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Dr. Doan’s research program is comprised of projects evaluating pediatric emergency department patterns of use, the quality of the care provided, and the efficiency of service delivery. She aims to answer questions pertaining to the population's need for pediatric emergency care, how well the healthcare system is equipped to meet this need, and how can we maintain or improve the quality and value of the care provided to children and families seeking help in emergency settings
As a member of Pediatric Emergency Research Canada (PERC), Dr. Doan is the BCCH site investigator for many PERC multi-center studies. She is also the PERC representative and BC lead physician for the Translating Emergency Knowledge for Kids (TREKK) network.
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Dr. Doan’s research program includes projects evaluating pediatric emergency department patterns of use, quality of care, and service delivery efficiency. Through a variety of projects, the program aims to answer questions about the need for pediatric emergency care and how well the healthcare system is able to meet this need, as well as the how the quality and value of care provided to families seeking emergency care can be improved or maintained. Examples of projects in progress currently include:
Advancing Concussion Assessment in Pediatrics (A-CAP): This Pediatric Emergency Research Canada (PERC) study aims to more accurately identify mild Traumatic Brain Injury (mTBI), commonly known as a concussion, and to predict its long-term outcomes by studying a broad pool of neurological and psychosocial markers used in diagnosing mTBI.
Evaluation of MyHEARTSMAP, a self-reporting youth mental health assessment & management tool: Adapted from the clinical HEARTSMAP tool, MyHEARTSMAP is a youth mental health self-assessment tool designed for use by youth and their families in the emergency department (ED). This study aims to evaluate MyHEARTSMAP by assessing the tool's predictive validity, determining the feasibility of its use in the ED, and evaluating the impact of screening on health resource seeking behaviour of participants with identified mental health concerns.
Point of Care Group A Streptococcal Testing in a Pediatric Emergency Department: A Randomized Controlled Trial: This randomized controlled trial aims to compare point of care testing versus the standard culture-based approach for children with suspected streptococcal pharyngitis with respect to symptom duration and resource utilization.
- MyHEARTSMAP: development and evaluation of a psychosocial self-assessment tool, for and by youth (2019)
BMJ Paediatrics Open,
- Practice Patterns in Pharmacological and Non-Pharmacological Therapies for Children with Mild Traumatic Brain Injury: A Survey of 15 Canadian and United States Centers (2019)
Journal of Neurotrauma,
- The impact of pediatric emergency department crowding on patient and health care system outcomes: a multicentre cohort study (2019)
Canadian Medical Association Journal, 191 (23), E627--E635
- A psychosocial assessment and management tool for children and youth in crisis (2018)
CJEM, 21 (1), 87--96
- Factors and outcomes associated with paediatric emergency department arrival patterns through the day. (2018)
Paediatrics & child health,
- In Reply. (2018)
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine,
- Management practice-related and modifiable factors associated with paediatric emergency return visits (2018)
Paediatrics & Child Health, 24 (1), e1--e7
- Pediatric Falls: Are Monkey Bars Bad News? (2018)
- Reliability of HEARTSMAP as a Tool for Evaluating Psychosocial Assessment Documentation Practices in Emergency Departments for Pediatric Mental Health Complaints (2018)
Academic Emergency Medicine, 25 (12), 1375--1384
- Reliability testing of the HEARTSMAP psychosocial assessment tool for multidisciplinary use and in diverse emergency settings (2018)
Paediatrics & Child Health, 23 (8), 503--508
- System outcomes associated with a pediatric emergency department clinical decision unit (2018)
CJEM, 21 (2), 195--198
- Use of a standardized asthma severity score to determine emergency department disposition for paediatric asthma: A cohort study. (2018)
Paediatrics & child health,
- A Psychosocial Assessment Tool for Pediatric Emergency Departments (2017)
Journal of Emergency Medicine,
- Advancing Concussion Assessment in Pediatrics (A-CAP): a prospective, concurrent cohort, longitudinal study of mild traumatic brain injury in children: protocol study (2017)
BMJ Open, 7 (7), e017012
- Constipation and paediatric emergency department utilization (2017)
Paediatrics & Child Health, 22 (3), 139--142
- Emergency Department Flow Measures for Adult and Pediatric Patients in British Columbia and Ontario: A Retrospective, Repeated Cross-Sectional Study (2017)
The Journal of Emergency Medicine, 53 (3), 418--426
- Emergency Department Return Visits Within a Large Geographic Area (2017)
The Journal of Emergency Medicine, 52 (6), 801--808
- Outcomes From Referrals and Unscheduled Visits From Community Emergency Departments to a Regional Pediatric Emergency Department in Canada (2017)
Pediatric Emergency Care, , 1
- Outpatient Parenteral Antimicrobial Therapy and Judicious Use of Pediatric Emergency Resources (2017)
Pediatric Emergency Care, , 1
- Paediatric emergency department overcrowding and adverse patient outcomes (2017)
Paediatrics & Child Health, 22 (7), 377--381
- Pediatric information seeking behaviour, information needs, and information preferences of health care professionals in general emergency departments: Results from the Translating Emergency Knowledge for Kids (TREKK) (2017)
CJEM, , 1--11
- Propofol and ketamine in combination versus ketamine or propofol alone for procedural sedation in children outside of the operating room (2017)
Cochrane Database of Systematic Reviews,
- Reliability testing of the HEARTSMAP psychosocial assessment tool for multidisciplinary use and in diverse emergency settings (2017)
Paediatrics & Child Health,
- Return visits to the pediatric emergency department: A multicentre retrospective cohort study (2017)
CJEM, , 1--8
- The association of exposure to suicide-related Internet content and emergency department visits in children: A population-based time series analysis (2017)
Canadian Journal of Public Health, 108 (5-6), e462--e467
- Workload of Team Leaders and Team Members During a Simulated Sepsis Scenario (2017)
Pediatric Critical Care Medicine, 18 (9), e423--e427
- Using Nurse Practitioners to Optimize Patient Flow in a Pediatric Emergency Department (2016)
Pediatric Emergency Care, , 1
- Diagnosing Clinically Significant Dehydration in Children with Acute Gastroenteritis Using Noninvasive Methods: A Meta-Analysis (2015)
The Journal of Pediatrics, 166 (4), 908--916.e6
- Factors Influencing the Decision to Attend a Pediatric Emergency Department for Nonemergent Complaints (2015)
Pediatric Emergency Care, 31 (9), 640--644
- Improving Cardiopulmonary Resuscitation With a CPR Feedback Device and Refresher Simulations (CPR CARES Study) (2015)
JAMA Pediatrics, 169 (2), 137
- Perception of CPR quality: Influence of CPR feedback, Just-in-Time CPR training and provider role (2015)
Resuscitation, 87, 44--50
- Trends in Pediatric Emergency Department Utilization for Mental Health-Related Visits (2015)
The Journal of Pediatrics, 167 (4), 905--910
- Variability in quality of chest compressions provided during simulated cardiac arrest across nine pediatric institutions (2015)
Resuscitation, 97, 13--19
- Accuracy of the Weight-for-age Index in Identifying Obese Children in the Emergency Setting (2014)
Journal of Research in Obesity, , 1--10
- Bone Fractures in Children: Is There an Association with Obesity? (2014)
The Journal of Pediatrics, 165 (2), 313--318.e1
- Do obese children experience more severe fractures than nonobese children? A cross-sectional study from a paediatric emergency department (2014)
Paediatrics & Child Health, 19 (5), 251--255
- Forecasting the effect of physician assistants in a pediatric ED (2014)
Journal of the American Academy of Physician Assistants, 27 (8), 35--41
- Paediatric patient family engagement with clinical research at a tertiary care paediatric hospital (2014)
Paediatrics and Child Health,
- Trends in use in a Canadian pediatric emergency department (2014)
CJEM, 16 (05), 405--410
- A Systematic Review of Patient Tracking Systems for Use in the Pediatric Emergency Department (2013)
The Journal of Emergency Medicine, 44 (1), 242--248
- Assessment of the Reliability of Active Radiofrequency Identification Technology for Patient Tracking in the Pediatric Emergency Department (2013)
Pediatric Emergency Care, 29 (2), 162--164
- Body Mass Index and the Odds of Acute Injury in Children (2013)
Pediatric Emergency Care, 29 (1), 21--25
- Parents' willingness to have their child receive care by physician assistants in a pediatric emergency department (2013)
CJEM, 15 (06), 330--336
- Performance of the Canadian Triage and Acuity Scale for Children: A Multicenter Database Study (2013)
Annals of Emergency Medicine, 61 (1), 27--32.e3
- The Effect of Medical Trainees on Pediatric Emergency Department Flow: A Discrete Event Simulation Modeling Study (2013)
Academic Emergency Medicine, 20 (11), 1112--1120
- The role of physician assistants in pediatric emergency medicine: the physician's view (2013)
CJEM, 15 (06), 321--329
- A Presurvey and Postsurvey of a Web- and Simulation-Based Course of Ultrasound-Guided Nerve Blocks for Pediatric Emergency Medicine (2012)
Pediatric Emergency Care, 28 (6), 506--509
- Canadians' Willingness to Receive Care by Physician Assistants (2012)
Canadian Family Physician,
- The Role of Physician Assistants in a Pediatric Emergency Department (2012)
Pediatric Emergency Care, 28 (8), 783--788
- A systematic review: The role and impact of the physician assistant in the emergency department (2011)
Emergency Medicine Australasia, 23 (1), 7--15
- Cost-effectiveness of Metered-Dose Inhalers for Asthma Exacerbations in the Pediatric Emergency Department (2011)
PEDIATRICS, 127 (5), e1105--e1111
- Prospective Assessment of Practice Pattern Variations in the Treatment of Pediatric Gastroenteritis (2011)
PEDIATRICS, 127 (2), e287--e295
- Body mass index and the risk of acute injury in adolescents (2010)
Paediatrics & Child Health, 15 (6), 351--356
- Determinants of influenza immunization uptake in Canadian youths (2010)
Vaccine, 28 (19), 3462--3466
- The impact of an oral rehydration clinical pathway in a paediatric emergency department (2010)
Paediatrics & Child Health, 15 (8), 503--507
- A Randomized, Controlled Trial of the Impact of Early and Rapid Diagnosis of Viral Infections in Children Brought to an Emergency Department with Febrile Respiratory Tract Illnesses (2009)
The Journal of Pediatrics, 154 (1), 91--95
- Rapid viral diagnosis for acute febrile respiratory illness in children in the Emergency Department (2009)
Cochrane Database of Systematic Reviews,
- Ureteral Obstruction as a Complication of Vertebral Osteomyelitis and Discitis: A Patient Report (2002)
Clinical Pediatrics, 41 (9), 727--729