ArticlePloS one2013
Modeling the patient journey from injury to community reintegration for persons with acute traumatic spinal cord injury in a Canadian centre.
Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Application of discrete event simulation in health care: a systematic review.BMC health services research · 2018Pooled it
- Article
- Obstacles in "Time to Spine": Challenges for the Timely Delivery of Acute Surgical Care for Patients with Traumatic and Non-Traumatic Spinal Cord Injury.Healthcare (Basel, Switzerland) · 2024Article
- Technology used in activity based therapy for individuals living with spinal cord injury across Canada.Spinal cord series and cases · 2023Article
- Effective Response to Hospital Congestion Scenarios: Simulation-Based Evaluation of Decongestion Interventions.International journal of environmental research and public health · 2022Article
- A framework for in situ molecular characterization of coral holobionts using nanopore sequencing.Scientific reports · 2020Article
- Surgical management of patients following traumatic spinal cord injury: Identifying barriers to early surgery in a specialized spinal cord injury center.The journal of spinal cord medicine · 2018Article
- Evaluation of a Clinical Protocol to Assess and Diagnose Neuropathic Pain During Acute Hospital Admission: Results From Traumatic Spinal Cord Injury.The Clinical journal of pain · 2018Article
- Forecasting Financial Resources for Future Traumatic Spinal Cord Injury Care Using Simulation Modeling.Journal of neurotrauma · 2017Article
- Spinal Cord Injury Clinical Registries: Improving Care across the SCI Care Continuum by Identifying Knowledge Gaps.Journal of neurotrauma · 2017Article
- Using Evidence To Inform Practice and Policy To Enhance the Quality of Care for Persons with Traumatic Spinal Cord Injury.Journal of neurotrauma · 2017Article
- Optimizing Clinical Decision Making in Acute Traumatic Spinal Cord Injury.Journal of neurotrauma · 2017Article
- Understanding Length of Stay after Spinal Cord Injury: Insights and Limitations from the Access to Care and Timing Project.Journal of neurotrauma · 2017Article
- Methodology of the Access to Care and Timing Simulation Model for Traumatic Spinal Cord Injury Care.Journal of neurotrauma · 2017Article
- Geomapping of Traumatic Spinal Cord Injury in Canada and Factors Related to Triage Pattern.Journal of neurotrauma · 2017Article
- Rural and Urban Living in Persons with Spinal Cord Injury and Comparing Environmental Barriers, Their Health, and Quality-of-Life Outcomes.Journal of neurotrauma · 2017Article
- Impact of Therapy on Recovery during Rehabilitation in Patients with Traumatic Spinal Cord Injury.Journal of neurotrauma · 2017Article
- Previously Identified Common Post-Injury Adverse Events in Traumatic Spinal Cord Injury-Validation of Existing Literature and Relation to Selected Potentially Modifiable Comorbidities: A Prospective Canadian Cohort Study.Journal of neurotrauma · 2017Article
- eIF5A1/RhoGDIα pathway: a novel therapeutic target for treatment of spinal cord injury identified by a proteomics approach.Scientific reports · 2015Article
- Spinal Cord Injury Community Survey: Understanding the Needs of Canadians with SCI.Topics in spinal cord injury rehabilitation · 2014Article
Corrections and comments
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Authors and funding
14 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA patient's journey through the health care system is influenced by clinical and system processes across the continuum of care.
methodsTo inform optimized access to care and patient flow for individuals with traumatic spinal cord injury (tSCI), we developed a simulation model that can examine the full impact of therapeutic or systems interventions across the care continuum for patients with traumatic spinal cord injuries. The objective of this paper is to describe the detailed development of this simulation model for a major trauma and a rehabilitation centre in British Columbia (BC), Canada, as part of the Access to Care and Timing (ACT) project and is referred to as the BC ACT Model V1.0.
findingsTo demonstrate the utility of the simulation model in clinical and administrative decision-making we present three typical scenarios that illustrate how an investigator can track the indirect impact(s) of medical and administrative interventions, both upstream and downstream along the continuum of care. For example, the model was used to estimate the theoretical impact of a practice that reduced the incidence of pressure ulcers by 70%. This led to a decrease in acute and rehabilitation length of stay of 4 and 2 days, respectively and a decrease in bed utilization of 9% and 3% in acute and rehabilitation.
conclusionThe scenario analysis using the BC ACT Model V1.0 demonstrates the flexibility and value of the simulation model as a decision-making tool by providing estimates of the effects of different interventions and allowing them to be objectively compared. Future work will involve developing a generalizable national Canadian ACT Model to examine differences in care delivery and identify the ideal attributes of SCI care delivery.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.