Baycrest

19 Rotman Research Institute Annual Report 2015-2016 KUNIN-LUNENFELD CENTRE FOR APPLIED RESEARCH & EVALUATION Evaluation of the Baycrest Antimicrobial Stewardship Program Baycrest's Antimicrobial Stewardship Program (ASP) aims to fight antimicrobial resistance by informing and educating clinicians to use antimicrobials according to evidence-based best practices. This initiative is led by Nina Kassett (now at the University Health Network) and Daisy Yang, ASP clinical pharmacists, as well as Drs. Aidlee Craft and Michael Kirzner, attending physicians. In evaluating the ASP program, the KL-CARE team provided project management support, managed study interns and volunteers, extracted antimicrobial outcome data from Meditech for over 2,500 cases, completed a full statistical analysis, and collaborated as co-authors in the manuscript process. The KL-CARE team also provided editorial support in preparing materials for the ASP team to present their work at the Family Medicine Forum. The results of this study are currently in press in the Canadian Journal of Hospital Pharmacy. Slow Stream Rehabilitation: Predictor of Outcomes 4 Months Post-Discharge This project addressed the need for knowledge in caring for the more frail population characterizing slow stream rehabilitation programs, including individuals living with diabetes, hip fractures, and congestive heart failure. The objective was to define the predictive validity of assessment tools by following a cohort of slow stream rehabilitation patients and determining their status (e.g., death, re- hospitalization, admission to a nursing home, community living) four months post-discharge. In collaboration with investigators, Dr. Paul Katz, Dr. Gary Naglie, Angela Chan, and Grace Leung, the KL-CARE team wrote the study protocol, completed research ethics board applications, and engaged and assisted the clinical team in the development of study methodology. The KL-CARE team oversaw study volunteers, recruited 105 patients, conducted patient interviews, trained clinical staff, conducted inter-rater reliability testing for functional measures, and completed data analyses. The team also assisted with study abstracts, conference posters, and produced a manuscript that was published in the Journal of the American Medical Directors Association. Peking Union Medical College students with Baycrest KL- CARE educators, Rosalind Sham (Project Coordinator, front row centre) and Dr. Maria D'Angelo (Project Manager, front row right), and Roshan Guna (Manager of Research Ethics & Participation; front row, far right) Applied and Evaluative Research Training As part of Baycrest's ongoing relationship with Peking Union Medical College (PUMC), 13 PUMC medical and nursing students visited Baycrest in summer 2015 to learn more about geriatric healthcare and research. As part of their visit, the KL-CARE team partnered with the Baycrest Centre for Education & Knowledge Exchange in Aging to facilitate clinical research education modules for the visiting PUMC students, including qualitative research methods. In winter 2016, the KL-CARE team also offered both qualitative and quantitative research method lectures to University of Toronto Master of Divinity students at Baycrest.

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