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How are patient order and shift timing associate with imaging choices in the Emergency Department? Evidence from Niagara Health Administrative Data
Stephenson Strobel, Sabreena Mossa (C2023), Karyssa Hamann (C2022)
In this restrospective study, multivariate and instrumental variable regressions were used to examine how the timing and order of patients are associated with the use of diagnostic imaging. Outcomes include whether a patient receives a radiograph, a computed tomography (CT) scan, an ultrasound, and 7-day bouncebacks to the ED. The variables of interest are time and order during a physician’s shift in which a patient is seen. To continue reading, click here.
Antiviral drug treatment for nonsevere COVID-19: a systematic review and network meta-analysis
Tyler Pitre (IM PGY3), Rebecca Van Alstine (Medicine), Genevieve Chick (Medicine), Gareth Leung, David Mikhail, Ellen Cusano, Faran Khalid, Dena Zeraatkar
Randomized trial evidence suggests that some antiviral drugs are effective in patients with COVID-19. However, the comparative effectiveness of antiviral drugs in non-severe COVID-19 is unclear. To learn more, click here.
Exploring the use and challenges of implementing virtual visits during COVID-19 in primary care and lessons for sustained use
Heba Tallah Mohammed, Lirije Hyseni, Victoria Bui, Beth Gerritsen, Katherine Fuller, Jihyun Sung, and Mohamed Alarakhia (Family Medicine)
The COVID-19 pandemic has rapidly transformed how healthcare is delivered to limit the transmission of the virus. This descriptive cross-sectional study explores the current use of virtual visits in providing care among primary providers in southwestern Ontario during the first wave of the COVID-19 pandemic. To learn more about their findings, click here.
Exploring the impact of diagnostic imaging decision support embedded in an electronic referral solution on the appropriate ordering of magnetic resonance imaging for patients with knee pain: a retrospective chart review
Heba Tallah Mohammed, Lori-Anne Payson (Family Medicine), Caitlin Gillan, Jisla Mathews, Justin Diep (C2022), Jessica Sadri-Gerrior (C2023), Karyssa Hamann (C2022),and Diana Brodrecht
Requests for magnetic resonance imaging (MRI) exams have notably increased in Canada. However, many of these exams may not always be indicated. The Joint Department of Medical Imaging and the eReferral Program have worked collaboratively to embed an integrated clinical decision support (DS) tool within the eReferral process for diagnostic imaging requests. This retrospective chart review aimed to assess the necessity of MRI exams for knee pain patients at the point of referral in relation to the referral method. Click here to read further.
Physicians' perspectives on processes for emergency mental health transfers from university health clinics to hospitals in Ontario, Canada: a qualitative analysis
Andrea Chittle (Family Medicine), Shane Neilson (Family Medicine), Gina Nicoll and Juveria Zaheer
In Ontario, Canada, there is variability in how students experiencing a mental health crisis are transferred from university health clinics to hospital for emergent psychiatric assessment, particularly regarding police involvement and physical restraint use. We sought to understand existing processes for these transfers, and barriers to and facilitators of change. To continue reading this article, click here.
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