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Canadian Journal of Anesthesia/Journal canadien d'anesthésie

Erschienen in:

22.01.2020 | Review Article/Brief Review

Data initiatives supporting critical care research and quality improvement in Canada: an environmental scan and narrative review

verfasst von: Nicholas Jackson Chornenki, BSc, Patricia Liaw, PhD, Sean Bagshaw, MD, MSc, Karen Burns, MD, MSc, Peter Dodek, MD, MSc, Shane English, MD, MSc, Eddy Fan, MD, PhD, Nicolay Ferrari, PhD, Robert Fowler, MDCM, MS (Epi), Alison Fox-Robichaud, MD, MSc, Allan Garland, MD, MSc, Robert Green, MD, DABEM, Paul Hebert, MD, MSc, Michelle Kho, PhD, Claudio Martin, MD, MSc, David Maslove, MD, MSc, Ellen McDonald, RN, Kusum Menon, MD, MSc, Srinivas Murthy, MD, MSc, John Muscedere, MD, MSc, Damon Scales, MD, PhD, Henry Thomas Stelfox, MD, PhD, Han Ting Wang, MD, MSc, Matthew Weiss, MD, MSc, the Canadian Critical Care Trials Group (CCCTG) and Canadian Critical Care Translational Biology Group (CCCTBG)

Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Ausgabe 4/2020

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Abstract

Purpose

Collection and analysis of health data are crucial to achieving high-quality clinical care, research, and quality improvement. This review explores existing hospital, regional, provincial and national data platforms in Canada to identify gaps and barriers, and recommend improvements for data science.

Source

The Canadian Critical Care Trials Group and the Canadian Critical Care Translational Biology Group undertook an environmental survey using list-identified names and keywords in PubMed and the grey literature, from the Canadian context. Findings were grouped into sections, corresponding to geography, purpose, and patient sub-group initiatives, using a narrative qualitative approach. Emerging themes, impressions, and recommendations towards improving data initiatives were generated.

Principal findings

In Canada, the Canadian Institute for Health Information Discharge Abstract Database contains high-level clinical data on every adult and child discharged from acute care facilities; however, it does not contain data from Quebec, critical care-specific severity of illness risk-adjustment scores, physiologic data, or data pertaining to medication use. Provincially mandated critical care platforms in four provinces contain more granular data, and can be used to risk adjust and link to within-province data sets; however, no inter-provincial collaborative mechanism exists. There is very limited infrastructure to collect and link biological samples from critically ill patients nationally. Comprehensive international clinical data sets may inform future Canadian initiatives.

Conclusion

Clinical and biological data collection among critically ill patients in Canada is not sufficiently coordinated, and lags behind other jurisdictions. An integrated and inclusive critical care data platform is a key clinical and scientific priority in Canada.

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Titel: Data initiatives supporting critical care research and quality improvement in Canada: an environmental scan and narrative review
verfasst von: Nicholas Jackson Chornenki, BSc
Patricia Liaw, PhD
Sean Bagshaw, MD, MSc
Karen Burns, MD, MSc
Peter Dodek, MD, MSc
Shane English, MD, MSc
Eddy Fan, MD, PhD
Nicolay Ferrari, PhD
Robert Fowler, MDCM, MS (Epi)
Alison Fox-Robichaud, MD, MSc
Allan Garland, MD, MSc
Robert Green, MD, DABEM
Paul Hebert, MD, MSc
Michelle Kho, PhD
Claudio Martin, MD, MSc
David Maslove, MD, MSc
Ellen McDonald, RN
Kusum Menon, MD, MSc
Srinivas Murthy, MD, MSc
John Muscedere, MD, MSc
Damon Scales, MD, PhD
Henry Thomas Stelfox, MD, PhD
Han Ting Wang, MD, MSc
Matthew Weiss, MD, MSc
the Canadian Critical Care Trials Group (CCCTG) and Canadian Critical Care Translational Biology Group (CCCTBG)
Publikationsdatum: 22.01.2020
Verlag: Springer International Publishing
Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Ausgabe 4/2020
Print ISSN: 0832-610X
Elektronische ISSN: 1496-8975
DOI: https://doi.org/10.1007/s12630-020-01571-1

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Data initiatives supporting critical care research and quality improvement in Canada: an environmental scan and narrative review