Subgroup Analysis (Ortho and Psych) - Poster Presentation to ICCH15 (Fairbanks, Alaska)
It was a busy summer of research presentations (and moving). After helping to unload a moving truck in Victoria I flew up to Alaska to present the data on outcomes for orthopedic and psychiatry patients back in 2009. What this study was looking at was the ability of clinicians to predict the acuity of these two sets of patients. Does the gestalt that the receiving clinical get on the phone correlate with the patient's need for hospitalization? The answer, according to this analysis is yes.
Monday, December 10, 2012
Impact of Teleradiology on Patient Transfers
Impact of Teleradiology on Patient Transfers (2012) - CAEP oral powerpoint presentation
ICEM (Dublin) Poster Presentation
In 2010, the GNWT rolled out a pan-territorial PACS system that allowed clinicians at any site across the territory to view xray, ultrasound or CT images from any other facility. Given that the ER in Yellowknife was often the receiver of all the sickest patients I wondered what impact if any did the PACS system have on patient transfer rates. What I did was simply compare the transfer rates pre and post PACS. The data seemed to indicate a drop in transfers with the adoption of PACS.
ICEM (Dublin) Poster Presentation
In 2010, the GNWT rolled out a pan-territorial PACS system that allowed clinicians at any site across the territory to view xray, ultrasound or CT images from any other facility. Given that the ER in Yellowknife was often the receiver of all the sickest patients I wondered what impact if any did the PACS system have on patient transfer rates. What I did was simply compare the transfer rates pre and post PACS. The data seemed to indicate a drop in transfers with the adoption of PACS.
Medevac Retrospective Review 2010
Medevac Retrospective Review - CAEP 2010 Poster Presentation
In 2009 I reviewed all of the data that Medical Travel (NWT) collected on medevacs and urgent transports for a one year period. Here I found that there were far more people being transports on air ambulances than by using commercial flights. Some of these patients (simple upper limb fractures for example) were getting medevacs when they could have likely come on the less costly commercial flights. The question of how these cases were triaged and how the transport decisions were made was something I tried to improve on. I realized that only with high quality prospective data could one develop an evidence based algorithm to sort this out.
In 2009 I reviewed all of the data that Medical Travel (NWT) collected on medevacs and urgent transports for a one year period. Here I found that there were far more people being transports on air ambulances than by using commercial flights. Some of these patients (simple upper limb fractures for example) were getting medevacs when they could have likely come on the less costly commercial flights. The question of how these cases were triaged and how the transport decisions were made was something I tried to improve on. I realized that only with high quality prospective data could one develop an evidence based algorithm to sort this out.
Telephone Outcome Study: Power Point Presentation to ICCH 2009
In 2009, I presented some preliminary data at the Circumpolar Health Congress in 2009 about the experience in the Yellowknife ER with fielding calls from remote nursing stations and peripheral hospitals. What we found was that there are a lot of calls asking to transport patients into Yellowknife. We also found that there were lots of holes in the data that had been captured. This lead to developing a better data capture process and to future studies on how we could improve pre-hospital care with the technology we had (at that time just a telephone and a fax machine).
In 2009, I presented some preliminary data at the Circumpolar Health Congress in 2009 about the experience in the Yellowknife ER with fielding calls from remote nursing stations and peripheral hospitals. What we found was that there are a lot of calls asking to transport patients into Yellowknife. We also found that there were lots of holes in the data that had been captured. This lead to developing a better data capture process and to future studies on how we could improve pre-hospital care with the technology we had (at that time just a telephone and a fax machine).
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