Ongoing Projects

Exploring patient’s perspectives regarding privacy when using e-communications to deliver research surveys after emergency department visits.

Principal Investigator: Dr. Rohit Mohindra
REB: NYGH
Funding: None 

Goal: To better understand patients concerns around privacy when receiving e-communications for research studies

Hypothesis: Patients feel comfortable receiving e-communications to complete research studies

Inclusion criteria:

  1. Age ≥ 18 years old

  2. Patients assigned a Canadian Triage and Acuity Scale (CTAS) score of 2-5

  3. Expected discharge home

Exclusion criteria:

  1. Patient unable to provide informed consent

  2. Insurmountable language barrier

  3. Acute medical issue, such as severe pain, for which study participation may interfere with the provision of care

  4. At the request of the treating physician

How to enroll patients

  • Ask the patient if the ED Research Team can contact the patient by telephone to discuss enrollment in the study

  • Open  "FirstNET"

  • Click on Link called "ED Research"

  • Enter patients name and MRN 

  • Select "Patient Privacy Study" 

Link to summary can be found here

Atrial Fibrillation in the Emergency Room (The AFTER Study): Prospective validation of the clinical decision instruments 

Principal Investigator: Dr Clare Atzema

Site Investigator: Dr Rob Simard 

REB: NYGH

Goal: To validate a risk stratification tool for patients presenting to the ED with atrial fibrillation

Inclusion Criteria

1. Primary diagnosis atrial fibrillation 

2. Age >= 18 

Exclusion Criteria

1. Primary reason for ED visit is not Afib (e.g. rapid afib driven by sepsis). 

2. Patient only has atrial flutter (flutter/fibrillation together is okay) 

3. Left without being seen/assessed/after initial assessment or against medical advice

4. Palliative Patient 

How to enroll patients - DIY

1. Open internet explorer

2. Click favourites

3. Click Afib -AFTER study link 

4. Username: AFTERnygh Password: Afibstudy1 

How to enroll patients - RA's do the work 

  • Ask the patient if the ED Research Team can contact the patient by telephone to discuss enrollment in the study

  • Open  "FirstNET"

  • Click on Link called "ED Research"

  • Enter patients name and MRN 

  • Select "AFTER study

  • The RAs have to email you two questions about your perceived risk for the patient. This will be sent your NYGH email. 

MD poster

Quick Reference Guide for Login Information

1 page summary here

A Phase IIb 3 arm randomized clinical pilot study to assess the impact of a Peer-support program to improve Social Isolation and Loneliness due to COVID-19

Principal Investigator: Dr. Jacques Lee (Sinai Health)

Site Investigator: Dr. Rohit Mohindra

REB: NYGH

Funding: CIHR 

 

Background:

Recent data showed that 30% of participants 70 years of age or older reported social isolation or loneliness. Social isolation and loneliness are strongly associated with significantly reduced quality of life, increased risk of dementia, and disability.  and many other adverse outcomes. Systematic reviews have demonstrated that effective interventions to reduce both social isolation and loneliness exist. 

Goal:

To determine if health outcomes in elderly, isolated, and lonely patients can be improved with a behaviour intervention (HOW R U program) administered either by telephone or by aTouchAway app. 

Inclusion Criteria:

  • Any community-dwelling person 70 years of age and older receiving care from the ED

  • Planned discharge home

  • Able to have a telephone interview in English

  • Further screening for eligibility is done by the RA's

Exclusion Criteria:

  • age less than 70 years

  • communication problems (critically ill, language barrier, speech or hearing impairment preventing communication over the telephone, or otherwise unable to provide consent), or

  • admission to a hospital for > 72 hours.

  • severe cognitive impairment 

  • living in nursing homes who are dependent on others for their activity of daily living

How to enroll patients

  • Ask the patient if the ED Research Team can contact the patient by telephone to discuss enrollment in the study

  • Open  "FirstNET"

  • Click on Link called "ED Research"

  • Enter the patients name and MRN 

  • Select "Social Isolation" 

  • Provide a copy of the handout to the patient here. Copies are also available at the AC zone secretary. 

Patient Handout

Study Information 

Other ongoing projects (updated June 6, 2022):

  • Atrial fibrillation treatment pathway during the COVID-19 pandemic (data analysis ongoing)

  • Understanding the patient experience of the high-risk COVID-19 follow-up program (data collection)

  • Alcohol use disorder treatment accessibility at community pharmacies: a systematic review and Ontario pharmacy survey (data collection)

  • Use of urine metabolomics to predict delirium in hip-fracture patients (pending pilot study results at SHSC)

  • Canadian COVID-19 Emergency Department Rapid Response Network (completed)

  • Incidence of non-respiratory related illness in the COVID-19 assessment zone of a community ED (completed)

  • A systematic review of computer provider order entry and patient-oriented outcomes in the emergency department (on-going)

  • IMPACTS: randomize adaptive trial on the impact on packing and antibiotics in the treatment of peri-anal abscess after I+D (ongoing)

Contact Dr. Rohit Mohindra for more details as the project list is always evolving! 

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