service are limited. There is a paucity of evidential...
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Survey of laboratory medicine’s national response to the Covid-19 pandemic in the Republic of Ireland
BackgroundThe global SARS-CoV-2 pandemic placed Irish Laboratory Medicine services under sustained and massive strain. Rapid reconfiguration was...
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Nursing allocation in isolation wards of COVID-19 designated hospitals: a nationwide study in China
BackgroundAppropriate allocation of nursing staff is key to ensuring efficient nursing in hospitals, and is significantly correlated with patient...
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Osteoporosis management in adults with schizophrenia following index hip fracture event: a 10-year population-based retrospective cohort study, Ontario, Canada
SummaryLittle is known about the incidence of osteoporosis testing and treatment in individuals with schizophrenia, who may be more likely to...
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Ethical Diversity and Practical Uncertainty: A Qualitative Interview Study of Clinicians’ Experiences in the Implementation Period Prior to Voluntary Assisted Dying Becoming Available in their Hospital in Victoria, Australia
In the Australian state of Victoria, legislation allowing voluntary assisted dying (VAD) passed through parliament in November 2017. There was then...
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“I think we still do too little”: measures to prevent violence and aggression in German emergency departments – a qualitative study
BackgroundHealthcare workers employed in emergency departments (EDs) are particularly affected by physical and verbal violence. Violent assaults can...
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Exploring needs and challenges for AI in nursing care – results of an explorative sequential mixed methods study
Background and aimWhile artificial intelligence (AI) is being adapted for various life domains and applications related to medicine and healthcare,...
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Delivering collaborative mental health care within supportive housing: implementation evaluation of a community-hospital partnership
BackgroundApproaches to address unmet mental health care needs in supportive housing settings are needed. Collaborative approaches to delivering...
