Ontarians make approximately 6 million visits to the emergency department (ED) every year, with 90% of them going home after their care.
We currently have limited information on the result of the care that ED patients receive. This is information that could greatly affect our ability to improve ED care.
Current ED patient questionnaires focus on the patient experience (PREM) rather than patient outcomes post-discharge.
Patient reported outcome measures (PROMs) have long been important to measure value of care in clinical trials and are now allowing patients to report outcomes from routine health care in many fields including joint disease, mental health and cancer care.
PROM-ED is the first PROM for patients discharged after ED (with the exception of patients presenting primarily for issues of mental health or substance use).
We conducted a qualitative study involving ED patients and various experts to develop a conceptual model which defined the core outcome domains of PROM-ED. (Vaillancourt et al. Annals of Emergency Medicine. 2017)
Based on these outcomes, we embarked on a multi-phase program involving hundreds of patients, to develop and validate PROM-ED 1.0, a questionnaire enabling the systematic collection of patient reported outcomes after ED care (Figure 1).
We are now working in close partnership to test the use of PROM-ED in different care settings and research uses in Canada and the United States.
The Zebrafish Facility – St. Michael’s Hospital is currently undergoing major changes under new leadership.
Come back in a few months for new up-to-date information.
Guided by an integrated strategy, the program builds upon well-established areas of clinical excellence that fully embrace a “bench to bedside” multidisciplinary approach. With our outstanding clinicians and basic scientists working together on the issues related to various brain conditions, we are mobilizing the best team possible to answer some of the mysteries of the brain.
Brain diseases are among the leading medical, social and economic burdens affecting the world’s population. The World Health Organization estimates that 38 per cent of the years lost to death and disability globally can be attributed to brain disorders. This is three times that of other high profile medical conditions such as cancer or cardiovascular diseases.
Research at St. Michael’s Hospital is comprised of two main components - the Keenan Research Centre for Biomedical Science focusing on basic and translational science research, and the Li Ka Shing Knowledge Institute focusing on clinical and health services research. We are fully affiliated with the University of Toronto, the largest research entity in Canada.
Designed to promote communication and collaboration across specialties, programs and services, our mission is to generate ground-breaking, high quality research that can be translated into improved care and improved outcomes for our patients in Toronto and across the globe.