Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.
UNKNOWN
NA
4000 participants
INTERVENTIONAL
2019-01-21
2022-12-31
Brief Summary
Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.
Related Clinical Trials
Explore similar clinical trials based on study characteristics and research focus.
Digital Bridge: Using Technology to Support Patient-centered Care Transitions From Hospital to Home
NCT04287192
Evaluating the Effectiveness of an Electronic Medical Transfer Tool to Improve Communication During Transfers From ICU
NCT03590002
Communication Enhancement Among Ventilated Patients in Intensive Care
NCT07251530
Out of Hospital Cardiac Arrest: Trial Assessing the Survival Impact of Phone Advice
NCT02934867
Evaluation of the Performance of an e-Health System
NCT02803489
Detailed Description
Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.
In 2016, the ACE program was implemented at one hospital in the Centre intégré en santé et en services sociaux de Chaudière-Appalaches (CISSS CA), a large integrated healthcare organization in Quebec, with a focus on improving transitions between hospital and the community for the elderly. This project used rapid, iterative user-centered design prototyping and a "Wiki-suite" (a free online database containing evidence-based knowledge tools in all areas of healthcare and an accompanying training course) to engage multiple stakeholders including a patient partner to improve care for elderly patients. Within this one year project, the investigators developed a context-adapted ACE intervention with the support of the Mt. Sinai Hospital, the Canadian Foundation for Healthcare Improvement and the Canadian Frailty Network.
The goal is to scale up the ACE program for elderly care transition to three new hospital sites within the CISSS CA, using the Wiki-suite to allow for further context-adaptation of the program in these new hospitals.
Objectives: 1) Implement a context-adapted ACE program in three hospitals in the CISSS CA and measure its impact on patient, caregiver, clinical and hospital-level outcomes; 2) Identify underlying mechanisms by which the context-adapted ACE program improves care transitions for the elderly; 3) Identify underlying mechanisms by which the Wiki-suite contributes to context-adaptation and local uptake of knowledge tools.
Methods: Objective 1: Staggered implementation of the ACE program across the three CISSS CA sites; interrupted time series to measure the impact on hospital-level outcomes; pre/post cohort study to measure the impact of the new program on patient, caregiver and clinical outcomes. Objectives 2 and 3: Parallel mixed-methods process evaluation study to understand the mechanisms by which the context-adapted ACE program improves care transitions for the elderly and by which the Wiki-suite contributes to adaptation, implementation and scaling up of geriatric knowledge tools.
Expected results: This project will provide much needed evidence on effective Knowledge Translation (KT) strategies to adapt best practices to local context in transition of care for the elderly. It will contribute to adapting geriatric knowledge to local contexts. The knowledge generated through this project will support future scale-up of the ACE program and the wiki methodology to other settings in Canada.
Conditions
See the medical conditions and disease areas that this research is targeting or investigating.
Study Design
Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.
NON_RANDOMIZED
SEQUENTIAL
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
Review each arm or cohort in the study, along with the interventions and objectives associated with them.
Phase I-A (Local project set-up)
An executive committee will oversee the entire project. This committee, led by the nominated PI and Director of Nursing, will meet every 4 weeks during this four-year project. The team may include, depending on the hospital site: an administrator, the ED Director, the ED Head nurse, a community and/or hospital-based geriatric nurse specialist, an ED physician, a hospitalist, a geriatrician, a family physician, a home care nurse/coordinator, an inpatient unit manager, the research coordinator, and a local patient/caregiver. Each local team will be responsible for selecting and implementing the ACE intervention(s) best suiting their milieu, and will include locally identified champions to lead the local implementation.
No interventions assigned to this group
Phase I-B (Implementation):
The investigators will implement the context-adapted ACE program with the support of administrators and local implementation teams who will have the responsibility to roll out the different elements of the intervention within their respective hospitals. It may include a series of systematic pre-discharge, post-discharge and across transitions period interventions for eligible patients: 1) a GEM nurse to support patients during the post-discharge transition period, 2) pre- and post-hospitalization medication list reconciliation, 3) systematic discharge summaries given to patients and/or caregiver, and sent to their family physician, 4) a planned follow-up appointment with their family physician, 5) a systematic follow-up phone call, 6) access to wiki-based patient-oriented KT tools, 7) access to a community-based telemonitoring service.
GEM nurse
hospital-based geriatric emergency nurse (GEM nurse) specialist to support patients during the post-discharge transition period
pre- and post-hospitalization medication list reconciliation
pre- and post-hospitalization medication list reconciliation for elderly
systematic discharge summaries
systematic discharge summaries given to patients and/or caregiver, and sent to their family physician
medical follow-up appointment
a planned follow-up appointment with their family physician
follow-up phone call
a systematic follow-up phone call for discharged patients
Wiki-based Knowledge tools
access to wiki-based patient-oriented KT tools
Telemonitoring service
access to a community-based telemonitoring service
Phase IC (Study description)
Results from each center will be analysed over time. Guided by previous work in healthcare governance, the investigators will analyze the impact of the sequential interventions within the context of a major health reform in Quebec aiming at implementing an integrated health system and within the PI program's overall goal of creating a Learning Health System. This will be accomplished by conducting a comparative case study across the four study sites to compare the barriers, facilitators and local solutions implemented to gain a better understanding about how the ACE program could eventually be scaled up elsewhere.
GEM nurse
hospital-based geriatric emergency nurse (GEM nurse) specialist to support patients during the post-discharge transition period
pre- and post-hospitalization medication list reconciliation
pre- and post-hospitalization medication list reconciliation for elderly
systematic discharge summaries
systematic discharge summaries given to patients and/or caregiver, and sent to their family physician
medical follow-up appointment
a planned follow-up appointment with their family physician
follow-up phone call
a systematic follow-up phone call for discharged patients
Wiki-based Knowledge tools
access to wiki-based patient-oriented KT tools
Telemonitoring service
access to a community-based telemonitoring service
Interventions
Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.
GEM nurse
hospital-based geriatric emergency nurse (GEM nurse) specialist to support patients during the post-discharge transition period
pre- and post-hospitalization medication list reconciliation
pre- and post-hospitalization medication list reconciliation for elderly
systematic discharge summaries
systematic discharge summaries given to patients and/or caregiver, and sent to their family physician
medical follow-up appointment
a planned follow-up appointment with their family physician
follow-up phone call
a systematic follow-up phone call for discharged patients
Wiki-based Knowledge tools
access to wiki-based patient-oriented KT tools
Telemonitoring service
access to a community-based telemonitoring service
Eligibility Criteria
Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.
Inclusion Criteria
* aged ≥ 65 years
* be discharged from the ED
* able to understand and read French
* able to give informed consent
Eligible caregivers will be:
* identified by the patients themselves
* able to understand and read French
* able to give informed consent
Exclusion Criteria
65 Years
ALL
No
Sponsors
Meet the organizations funding or collaborating on the study and learn about their roles.
Laval University
OTHER
Responsible Party
Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.
Patrick Archambault
Associate Professor
Principal Investigators
Learn about the lead researchers overseeing the trial and their institutional affiliations.
Patrick M Archambault, MD, MSc
Role: PRINCIPAL_INVESTIGATOR
Laval University
Locations
Explore where the study is taking place and check the recruitment status at each participating site.
Centres intégrés de santé et de services sociaux (CISSS) De Chaudières-Appalaches
Lévis, Quebec, Canada
Countries
Review the countries where the study has at least one active or historical site.
Central Contacts
Reach out to these primary contacts for questions about participation or study logistics.
Facility Contacts
Find local site contact details for specific facilities participating in the trial.
Pascal Y Smith, PhD
Role: primary
References
Explore related publications, articles, or registry entries linked to this study.
Sinha SK, Oakes SL, Chaudhry S, Suh TT. How to Use the ACE Unit to Improve Hospital Safety and Quality for Older Patients: From ACE Units to Elder-Friendly Hospitals. Acute Care for Elders. 2014. pp. 131-156. doi:10.1007/978-1-4939-1025-0_8
Sirois MJ, Emond M, Ouellet MC, Perry J, Daoust R, Morin J, Dionne C, Camden S, Moore L, Allain-Boule N. Cumulative incidence of functional decline after minor injuries in previously independent older Canadian individuals in the emergency department. J Am Geriatr Soc. 2013 Oct;61(10):1661-8. doi: 10.1111/jgs.12482.
Reid RC, Cummings GE, Cooper SL, Abel SL, Bissell LJ, Estabrooks CA, Rowe BH, Wagg A, Norton PG, Ertel M, Cummings GG. The Older Persons' Transitions in Care (OPTIC) study: pilot testing of the transition tracking tool. BMC Health Serv Res. 2013 Dec 14;13:515. doi: 10.1186/1472-6963-13-515.
Osborn R, Moulds D, Squires D, Doty MM, Anderson C. International survey of older adults finds shortcomings in access, coordination, and patient-centered care. Health Aff (Millwood). 2014 Dec;33(12):2247-55. doi: 10.1377/hlthaff.2014.0947. Epub 2014 Nov 19.
Dubuc N, Dubois MF, Raiche M, Gueye NR, Hebert R. Meeting the home-care needs of disabled older persons living in the community: does integrated services delivery make a difference? BMC Geriatr. 2011 Oct 26;11:67. doi: 10.1186/1471-2318-11-67.
Levesque JF, Pineault R, Hamel M, Roberge D, Kapetanakis C, Simard B, Prud'homme A. Emerging organisational models of primary healthcare and unmet needs for care: insights from a population-based survey in Quebec province. BMC Fam Pract. 2012 Jul 2;13:66. doi: 10.1186/1471-2296-13-66.
van Walraven C, Taljaard M, Bell CM, Etchells E, Stiell IG, Zarnke K, Forster AJ. A prospective cohort study found that provider and information continuity was low after patient discharge from hospital. J Clin Epidemiol. 2010 Sep;63(9):1000-10. doi: 10.1016/j.jclinepi.2010.01.023.
Haggerty JL, Reid RJ, Freeman GK, Starfield BH, Adair CE, McKendry R. Continuity of care: a multidisciplinary review. BMJ. 2003 Nov 22;327(7425):1219-21. doi: 10.1136/bmj.327.7425.1219.
Trahan LM, Spiers JA, Cummings GG. Decisions to Transfer Nursing Home Residents to Emergency Departments: A Scoping Review of Contributing Factors and Staff Perspectives. J Am Med Dir Assoc. 2016 Nov 1;17(11):994-1005. doi: 10.1016/j.jamda.2016.05.012. Epub 2016 Jun 24.
Dhalla IA, O'Brien T, Ko F, Laupacis A. Toward safer transitions: how can we reduce post-discharge adverse events? Healthc Q. 2012;15 Spec No:63-7. doi: 10.12927/hcq.2012.22839. No abstract available.
Forster AJ, Murff HJ, Peterson JF, Gandhi TK, Bates DW. The incidence and severity of adverse events affecting patients after discharge from the hospital. Ann Intern Med. 2003 Feb 4;138(3):161-7. doi: 10.7326/0003-4819-138-3-200302040-00007.
Coleman EA, Smith JD, Frank JC, Eilertsen TB, Thiare JN, Kramer AM. Development and testing of a measure designed to assess the quality of care transitions. Int J Integr Care. 2002;2:e02. doi: 10.5334/ijic.60. Epub 2002 Jun 1.
Harrison A, Verhoef M. Understanding coordination of care from the consumer's perspective in a regional health system. Health Serv Res. 2002 Aug;37(4):1031-54. doi: 10.1034/j.1600-0560.2002.64.x.
Weaver FM, Perloff L, Waters T. Patients' and caregivers' transition from hospital to home: needs and recommendations. Home Health Care Serv Q. 1998;17(3):27-48. doi: 10.1300/j027v17n03_03.
Beers MH, Sliwkowski J, Brooks J. Compliance with medication orders among the elderly after hospital discharge. Hosp Formul. 1992 Jul;27(7):720-4.
Dudas V, Bookwalter T, Kerr KM, Pantilat SZ. The impact of follow-up telephone calls to patients after hospitalization. Am J Med. 2001 Dec 21;111(9B):26S-30S. doi: 10.1016/s0002-9343(01)00966-4.
van Walraven C, Seth R, Austin PC, Laupacis A. Effect of discharge summary availability during post-discharge visits on hospital readmission. J Gen Intern Med. 2002 Mar;17(3):186-92. doi: 10.1046/j.1525-1497.2002.10741.x.
Moore C, Wisnivesky J, Williams S, McGinn T. Medical errors related to discontinuity of care from an inpatient to an outpatient setting. J Gen Intern Med. 2003 Aug;18(8):646-51. doi: 10.1046/j.1525-1497.2003.20722.x.
Stall N, Nowaczynski M, Sinha SK. Back to the future: home-based primary care for older homebound Canadians: part 1: where we are now. Can Fam Physician. 2013 Mar;59(3):237-40. No abstract available.
Stall N, Nowaczynski M, Sinha SK. Back to the future: home-based primary care for older homebound Canadians: part 2: where we are going. Can Fam Physician. 2013 Mar;59(3):243-5. No abstract available.
Gruneir A, Dhalla IA, van Walraven C, Fischer HD, Camacho X, Rochon PA, Anderson GM. Unplanned readmissions after hospital discharge among patients identified as being at high risk for readmission using a validated predictive algorithm. Open Med. 2011;5(2):e104-11. Epub 2011 May 31.
Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2009 Apr 2;360(14):1418-28. doi: 10.1056/NEJMsa0803563.
Gill TM, Allore HG, Gahbauer EA, Murphy TE. Change in disability after hospitalization or restricted activity in older persons. JAMA. 2010 Nov 3;304(17):1919-28. doi: 10.1001/jama.2010.1568.
Krumholz HM. Post-hospital syndrome--an acquired, transient condition of generalized risk. N Engl J Med. 2013 Jan 10;368(2):100-2. doi: 10.1056/NEJMp1212324. No abstract available.
Boyd CM, Landefeld CS, Counsell SR, Palmer RM, Fortinsky RH, Kresevic D, Burant C, Covinsky KE. Recovery of activities of daily living in older adults after hospitalization for acute medical illness. J Am Geriatr Soc. 2008 Dec;56(12):2171-9. doi: 10.1111/j.1532-5415.2008.02023.x.
Gill TM, Allore HG, Holford TR, Guo Z. Hospitalization, restricted activity, and the development of disability among older persons. JAMA. 2004 Nov 3;292(17):2115-24. doi: 10.1001/jama.292.17.2115.
Gill TM, Williams CS, Tinetti ME. The combined effects of baseline vulnerability and acute hospital events on the development of functional dependence among community-living older persons. J Gerontol A Biol Sci Med Sci. 1999 Jul;54(7):M377-83. doi: 10.1093/gerona/54.7.m377.
Sirois MJ, Griffith L, Perry J, Daoust R, Veillette N, Lee J, Pelletier M, Wilding L, Emond M. Measuring Frailty Can Help Emergency Departments Identify Independent Seniors at Risk of Functional Decline After Minor Injuries. J Gerontol A Biol Sci Med Sci. 2017 Jan;72(1):68-74. doi: 10.1093/gerona/glv152. Epub 2015 Sep 22.
Covinsky KE, Palmer RM, Fortinsky RH, Counsell SR, Stewart AL, Kresevic D, Burant CJ, Landefeld CS. Loss of independence in activities of daily living in older adults hospitalized with medical illnesses: increased vulnerability with age. J Am Geriatr Soc. 2003 Apr;51(4):451-8. doi: 10.1046/j.1532-5415.2003.51152.x.
Goncalves-Bradley DC, Lannin NA, Clemson LM, Cameron ID, Shepperd S. Discharge planning from hospital. Cochrane Database Syst Rev. 2016 Jan 27;2016(1):CD000313. doi: 10.1002/14651858.CD000313.pub5.
Leppin AL, Gionfriddo MR, Kessler M, Brito JP, Mair FS, Gallacher K, Wang Z, Erwin PJ, Sylvester T, Boehmer K, Ting HH, Murad MH, Shippee ND, Montori VM. Preventing 30-day hospital readmissions: a systematic review and meta-analysis of randomized trials. JAMA Intern Med. 2014 Jul;174(7):1095-107. doi: 10.1001/jamainternmed.2014.1608.
Charles L, Bremault-Phillips S, Parmar J, Johnson M, Sacrey LA. Understanding How to Support Family Caregivers of Seniors with Complex Needs. Can Geriatr J. 2017 Jun 30;20(2):75-84. doi: 10.5770/cgj.20.252. eCollection 2017 Jun.
Ahmed NN, Pearce SE. Acute care for the elderly: a literature review. Popul Health Manag. 2010 Aug;13(4):219-25. doi: 10.1089/pop.2009.0058.
Fox MT, Persaud M, Maimets I, O'Brien K, Brooks D, Tregunno D, Schraa E. Effectiveness of acute geriatric unit care using acute care for elders components: a systematic review and meta-analysis. J Am Geriatr Soc. 2012 Dec;60(12):2237-45. doi: 10.1111/jgs.12028. Epub 2012 Nov 23.
Shepperd S, Iliffe S, Doll HA, Clarke MJ, Kalra L, Wilson AD, Goncalves-Bradley DC. Admission avoidance hospital at home. Cochrane Database Syst Rev. 2016 Sep 1;9(9):CD007491. doi: 10.1002/14651858.CD007491.pub2.
Shepperd S, McClaran J, Phillips CO, Lannin NA, Clemson LM, McCluskey A, Cameron ID, Barras SL. Discharge planning from hospital to home. Cochrane Database Syst Rev. 2010 Jan 20;(1):CD000313. doi: 10.1002/14651858.CD000313.pub3.
Early Supported Discharge Trialists. Services for reducing duration of hospital care for acute stroke patients. Cochrane Database Syst Rev. 2005 Apr 18;(2):CD000443. doi: 10.1002/14651858.CD000443.pub2.
Inglis SC, Clark RA, Dierckx R, Prieto-Merino D, Cleland JG. Structured telephone support or non-invasive telemonitoring for patients with heart failure. Cochrane Database Syst Rev. 2015 Oct 31;2015(10):CD007228. doi: 10.1002/14651858.CD007228.pub3.
McClure R, Turner C, Peel N, Spinks A, Eakin E, Hughes K. Population-based interventions for the prevention of fall-related injuries in older people. Cochrane Database Syst Rev. 2005 Jan 25;2005(1):CD004441. doi: 10.1002/14651858.CD004441.pub2.
Young J, Green J, Forster A, Small N, Lowson K, Bogle S, George J, Heseltine D, Jayasuriya T, Rowe J. Postacute care for older people in community hospitals: a multicenter randomized, controlled trial. J Am Geriatr Soc. 2007 Dec;55(12):1995-2002. doi: 10.1111/j.1532-5415.2007.01456.x. Epub 2007 Nov 2.
Nikolaus T, Specht-Leible N, Bach M, Oster P, Schlierf G. A randomized trial of comprehensive geriatric assessment and home intervention in the care of hospitalized patients. Age Ageing. 1999 Oct;28(6):543-50. doi: 10.1093/ageing/28.6.543.
Green J, Young J, Forster A, Mallinder K, Bogle S, Lowson K, Small N. Effects of locality based community hospital care on independence in older people needing rehabilitation: randomised controlled trial. BMJ. 2005 Aug 6;331(7512):317-22. doi: 10.1136/bmj.38498.387569.8F. Epub 2005 Jul 1.
Coleman EA, Parry C, Chalmers S, Min SJ. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006 Sep 25;166(17):1822-8. doi: 10.1001/archinte.166.17.1822.
Malone ML, Vollbrecht M, Stephenson J, Burke L, Pagel P, Goodwin JS. AcuteCare for Elders (ACE) tracker and e-Geriatrician: methods to disseminate ACE concepts to hospitals with no geriatricians on staff. J Am Geriatr Soc. 2010 Jan;58(1):161-7. doi: 10.1111/j.1532-5415.2009.02624.x.
Gagliardi AR, Brouwers MC, Bhattacharyya OK. The development of guideline implementation tools: a qualitative study. CMAJ Open. 2015 Jan 13;3(1):E127-33. doi: 10.9778/cmajo.20140064. eCollection 2015 Jan-Mar.
Greenhalgh T, Howick J, Maskrey N; Evidence Based Medicine Renaissance Group. Evidence based medicine: a movement in crisis? BMJ. 2014 Jun 13;348:g3725. doi: 10.1136/bmj.g3725.
McKillop A, Crisp J, Walsh K. Practice guidelines need to address the 'how' and the 'what' of implementation. Prim Health Care Res Dev. 2012 Jan;13(1):48-59. doi: 10.1017/S1463423611000405. Epub 2011 Oct 13.
Dobbins M, Hanna SE, Ciliska D, Manske S, Cameron R, Mercer SL, O'Mara L, DeCorby K, Robeson P. A randomized controlled trial evaluating the impact of knowledge translation and exchange strategies. Implement Sci. 2009 Sep 23;4:61. doi: 10.1186/1748-5908-4-61.
Shekelle PG, Kravitz RL, Beart J, Marger M, Wang M, Lee M. Are nonspecific practice guidelines potentially harmful? A randomized comparison of the effect of nonspecific versus specific guidelines on physician decision making. Health Serv Res. 2000 Mar;34(7):1429-48.
Grilli R, Lomas J. Evaluating the message: the relationship between compliance rate and the subject of a practice guideline. Med Care. 1994 Mar;32(3):202-13. doi: 10.1097/00005650-199403000-00002.
Gagliardi AR, Alhabib S; members of Guidelines International Network Implementation Working Group. Trends in guideline implementation: a scoping systematic review. Implement Sci. 2015 Apr 21;10:54. doi: 10.1186/s13012-015-0247-8.
Pitzul KB, Lane NE, Voruganti T, Khan AI, Innis J, Wodchis WP, Baker GR. Role of context in care transition interventions for medically complex older adults: a realist synthesis protocol. BMJ Open. 2015 Nov 19;5(11):e008686. doi: 10.1136/bmjopen-2015-008686.
Couturier Y, Belzile L, Gagnon D. Principes méthodologiques de l'implantation du modèle PRISMA portant sur l'intégration des services pour les personnes âgées en perte d'autonomie. Management & Avenir. 2011;47: 133
Archambault PM, Turgeon AF, Witteman HO, Lauzier F, Moore L, Lamontagne F, Horsley T, Gagnon MP, Droit A, Weiss M, Tremblay S, Lachaine J, Le Sage N, Emond M, Berthelot S, Plaisance A, Lapointe J, Razek T, van de Belt TH, Brand K, Berube M, Clement J, Grajales Iii FJ, Eysenbach G, Kuziemsky C, Friedman D, Lang E, Muscedere J, Rizoli S, Roberts DJ, Scales DC, Sinuff T, Stelfox HT, Gagnon I, Chabot C, Grenier R, Legare F; Canadian Critical Care Trials Group. Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care: The WikiTrauma Interrupted Time Series Protocol. JMIR Res Protoc. 2015 Feb 19;4(1):e21. doi: 10.2196/resprot.4024.
Archambault PM, van de Belt TH, Grajales FJ 3rd, Faber MJ, Kuziemsky CE, Gagnon S, Bilodeau A, Rioux S, Nelen WL, Gagnon MP, Turgeon AF, Aubin K, Gold I, Poitras J, Eysenbach G, Kremer JA, Legare F. Wikis and collaborative writing applications in health care: a scoping review. J Med Internet Res. 2013 Oct 8;15(10):e210. doi: 10.2196/jmir.2787.
Archambault PM, Beaupre P, Begin L, Dupuis A, Cote M, Legare F. Impact of Implementing a Wiki to Develop Structured Electronic Order Sets on Physicians' Intention to Use Wiki-Based Order Sets. JMIR Med Inform. 2016 May 17;4(2):e18. doi: 10.2196/medinform.4852.
Archambault PM, Bilodeau A, Gagnon MP, Aubin K, Lavoie A, Lapointe J, Poitras J, Croteau S, Pham-Dinh M, Legare F. Health care professionals' beliefs about using wiki-based reminders to promote best practices in trauma care. J Med Internet Res. 2012 Apr 19;14(2):e49. doi: 10.2196/jmir.1983.
Maher L, Gustafson DH, Evans A. NHS sustainability model. NHS institute for innovation and improvement; 2010
Plaisance A, Witteman HO, Heyland DK, Ebell MH, Dupuis A, Lavoie-Berard CA, Legare F, Archambault PM. Development of a Decision Aid for Cardiopulmonary Resuscitation Involving Intensive Care Unit Patients' and Health Professionals' Participation Using User-Centered Design and a Wiki Platform for Rapid Prototyping: A Research Protocol. JMIR Res Protoc. 2016 Feb 11;5(1):e24. doi: 10.2196/resprot.5107.
Cloutier C, Denis JL, Langley A, Lamothe L. Agency at the Managerial Interface: Public Sector Reform as Institutional Work. Journal of Public Administration Research and Theory. 2015;26: 259-276.
Anatchkova MD, Barysauskas CM, Kinney RL, Kiefe CI, Ash AS, Lombardini L, Allison JJ. Psychometric evaluation of the Care Transition Measure in TRACE-CORE: do we need a better measure? J Am Heart Assoc. 2014 Jun 4;3(3):e001053. doi: 10.1161/JAHA.114.001053.
Champagne A, Landreville P, Gosselin P, Carmichael PH. Psychometric properties of the French Canadian version of the Geriatric Anxiety Inventory. Aging Ment Health. 2018 Jan;22(1):40-45. doi: 10.1080/13607863.2016.1226767. Epub 2016 Sep 22.
Act P. Revised Statutes of Nova Scotia. Chapter. 1989;208
Fleet R, Pelletier C, Marcoux J, Maltais-Giguere J, Archambault P, Audette LD, Plant J, Begin F, Tounkara FK, Poitras J. Differences in access to services in rural emergency departments of Quebec and Ontario. PLoS One. 2015 Apr 15;10(4):e0123746. doi: 10.1371/journal.pone.0123746. eCollection 2015.
Du Plessis V, Beshiri R, Bollman RD, Clemenson H. Definitions of rural. Rural and Small Town Canada Analysis Bulletin. 2001; 3: 1-17
Bergman H, Arcand M, Bureau C, Chertkow H, Ducharme F, Joanette Y, et al. Relever le défi de la maladie d'Alzheimer et des maladies apparentées. Une vision centrée sur l'humanisme, la personne et l'excellence. Rapport du comité d'experts en vue de l'élaboration d'un plan national pour la maladie d'Alzheimer. MSSS, gouvernement du Québec; 2009
Mosquera I, Vergara I, Larranaga I, Machon M, del Rio M, Calderon C. Measuring the impact of informal elderly caregiving: a systematic review of tools. Qual Life Res. 2016 May;25(5):1059-92. doi: 10.1007/s11136-015-1159-4. Epub 2015 Oct 16.
Mello JA, Macq J, Van Durme T, Ces S, Spruytte N, Van Audenhove C, Declercq A. The determinants of informal caregivers' burden in the care of frail older persons: a dynamic and role-related perspective. Aging Ment Health. 2017 Aug;21(8):838-843. doi: 10.1080/13607863.2016.1168360. Epub 2016 Apr 7.
Penfold RB, Zhang F. Use of interrupted time series analysis in evaluating health care quality improvements. Acad Pediatr. 2013 Nov-Dec;13(6 Suppl):S38-44. doi: 10.1016/j.acap.2013.08.002.
Grimshaw JM, Presseau J, Tetroe J, Eccles MP, Francis JJ, Godin G, Graham ID, Hux JE, Johnston M, Legare F, Lemyre L, Robinson N, Zwarenstein M. Looking inside the black box: results of a theory-based process evaluation exploring the results of a randomized controlled trial of printed educational messages to increase primary care physicians' diabetic retinopathy referrals [Trial registration number ISRCTN72772651]. Implement Sci. 2014 Aug 6;9:86. doi: 10.1186/1748-5908-9-86.
Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005 Nov;15(9):1277-88. doi: 10.1177/1049732305276687.
Graham K, Logan J. Using the Ottawa Model of Research Use to implement a skin care program. J Nurs Care Qual. 2004 Jan-Mar;19(1):18-24; quiz 25-6. doi: 10.1097/00001786-200401000-00006.
Leape LL, Berwick DM. Five years after To Err Is Human: what have we learned? JAMA. 2005 May 18;293(19):2384-90. doi: 10.1001/jama.293.19.2384.
Pronovost P, Sexton B, Thompson D. Five years after To Err Is Human. J Crit Care. 2005;20: 76-78
Brennan TA, Gawande A, Thomas E, Studdert D. Accidental deaths, saved lives, and improved quality. N Engl J Med. 2005 Sep 29;353(13):1405-9. doi: 10.1056/NEJMsb051157. No abstract available.
Pronovost P, Needham D, Berenholtz S, Sinopoli D, Chu H, Cosgrove S, Sexton B, Hyzy R, Welsh R, Roth G, Bander J, Kepros J, Goeschel C. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006 Dec 28;355(26):2725-32. doi: 10.1056/NEJMoa061115.
Middleton S, Lydtin A, Comerford D, Cadilhac DA, McElduff P, Dale S, Hill K, Longworth M, Ward J, Cheung NW, D'Este C; QASCIP Working Group and Steering Committee. From QASC to QASCIP: successful Australian translational scale-up and spread of a proven intervention in acute stroke using a prospective pre-test/post-test study design. BMJ Open. 2016 May 6;6(5):e011568. doi: 10.1136/bmjopen-2016-011568.
Del Mar CB, Green AC, Battistutta D. Do public media campaigns designed to increase skin cancer awareness result in increased skin excision rates? Aust N Z J Public Health. 1997 Dec;21(7):751-4.
Clarke JA, Adams JE. The application of clinical guidelines for skull radiography in the Accident and Emergency department: theory and practice. Clin Radiol. 1990 Mar;41(3):152-5. doi: 10.1016/s0009-9260(05)80957-2.
Ramsay CR, Matowe L, Grilli R, Grimshaw JM, Thomas RE. Interrupted time series designs in health technology assessment: lessons from two systematic reviews of behavior change strategies. Int J Technol Assess Health Care. 2003 Fall;19(4):613-23. doi: 10.1017/s0266462303000576.
Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M; Medical Research Council Guidance. Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ. 2008 Sep 29;337:a1655. doi: 10.1136/bmj.a1655.
Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M. Developing and evaluating complex interventions: the new Medical Research Council guidance. Int J Nurs Stud. 2013 May;50(5):587-92. doi: 10.1016/j.ijnurstu.2012.09.010. Epub 2012 Nov 15. No abstract available.
Hamilton S, McLaren S, Mulhall A. Assessing organisational readiness for change: use of diagnostic analysis prior to the implementation of a multidisciplinary assessment for acute stroke care. Implement Sci. 2007 Jul 14;2:21. doi: 10.1186/1748-5908-2-21.
Grol R, Grimshaw J. Evidence-based implementation of evidence-based medicine. Jt Comm J Qual Improv. 1999 Oct;25(10):503-13. doi: 10.1016/s1070-3241(16)30464-3.
Flodgren G, Parmelli E, Doumit G, Gattellari M, O'Brien MA, Grimshaw J, Eccles MP. Local opinion leaders: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2011 Aug 10;(8):CD000125. doi: 10.1002/14651858.CD000125.pub4.
Archambault PM, Rivard J, Smith PY, Sinha S, Morin M, LeBlanc A, Couturier Y, Pelletier I, Ghandour EK, Legare F, Denis JL, Melady D, Pare D, Chouinard J, Kroon C, Huot-Lavoie M, Bert L, Witteman HO, Brousseau AA, Dallaire C, Sirois MJ, Emond M, Fleet R, Chandavong S; Network Of Canadian Emergency Researchers. Learning Integrated Health System to Mobilize Context-Adapted Knowledge With a Wiki Platform to Improve the Transitions of Frail Seniors From Hospitals and Emergency Departments to the Community (LEARNING WISDOM): Protocol for a Mixed-Methods Implementation Study. JMIR Res Protoc. 2020 Aug 5;9(8):e17363. doi: 10.2196/17363.
Related Links
Access external resources that provide additional context or updates about the study.
The Daily - Canada's population estimates: Age and sex, July 1, 2015 \[Internet\]. 29 Sep 2015 \[cited 5 Oct 2016\].
Committee on the Learning Health Care System in America, Institute of Medicine. Best Care at Lower Cost: The Path to Continuously Learning Health Care in America \[Internet\].
Cummings GG E al. Older Persons' Transitions in Care (OPTIC): a study protocol. - PubMed - NCBI \[Internet\]. \[cited 19 Oct 2016\]
Neiterman E E al. Experiences of older adults in transition from hospital to community. - PubMed - NCBI \[Internet\]. \[cited 19 Oct 2016\]
Mount Sinai first in Canada to Achieve Magnet® Recognition for Nursing Excellence and Patient Care - Mount Sinai Hospital - Toronto \[Internet\]. \[cited 16 Oct 2016\]
Knowledge Translation in Health Care: Moving from Evidence to Practice - CIHR \[Internet\]. 8 Sep 2010 \[cited 15 Oct 2016\]
Projet de loi n°10 : Loi modifiant l'organisation et la gouvernance du réseau de la santé et des services sociaux notamment par l'abolition des agences régionales - Assemblée nationale du Québec \[Internet\]. \[cited 15 Oct 2016\]
WikiTrauma \[Internet\]. \[cited 13 Oct 2016\]
Site internet TSSCA \[Internet\]. \[cited 17 Oct 2016\]
Hébert R, Bravo G, Préville M. Reliability, validity and reference values of the Zarit Burden Interview for assessing informal caregivers of community-dwelling older persons with dementia. Canadian Journal on Aging/La Revue canadienne du vieillissement.
Website \[Internet\]. \[cited 16 Oct 2016\]
\[No title\] \[Internet\]. \[cited 17 Oct 2016\]
LEAN QUALITY IMPROVEMENT INITIATIVES \| News and Media \| Government of Saskatchewan. In: Government of Saskatchewan \[Internet\]. \[cited 17 Oct 2016\]
Grol R, Wensing M, Eccles M, Davis D. Improving Patient Care: The Implementation of Change in Health Care \[Internet\]. Wiley-Blackwell; 2013
Other Identifiers
Review additional registry numbers or institutional identifiers associated with this trial.
Learning Wisdom 2018-462
Identifier Type: -
Identifier Source: org_study_id
More Related Trials
Additional clinical trials that may be relevant based on similarity analysis.