Strengthening Ontario’s health system is important for
achieving the triple aim outcomes of: 1) improving the
patient experience of care; 2) improving population
health; and 3) keeping per capita costs of healthcare
manageable.(3-4) Strengthening the system is particularly
important for patients with c...
The College of Physicians and Surgeons of Ontario
(CPSO) and Cancer Care Ontario (CCO) have formed a
partnership to support ongoing training, education and
quality improvement across the province. This
partnership will develop provincial quality-management
programs for the service areas of colonoscopy,
m...
Each year more than 1,000 children and youth (0-19
years of age) die in Ontario.(1) The Office of the Chief
Coroner has consistently investigated between 43-49%
of these deaths each year,(1) and many of these
investigations offer opportunities to learn from the
circumstances of the death, although the ex...
The three reviews with evidence regarding the impact of
drop-in centres were conducted recently. Two of the reviews
(both of medium quality) focused on adult day centres for
older adults,(10;11) and the third (a high-quality review)
focused on interventions for promoting reintegration and
reducing harmfu...
The provincial Chronic Disease Prevention and
Management Strategy from 2008-12 (and then renewed
until 2016) began with a focus on diabetes.(1) The
strategy had a stated intention to expand beyond
diabetes to a broader chronic-disease management
approach. However, to determine whether it would be
benefic...
We found 11 systematic reviews and 21 primary studies
and non-systematic reviews relevant to the questions. Of
these, seven reviews and 11 studies addressed the first question about remediation/rehabilitation models in
changing sexual offender behaviour, and five reviews and 10 primary studies addressed ...
We identified two overviews of systematic reviews, 18
systematic reviews and 17 primary studies from our
searches that were relevant to the questions posed. The
primary studies address the first question about risk
factors for unsafe clinical practice, and both of the
overviews and all of the systematic ...
Optimizing clinical practice based on data, evidence and
guidelines is a challenge faced in every health system
around the world. The way the challenge manifests
itself at the level of the patient has been remarkably
consistent over time: tough decisions made at the
intersection of clinical expertise, pa...
The issue of violence and injuries and its status as a
major public health problem has gained significant
political traction both internationally and within the
Caribbean region during the last two decades.
Internationally, the momentum began to build
across the Americas in 1993 with PAHO resolution
CD37...