Improving Outcomes in Pediatric Multi-System Trauma Care in Ontario Through Knowledge Implementation and Translation

Capstone Summary:

Injuries are the leading cause of death and disability in children worldwide. In Canada, 45% of children live more than an hour away from paediatric trauma centers and are more likely to present to general emergency departments without paediatric expertise when injured. Recent studies have shown that children living far from paediatric trauma centers often have worse outcomes compared to children that present directly to these centers. These studies have also demonstrated practice variation at general EDs when managing pediatric trauma.

Our Capstone project focused on addressing practice variation in the management of paediatric trauma patients at Ontario general EDs, to ensure that optimal care is received regardless of geographical location. In our journey, we have identified that a lack of human and physical resources, communication issues, complicated transfer processes and knowledge gaps contribute to practice variation for pediatric trauma management in Ontario. We developed a rigorous research protocol to assess the needs, pertaining to each of these categories, for providers treating paediatric trauma patients at general EDs in Ontario. In addition, the needs assessment will give insight into the knowledge transfer needs and preferences of these health care providers. This will help confirm the pertinence of implementing the PedsPac, a co-created knowledge transfer tool we identified, at Ontario general EDs.

Capstone Team: 

Dr. Gabrielle Freire, MDCM FRCPC MDCM FRCPC

Department of Paediatrics, University of Toronto Department of Paediatrics, University of Toronto
Paediatric Emergency Physician, The Hospital for Sick Children Paediatric Emergency Physician, The Hospital for Sick Children

 

Zoey Li, BSc (Hons) BSc (Hons)

Health Innovations Hub National Initiative for the Care of the Elderly Health Innovations Hub National Initiative for the Care of the Elderly
Communications Communications

 

Sophia Lu, BMSc (Hons) BMSc (Hons)

Western University Western University
Lab Assistant Lab Assistant

 

Naomi Zigman-Daniels, BS Psychology, minor Biology BS Psychology, minor Biology

Wyss Institute for Biologically Inspired Engineering, Wyss Institute for Biologically Inspired Engineering,
Clinical Research Assistant Clinical Research Assistant

 

Capstone Supervisor:

Prof. Rich Foty, PhD PhD

IHPME Dalla Lana
Needs Translator Course Director & Faculty Advisor

Capstone Advisory Committee:

Shazeen Suleman,

St. Michael's Unity Health Toronto
General Pediatrics

Justin Losier, BSC(H), MD, FMC, EM

Markham Stouffville Hospital

Melanie Barwick, PhD, CPsych

The Hospital for Sick Children
Psychologist and Health Systems Research Scientist

TRP also provided a self-directed environment and opportunities to develop core competencies — like team building, collaboration, networking, creativity and problem solving — that will help me throughout my career.

 - Gurpreet Kamboj, 2015 Cohort