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Implementing Obstetrics Quality Improvement, Driven by Medico-legal Risk, is Associated With Improved Workplace Culture.
Lefebvre G, Honey L, Hines K, Keough A, Roye C, Bellemare S, Piscione TD, Falconer A, Shepherd L, Thorne S, Wallace G, Calder LA. Lefebvre G, et al. Among authors: calder la. J Obstet Gynaecol Can. 2020 Jan;42(1):38-47.e5. doi: 10.1016/j.jogc.2019.05.011. Epub 2019 Aug 13. J Obstet Gynaecol Can. 2020. PMID: 31416705
The study investigators delivered training in quality improvement science and co-developed three projects that were based on their alignment with local needs and aggregate medico-legal risk data: an organized team response to the need for an immediate cesarean section, a protocol …
The study investigators delivered training in quality improvement science and co-developed three projects that were based on their alignment …
Clinical validation of a risk scale for serious outcomes among patients with chronic obstructive pulmonary disease managed in the emergency department.
Stiell IG, Perry JJ, Clement CM, Brison RJ, Rowe BH, Aaron SD, McRae AD, Borgundvaag B, Calder LA, Forster AJ, Brinkhurst J, Wells GA. Stiell IG, et al. Among authors: calder la. CMAJ. 2018 Dec 3;190(48):E1406-E1413. doi: 10.1503/cmaj.180232. CMAJ. 2018. PMID: 30510045 Free PMC article.
RESULTS: We enrolled 1415 patients with a mean age of 70.6 (SD 10.6) years and 50.2% were female. Short-term serious outcomes occurred in 135 (9.5%) cases. Incidence of short-term serious outcomes ranged from 4.6% for a total score of 0 to 100% for a score of 10. Co …
RESULTS: We enrolled 1415 patients with a mean age of 70.6 (SD 10.6) years and 50.2% were female. Short-term serious outcomes occurre …
Barriers to Self-Reporting Patient Safety Incidents by Paramedics: A Mixed Methods Study.
Sinclair JE, Austin MA, Bourque C, Kortko J, Maloney J, Dionne R, Reed A, Price P, Calder LA. Sinclair JE, et al. Among authors: calder la. Prehosp Emerg Care. 2018 Nov-Dec;22(6):762-772. doi: 10.1080/10903127.2018.1469703. Epub 2018 May 22. Prehosp Emerg Care. 2018. PMID: 29787325
The top 5 barriers to PSI self-reporting (very significant or significant, %) were the fear of being: punished (81.4%), suspended (79.6%), terminated (79.1%), investigated by Ministry of Health and Long-Term Care (78.4%), and decertified (78.0%). Overall, 64.1% responded t …
The top 5 barriers to PSI self-reporting (very significant or significant, %) were the fear of being: punished (81.4%), suspended (79.6%), t …
Characteristics and outcomes for acute heart failure in elderly patients presenting to the ED.
Claret PG, Stiell IG, Yan JW, Clement CM, Rowe BH, Calder LA, Perry JJ. Claret PG, et al. Among authors: calder la. Am J Emerg Med. 2016 Nov;34(11):2159-2166. doi: 10.1016/j.ajem.2016.08.015. Epub 2016 Aug 12. Am J Emerg Med. 2016. PMID: 27590209
In this 80-year group, history of heart failure, current medication with antiarrhythmic, acute infarction on the arrival electrocardiography, chest x-ray with pleural effusion, and urea greater than 12 mmol/L were independently associated with short-term serious adverse ev …
In this 80-year group, history of heart failure, current medication with antiarrhythmic, acute infarction on the arrival electrocardiography …
Development of a clinical prediction rule for 30-day cardiac events in emergency department patients with chest pain and possible acute coronary syndrome.
Hess EP, Brison RJ, Perry JJ, Calder LA, Thiruganasambandamoorthy V, Agarwal D, Sadosty AT, Silvilotti ML, Jaffe AS, Montori VM, Wells GA, Stiell IG. Hess EP, et al. Among authors: calder la. Ann Emerg Med. 2012 Feb;59(2):115-25.e1. doi: 10.1016/j.annemergmed.2011.07.026. Epub 2011 Sep 1. Ann Emerg Med. 2012. PMID: 21885156
STUDY OBJECTIVE: Evaluation of emergency department (ED) patients with chest pain who are at low risk for acute coronary syndrome is resource intensive and may lead to false-positive test results and unnecessary downstream procedures. We seek to identify patients at low short- …
STUDY OBJECTIVE: Evaluation of emergency department (ED) patients with chest pain who are at low risk for acute coronary syndrome is resourc …
Elimination of rabies from red foxes in eastern Ontario.
MacInnes CD, Smith SM, Tinline RR, Ayers NR, Bachmann P, Ball DG, Calder LA, Crosgrey SJ, Fielding C, Hauschildt P, Honig JM, Johnston DH, Lawson KF, Nunan CP, Pedde MA, Pond B, Stewart RB, Voigt DR. MacInnes CD, et al. Among authors: calder la. J Wildl Dis. 2001 Jan;37(1):119-32. doi: 10.7589/0090-3558-37.1.119. J Wildl Dis. 2001. PMID: 11272485
Persistence of terrestrial rabies, and ease of elimination, appeared to vary geographically, and probably over time. Ecological factors which enhance or reduce the long term survival of rabies in wild foxes are poorly understood....
Persistence of terrestrial rabies, and ease of elimination, appeared to vary geographically, and probably over time. Ecological factors whic …