Patrick McLane
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View article: Examining the impact of the first wave of COVID-19 on equitable access to emergency care across Alberta demographic groups: a retrospective observational study
Examining the impact of the first wave of COVID-19 on equitable access to emergency care across Alberta demographic groups: a retrospective observational study Open
Background During the first wave of the COVID-19 pandemic, there was a notable decline in emergency department (ED) usage in many jurisdictions. This study assessed changes in ED use during this period and explored how the pandemic may hav…
View article: Evaluation of the Use of an Intervention by Health Care Providers for Resident Transfers from Long-Term Care to Emergency Departments in Times of Medical Urgency: A Qualitative Study
Evaluation of the Use of an Intervention by Health Care Providers for Resident Transfers from Long-Term Care to Emergency Departments in Times of Medical Urgency: A Qualitative Study Open
Approximately 25% of older adult residents who experience an acute change in health status are transferred from Long-Term Care (LTC) to Emergency Departments (ED). We explored the use of an intervention (i.e., LTC to ED) care and referral …
View article: The relationship between COVID-19 and opioid-related emergency department visits in Alberta, Canada: an interrupted time series analysis
The relationship between COVID-19 and opioid-related emergency department visits in Alberta, Canada: an interrupted time series analysis Open
Introduction Emergency departments (EDs) are important health care access points for people who use drugs (PWUD), but little is known about whether the onset of the COVID-19 pandemic was associated with changes in opioid-related emergency…
View article: Emergency department visits among First Nations female adults in Alberta: a population-based study
Emergency department visits among First Nations female adults in Alberta: a population-based study Open
Objective Emergency departments (EDs) serve as a critical first access point for receiving healthcare for many First Nations members. However, ED experiences differ between First Nations and non-First Nations patients. Our objective is to …
View article: Interventions to improve equity in emergency departments for Indigenous people: A scoping review
Interventions to improve equity in emergency departments for Indigenous people: A scoping review Open
Background Disparities in health outcomes, including increased chronic disease prevalence and decreased life expectancy for Indigenous people, have been shown across settings affected by white settler colonialism including Canada, the Unit…
View article: The development and validation of a conceptual definition of avoidable transitions from long‐term care to the emergency department: A mixed methods study
The development and validation of a conceptual definition of avoidable transitions from long‐term care to the emergency department: A mixed methods study Open
Background/Objectives Transitions to and from Emergency Departments (EDs) can be detrimental to long‐term care (LTC) residents and burden the healthcare system. While reducing avoidable transfers is imperative, various terms are used inter…
View article: Emergency department utilization by persons with rheumatoid arthritis: a population-based cohort study
Emergency department utilization by persons with rheumatoid arthritis: a population-based cohort study Open
Some emergency department (ED) visits by persons with rheumatoid arthritis (RA) may be avoidable. This study aims to describe ED use by persons with RA in Alberta, Canada over a 10-year period. Using linked population-based administrative …
View article: Deciding to Attend the Emergency Department: Experiences of Patients With Inflammatory Arthritis
Deciding to Attend the Emergency Department: Experiences of Patients With Inflammatory Arthritis Open
Objective Patients may use emergency departments (EDs) to meet their health needs when ambulatory care systems are not sufficient. We aim to describe contributing factors to the decision made by persons with inflammatory arthritis (IA) to …
View article: Leaving emergency departments without completing treatment among First Nations and non–First Nations patients in Alberta: a mixed-methods study
Leaving emergency departments without completing treatment among First Nations and non–First Nations patients in Alberta: a mixed-methods study Open
Emergency department visits by First Nations patients were more likely to end with them leaving without being seen or against medical advice than those by non-First Nations patients. As leaving early may delay needed care or interfere with…
View article: Exploring paramedic care for First Nations in Alberta: a qualitative study
Exploring paramedic care for First Nations in Alberta: a qualitative study Open
First Nations people face discrimination and systemic barriers when accessing paramedicine. Potential solutions include the integration of paramedics in expanded health care roles that incorporate First Nations perspectives and address loc…
View article: Buprenorphine/naloxone initiation and referral as a quality improvement intervention for patients who live with opioid use disorder: quantitative evaluation of provincial spread to 107 rural and urban Alberta emergency departments
Buprenorphine/naloxone initiation and referral as a quality improvement intervention for patients who live with opioid use disorder: quantitative evaluation of provincial spread to 107 rural and urban Alberta emergency departments Open
Objectives Opioid use disorder is a major public health concern that accounts for a high number of potential years of life lost. Buprenorphine/naloxone is a recommended treatment for opioid use disorder that can be started in the emergency…
View article: A Better Way to Care for Long Term Care (LTC) residents in Times of Medical Urgency: Improving Acute Care transfers for LTC Residents.
A Better Way to Care for Long Term Care (LTC) residents in Times of Medical Urgency: Improving Acute Care transfers for LTC Residents. Open
Background: Prior to the pandemic, every day approximately 28 long term care (LTC) residents were transferred to an emergency department (ED) in Alberta. This was placing increasing strain on healthcare resources and potentially negatively…
View article: A first look at consistency of documentation across care settings during emergency transitions of long-term care residents
A first look at consistency of documentation across care settings during emergency transitions of long-term care residents Open
Background Documentation during resident transitions from long-term care (LTC) to the emergency department (ED) can be inconsistent, leading to inappropriate care. Inconsistent documentation can lead to undertreatment, inefficiencies and a…
View article: The Alberta Health Services Emergency Strategic Clinical Network™ Quality Improvement and Innovation Forum presented on February 22, 2022.
The Alberta Health Services Emergency Strategic Clinical Network™ Quality Improvement and Innovation Forum presented on February 22, 2022. Open
Evidence-based research and quality improvement work are pivotal to health systems meeting their goals. Translating findings and disseminating innovative practices to new settings occurs in part through knowledge translation events, such a…
View article: Impacts of racism on First Nations patients' emergency care: results of a thematic analysis of healthcare provider interviews in Alberta, Canada
Impacts of racism on First Nations patients' emergency care: results of a thematic analysis of healthcare provider interviews in Alberta, Canada Open
Background First Nations people experience racism in society and in the healthcare system. This study aimed to document emergency care providers’ perspectives on care of First Nations patients. First Nations research partner organizations …
View article: Age-varying effects of repeated emergency department presentations for children in Canada
Age-varying effects of repeated emergency department presentations for children in Canada Open
Objectives Repeated presentations to emergency departments (EDs) may indicate a lack of access to other health care resources. Age is an important predictor of frequent ED use; however, age-varying effects are not generally investigated. T…
View article: Assessing quality of older persons’ emergency transitions between long-term and acute care settings: a proof-of-concept study
Assessing quality of older persons’ emergency transitions between long-term and acute care settings: a proof-of-concept study Open
Background Long-term care (LTC) residents frequently experience transitions in the location of more advanced care delivery, including receiving emergency department (ED) care. In this proof-of-concept study, we aimed to determine if we cou…
View article: First Nations status and emergency department triage scores in Alberta: a retrospective cohort study
First Nations status and emergency department triage scores in Alberta: a retrospective cohort study Open
First Nations status was associated with lower odds of higher acuity triage scores across a number of conditions and diagnoses. This may reflect systemic racism, stereotyping and potentially other factors that affected triage assessments.
View article: The impact of community paramedicine interventions on Transfers from Long Term Care to Emergency Departments: A systematic review
The impact of community paramedicine interventions on Transfers from Long Term Care to Emergency Departments: A systematic review Open
OBJECTIVES: Long term care (LTC) facilities are essential in the provision of daily care needs for older adults experiencing frailty. In times of acute medical distress, LTC residents may require transfer to emergency departments (ED). How…
View article: Connect 2 Care, a Novel Community Outreach Program for Vulnerably Housed Patients With High Acute Care Use: A Mixed-Methods Study Protocol
Connect 2 Care, a Novel Community Outreach Program for Vulnerably Housed Patients With High Acute Care Use: A Mixed-Methods Study Protocol Open
Introduction: Vulnerably housed individuals, especially those experiencing homelessness, have higher acute care use compared with the general population. Despite available primary care and social services, many face significant challenges …
View article: Opioid use disorder treatment disruptions during the early COVID-19 pandemic and other emergent disasters: a scoping review addressing dual public health emergencies
Opioid use disorder treatment disruptions during the early COVID-19 pandemic and other emergent disasters: a scoping review addressing dual public health emergencies Open
Background During public health emergencies, people with opioid use disorder (PWOUD) may be particularly impacted. Emergent disasters such as the COVID-19 pandemic disrupt already-strained harm reduction efforts and treatment availability.…
View article: Alberta Health Services Emergency Strategic Clinical Network Quality Improvement and Innovation forum 2021
Alberta Health Services Emergency Strategic Clinical Network Quality Improvement and Innovation forum 2021 Open
The Alberta Health Services Emergency Strategic Clinical Network Quality Improvement and Innovation forum 2021.
Patrick McLane and Eddy Lang on behalf of the Emergency Strategic Clinical Network
Evidence-based research and quality impro…
View article: A better Way to care for Long Term Care residents (LTC) in times of medical urgency: improving acute care for LTC residents
A better Way to care for Long Term Care residents (LTC) in times of medical urgency: improving acute care for LTC residents Open
A better way to care for Long Term Care residents (LTC) in times of medical urgency: improving acute care for LTC residents. Leanna Wyer, Shawna Reid, Abraham Munene, Eddy Lang, Vivian Ewa, Heather Hair, Greta Cummings, Patrick McLane, Eld…
View article: Predictors of attitudes and adherence to COVID-19 public health guidelines in Western countries: a rapid review of the emerging literature
Predictors of attitudes and adherence to COVID-19 public health guidelines in Western countries: a rapid review of the emerging literature Open
Background Physical distancing, wearing face masks and hand hygiene are evidence-based methods to protect the public from coronavirus disease 2019 (COVID-19) infection. There has been a proliferation of research examining characteristics t…
View article: Opioid Use Disorder Treatment Disruptions during the COVID-19 Pandemic and Other Disasters: A Scoping Review Addressing Dual Public Health Emergencies
Opioid Use Disorder Treatment Disruptions during the COVID-19 Pandemic and Other Disasters: A Scoping Review Addressing Dual Public Health Emergencies Open
Background: During public health emergencies, disruptions to social landscapes and amplification of inequities for people with opioid use disorder raise important questions about reducing harms and providing treatment accountability to sup…