The overall objective of this study is to evaluate the effectiveness of the implementation of the Canadian Syncope Pathway in multiple Canadian EDs using a stepped wedge cluster randomized trial (SW-CRT) on health care efficiency and patient safety.
Stepped wedge, cluster randomized trial, with clusters (hospitals) crossing over sequentially, in random order, from control to intervention phase
usual care – physicians can evaluate and have final disposition for syncope patients as per current protocol
the knowledge translation of the CSRS practice recommendations with the availability of outpatient cardiac monitors in ED and expedited outpatient follow-up when needed for CSRS medium/high-risk patients
ONTARIO |
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| Site | City | PI | Clinic/Physician Responsible for Patient Follow-Up |
|---|---|---|---|
| Montfort Hospital | Ottawa | Dr. Christopher Fabian | Ottawa Cardiovascular Centre, Merivale Cardiovascular Consultants |
| London Health Science Centre | London | Dr. Justin Yan | Dr. Allan Skanes |
| Winchester District Memorial Hospital | Winchester | Dr. Mohamed Gazarin | Ottawa Cardiovascular Center, Merivale Cardiology |
| Toronto General Hospital, Toronto and Western Toronto Hospital | Toronto | Dr. Paul Ellis / Dr. Anna Nowacki | Dr. Danna Spears |
| Thunder Bay Regional Health Sciences Centre | Thunder Bay | Dr. David Savage | Dr. Ali Kharazi |
QUEBEC |
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| Site | City | PI | Clinic/Physician Responsible for Patient Follow-Up |
|---|---|---|---|
| Hôpital de L'Enfant-Jésus | Québec City | Dr. Eric Mercier | Dr. Pierre - Louis Nadeau |
| Hôpital Saint-François d’Assise | Québec City | Dr. Eric Mercier | Dr. Pierre - Louis Nadeau |
| Royal Victoria and Montréal General Hospitals | Montréal | Dr. Cristian Toarta / Dr. Gregory Clark | Dr. Sunil Garg |
| Jewish General Hospital | Montréal | Dr. Lars Grant | Dr. Lawrence Rudski |
| Hôpital du Sacre-Coeur de Montréal | Montréal | Dr. Alexis Cournoyer | Accès 24h cardiologie Clinique |
MANITOBA |
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| Site | City | PI | Clinic/Physician Responsible for Patient Follow-Up |
|---|---|---|---|
| St. Boniface Hospital | Winnipeg | Dr. Mona Hegdekar | Dr. Collette Seifer |
ALBERTA |
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| Site | City | PI | Clinic/Physician Responsible for Patient Follow-Up |
|---|---|---|---|
| Foothill Medical Center/ Peter Lougheed Center | Calgary | Dr. Andrew McRae | Dr. Satish Raj |
| University of Alberta Hospital | Edmonton | Dr. Jeffrey Franc | PulseAir Edmonton |
BRITISH COLUMBIA |
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| Site | City | PI | Clinic/Physician Responsible for Patient Follow-Up |
|---|---|---|---|
| Vancouver General Hospital | Vancouver | Dr. Ka Wai Cheung | Dr. Andrew Krahn |
| Kelowna General Hospital | Kelowna | Dr. Lee Graham / Dr. Devin Harris | Dr. Frank Halperin |
| Royal Columbian Hospital | New Westminster | Dr. Kenneth Chan | Dr. Andrew Krahn |