Advisory: Give yourself extra time when travelling by car to Toronto General Hospital, Princess Margaret Cancer Centre, or Toronto Rehab University Centre. City of Toronto construction on University Ave. may cause delays.
At UHN, we strive to deliver Compassionate Care & Caring. Learn more about the services and supports that are available to you throughout your journey.
Our UHN programs and services are among the most advanced in the world. We have grouped our physicians,
staff, services and resources into 10 medical programs to meet the needs of our patients and help us make
the most of our resources.
At the heart of everything we do at UHN are our Healthcare Professionals. Refer a patient to one of our 12 medical programs. Learn more about the resources and opportunities available for professional growth.
University Health Network has grown to be one of the largest research and teaching hospital networks in Canada - pioneers in improving the lives of patients. Our long history of health professions education at Toronto General, Toronto Western, Princess Margaret and Toronto Rehab hospitals has consistently advanced the science of education.
University Health Network is a health care and medical research organization in
Toronto, Ontario, Canada. The scope of research and complexity of cases at UHN has made us a national and international
source for discovery, education and patient care.
Being touched by illness affects us in different ways. Many people want to give back to the community
and help others. At UHN, we welcome your contribution and offer different ways you can help so you can find one that suits you.
The Newsroom is the source for media looking for information about UHN or trying to connect with one
of our experts for an interview. It's also the place to find UHN media policies and catch up on our news stories, videos, media releases,
podcasts and more.
As many hospitals deploy initiatives to reduce preventable harm, the key goal is to strive to minimize errors and improve patient safety.
While medical devices such hip, knee and cardiovascular implants are essential to the treatment and well-being of patients — they extend life and improve quality of life — they sometimes don't work as intended and those incidents may result in harm to the patient.
New research from TGHRI Scientist Dr.
Anna R Gagliardi reveals that hospitals may need to improve the systems by which physicians, the healthcare professionals who implant medical devices, identify and report medical device incidents.
Previous work by Dr. Gagliardi and colleagues analyzed data from Health Canada on medical device recalls over a 10-year period (2005 to 2014) and found that five per cent of more than 7,200 medical devices recalled were due to problems with the device that could cause harm to patients. Thus, while medical device incidents might be rare events, it is crucial to quickly identify and report such problems.
October is ...
To further explore the underlying reasons for this underreporting of medical device incidences, Dr. Gagliardi, along with collaborators at UHN, the University of Toronto and across Canada, conducted a qualitative study — one in which detailed information is gathered from a small group of individuals who represent the views and experiences of a larger group. In this case, detailed interviews were conducted with a diverse group of 22 physicians from across Canada.
During the 30-minute interviews, physicians were asked to describe a recent event in which a medical device malfunctioned, the implications, and how they reported it, including any factors that influenced reporting.
The findings showed that there are two factors that could be addressed at the health system level: physician beliefs and healthcare system capacity. Reporting may be limited by physicians' understanding of what is and is not a medical device incident.
It is further limited by a lack of administrative tools at hospitals to capture the information or bypass purchasing agreements with medical device manufacturers in order to purchase alternative devices.
"Taken together, the results of our study suggest that effective solutions to the under-reporting problem must be multifaceted," says Dr. Gagliardi. "Rather than simply educating physicians on how and when to report incidents, we need to create the right environment for reporting.
"This includes the right policies at hospitals, including information systems and incentives to encourage reporting. It may also include establishment of national and international systems to broadly capture and publicly share information about medical device incidents."
on the 10-year incident analysis and
the qualitative interviews with physicians.
This work was supported by the Canadian Institutes of Health Research and the Toronto General & Western Hospital Foundation.