Les séminaires de recherche sur les systèmes de santé présentent : « Addressing Emergency Department Overcrowding: Evaluation of a System-Wide Strategy in the Capital Region of Alberta »

Dr. Brian H. Rowe, Ph. D.
Department of Emergency Medicine
University of Alberta

Mardi le 21 avril 2009
14 h à 16 h
Pavillon Desmarais
DMS 7170

À propos de la présentation (en anglais seulement)

The Canadian health care system relies on Emergency Departments (EDs) to provide timely and evidence-based care to acutely ill and injured patients. A situation where patient needs overwhelm the resources available to provide such care is referred to as ED overcrowding. This situation arises through an interaction of system-wide input-throughput-output pressures that manifest themselves principally in the ED. In the Canadian health care system, ED overcrowding occurs frequently in urban, academic and high-volume centres; however, it is also a growing international problem. Fortunately, there is an emerging interest from policy-makers and administrators to address this crisis, and several international efforts have demonstrated rapid improvements (for example, in the UK NHS). The application of evidence, benchmarking using information systems, pay-for-performance models and accountability frameworks appear central to the success of these programs. In this talk, the theoretical concepts behind crowding will be reviewed, some of the evidence upon which system interventions are based will be highlighted and present recent research aimed at evaluating a system-wide intervention will be presented.

À propos du conférencier (en anglais seulement)

Dr. Brian Rowe is a Professor of Emergency Medicine at the University of Alberta in Edmonton with a cross-appointment in the School of Public Health. In addition, he is the Research Director in the Department of Emergency Medicine, and the Co-Director of the Evidence-based Practice Centre (EPC), part of the AHRQ-funded evidence research network. Dr. Rowe has held a Canada Research Chair in Emergency Medicine since 2001. His research focuses on understanding emergency department use, presentations, and management, especially for patients with respiratory diseases. His expertise is in clinical trials, systematic reviews and health services research. Dr. Rowe is the editor of a recently published book entitled Evidence-Based Emergency Medicine, published by BMJ-Wiley-Blackwell Publishers. He is the Chair of the Canadian Association of Emergency Physicians (CAEP) Research Consortium, Senior Associate Editor of the Canadian Journal of Emergency Medicine, a reviewer for a variety of journals and funding agencies, and a consultant to Alberta government on system overcrowding. He holds a BA from Queen's University in Kingston, an MD from the University of Ottawa, and an MSc in Design, Measurement and Evaluation from McMaster University in Hamilton. Dr. Rowe is a Fellow of the American College of Chest Physicians and has published more than 260 peer-reviewed articles and 20 book chapters.

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