scholarly journals Frank Myron Guttman and Alexander Wright.The Sir Mortimer B. Davis Jewish General Hospital. Xiv+330 pp., plus illus. Montreal and Kingston: McGill-Queens University Press, 2018. $65 (cloth). ISBN 9780773553064

2019 ◽  
Vol 41 (1) ◽  
pp. 75
Author(s):  
J. T. H. Connor
Keyword(s):  
General Hospital ◽  
Jewish General Hospital

scholarly journals Bevacizumab-based therapy for colorectal cancer: experience from a large Canadian cohort at the Jewish General Hospital between 2004 and 2009

2013 ◽  
Vol 20 (5) ◽  
pp. 247
Author(s):  
N. Bouganim ◽  
A. Mamo ◽  
D.W. Wasserman ◽  
G. Batist ◽  
P. Metrakos ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
General Hospital ◽  
Jewish General Hospital ◽  
Cancer Experience

scholarly journals Psychiatric Aspects of Geriatric Crisis Intervention

1978 ◽  
Vol 23 (4) ◽  
pp. 201-207 ◽  
Author(s):  
H. Grauer ◽  
D. Frank
Keyword(s):  
General Hospital ◽  
Crisis Intervention ◽  
Geriatric Patients ◽  
Physical Illness ◽  
Close Relative ◽  
Control Group ◽  
Precipitating Factors ◽  
Schizophrenic Psychosis ◽  
Psychiatric Crisis ◽  
Jewish General Hospital

Data on 64 geriatric patients treated by the Psychiatric Crisis Team at the Jewish General Hospital were reviewed. A control group of non-geriatric patients was selected at random for comparison. The average age of the geriatric group was 69.4 years compared to 33 in the control group. Women predominated in the geriatric group. Precipitating factors were more easily delineated in the geriatric group. Physical illness, loss of a close relative and relocation were the most common precipitating events in the geriatric group. Depression, psychotic and neurotic, was the predominant diagnosis in the older group and schizophrenic psychosis in the control group. Compared to the control group, the geriatric patients were discharged sooner and were more easily managed. Only two geriatric patients required institutionalization. The study supports the value of prompt and comprehensive geriatric crisis intervention.

scholarly journals Report and abstracts of the Joint Annual Congress of the AMBQ-CAMB 2010

2011 ◽  
Vol 34 (1) ◽  
pp. 1
Author(s):  
Brian M Gilfix
Keyword(s):  
General Hospital ◽  
Health Centre ◽  
Scientific Committee ◽  
Medical Residents ◽  
The Third ◽  
Canadian Association ◽  
The Pacific ◽  
Annual Congress ◽  
Jewish General Hospital ◽  
Mcgill University

The third joint congress of l’Association des Médicins Biochimistes du Québec (AMBQ) and the Canadian Association of Medical Biochemists (CAMB) was held this year from October 19 to 22 in Montreal. The setting was like last year the picturesque Hôtel Place d’Armes, which is situated in the historic Old Montreal district. There were over 60 attendees comprising both Specialists and Medical residents-in-training and representing the breadth of Canada from the Atlantic to the Pacific. The scientific committee composed of Drs. Shaun Eintracht (SMBD-Jewish General Hospital (JGH)), Brian M. Gilfix (McGill University Health Centre (MUHC)), David Blank (MUHC), Elizabeth MacNamara (JGH), and Julie St-Cyr (St. Mary’s Hospital (SMH)) arranged a series of informative and interesting scientific sessions.

The Sir Mortimer B. Davis Jewish General Hospital

2018 ◽  
Author(s):  
FRANK MYRON GUTTMAN ◽  
ALEXANDER WRIGHT
Keyword(s):  
General Hospital ◽  
Jewish General Hospital

Shifting Paradigm In Physician Practice Patterns In The Application Of Thromboprophylaxis Guidelines: An Updated Analysis Of Venous Thromboembolism Prevention At a University-Affiliated Tertiary Care Center

Blood ◽  
2013 ◽  
Vol 122 (21) ◽  
pp. 424-424
Author(s):  
Kim A. Ma ◽  
Cohen Eva ◽  
Susan R. Kahn
Keyword(s):  
Risk Factors ◽  
Venous Thromboembolism ◽  
General Hospital ◽  
Antithrombotic Therapy ◽  
Practice Patterns ◽  
Tertiary Care ◽  
Hospitalized Patients ◽  
Physician Practice ◽  
Physician Practice Patterns ◽  
Jewish General Hospital

Abstract Background Venous thromboembolism (VTE) is an important cause of morbidity and mortality in hospitalized patients. Prophylactic antithrombotic therapy has been shown to be the most effective method to reduce the health and economic burden of an often silent disease. The American College of Chest Physicians (ACCP) has been instrumental in developing guidelines for the use of prophylactic antithrombotic therapy. However, several studies have consistently demonstrated underuse of these guidelines. One such study, conducted in 2001 at our university- affiliated hospital (Jewish General Hospital, Montreal, Canada), showed that 17.4% of all VTE cases in hospitalized patients were potentially avoidable (Arnold DM, Kahn SR, et al. Chest2001) and that this represented 2/3 of all VTE cases for which thromboprophylaxis had been indicated. Consequently, in 2005, we implemented an institution-wide thromboprophylaxis policy with the aim of improving VTE prevention. Five years after this change, we reassessed physician practice patterns at our institution with regards to application of thromboprophylaxis guidelines, and determined the avoidability of each case of VTE. Objective To identify and characterize cases of potentially avoidable VTE: cases for which thromboprophylaxis was indicated according to ACCP consensus guidelines for VTE prevention, yet was administered inadequately. Methods We conducted a retrospective cohort study, which included all patients with objectively diagnosed VTE who were admitted in 2010 to the Jewish General Hospital, a university-affiliated tertiary care institution. A standardized case-report form was used to obtain data from patient charts on patient characteristics, risk factors for VTE, risk factors for bleeding, presence of indications for thromboprophylaxis as per ACCP guidelines (e.g. surgery in last 3 months, hospitalization for pneumonia), and thromboprophylaxis regimen received. Each case was classified as avoidable (a case in which thromboprophylaxis was indicated but inadequately administered), non-avoidable (a case in which thromboprophylaxis was indicated and was correctly administered), spontaneous (a case in which a VTE occurred with no evident indications for thromboprophylaxis), and ineligible (a case in which there was either contraindication to thromboprophylaxis, or which occurred at another institution). The proportions with avoidable, non-avoidable and spontaneous VTE were compared to the results we obtained in our 2001 study. Results Of the 230 cases of VTE diagnosed in 219 patients, 55 cases were classified as avoidable (23.9%), 87 were non-avoidable (37.8%), and 74 were spontaneous (32.2%). Therefore, of the 142 (i.e. 55+87) cases for which thromboprophylaxis was indicated, 38.7% were potentially avoidable. Of the avoidable VTE cases, the majority (51.0%) were due to omission of thromboprophylaxis, with another 40.0% due to delay in initiation of thromboprophylaxis. The majority (75%) of avoidable cases occurred during general medical admissions, with a minority occurring in the context of orthopedic surgery. Common additional VTE risk factors in avoidable cases were cancer, obesity and prolonged immobility. Conclusions 1 in 4 cases of all VTE, and 1 in 2.5 cases of VTE for which thromboprophylaxis was indicated could potentially have been avoided had thromboprophylaxis been administered according to ACCP guidelines. The ratio of avoidable to non-avoidable cases (38.7%; 1 in 2.5) has significantly improved since 2001(67.7%; 2 in 3). Physician education and the adoption of an institution-wide protocolized approach to thromboprophylaxis may be largely responsible for this favorable shift. However, there has also been a significant decrease in the number of VTE cases deemed “spontaneous” from 2001 to 2010 (70.8% to 32.2%). During this time period, there were no major guideline changes in indications for VTE prophylaxis that might have led to fewer VTE being labeled spontaneous and more VTE being labeled provoked. The decrease in spontaneous cases of VTE might be ascribable to a change in patient population (e.g. increased numbers of hospitalizations for malignancy-related complications), as well as a shift towards having a lower threshold to identify patients as having risk factors for VTE (e.g. patients with pneumonia, non-fracture injuries). Disclosures: No relevant conflicts of interest to declare.

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