Research Topics
| R TamblynSummaryAffiliation: McGill University Country: Canada Publications
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Detail Information
Publications
Integrating performance assessment, maintenance of competence, and continuing professional development of community pharmacistsNancy E Winslade
Department of Medicine, McGill University, Montreal, Quebec
Am J Pharm Educ 71:15. 2007
Physician scores on a national clinical skills examination as predictors of complaints to medical regulatory authoritiesRobyn Tamblyn
Department of Medicine, McGill University, Montreal, Quebec, Canada
JAMA 298:993-1001. 2007..To address this problem, licensure assessment has been reformed in Canada and the United States, including a national standardized assessment of patient-physician communication and clinical history taking and examination skills...- A randomized trial of the effectiveness of on-demand versus computer-triggered drug decision support in primary careRobyn Tamblyn
Department of Epidemiology and Biostatistics, McGill University, Morrice House, 1140 Pine Avenue West, Montreal Quebec, Canada, H3A 1A3
J Am Med Inform Assoc 15:430-8. 2008..Physicians in each study condition were able to preset levels that triggered alerts... - Using novel Canadian resources to improve medication reconciliation at discharge: study protocol for a randomized controlled trialRobyn Tamblyn
Department of Epidemiology, Biostatistics and Occupational Health, McGill University, 1020 Pine Avenue West, Montreal, QC H3A 1A2, Canada
Trials 13:150. 2012..An electronically enabled discharge reconciliation process represents an innovative approach to this problem... - The effectiveness of a new generation of computerized drug alerts in reducing the risk of injury from drug side effects: a cluster randomized trialRobyn Tamblyn
Department of Epidemiology and Biostatistics, McGill University, Montreal, Quebec, Canada
J Am Med Inform Assoc 19:635-43. 2012..Computerized drug alerts for psychotropic drugs are expected to reduce fall-related injuries in older adults. However, physicians over-ride most alerts because they believe the benefit of the drugs exceeds the risk... - Effect of a web-based chronic disease management system on asthma control and health-related quality of life: study protocol for a randomized controlled trialSara Ahmed
School of Physical and Occupational Therapy, McGill University, 3654 Prom Sir William Osler, Montreal, QC, Canada
Trials 12:260. 2011.... - Patient, physician, encounter, and billing characteristics predict the accuracy of syndromic surveillance case definitionsGenevieve Cadieux
Department of Epidemiology and Biostatistics, McGill University, 1020 Pine Avenue West, Montreal, QC, H3A 1A2, Canada
BMC Public Health 12:166. 2012.... - What differentiates primary care physicians who predominantly prescribe diuretics for treating mild to moderate hypertension from those who do not? A comparative qualitative studyChristian M Rochefort
Clinical and Health Informatics Research Group, Department of Medicine, Biostatistics and Occupational Health, McGill University and McGill University Health Center, 1140 Pine Avenue West, Montreal, QC, H3A 1A3, Canada
BMC Fam Pract 13:9. 2012..The purpose of this study was to describe the characteristics of physicians' decision-making process regarding hypertension treatment choices... - Accuracy of syndrome definitions based on diagnoses in physician claimsGenevieve Cadieux
Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Canada
BMC Public Health 11:17. 2011.... - The re-identification risk of Canadians from longitudinal demographicsKhaled El Emam
Children s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, Ontario K1J8L1, Canada
BMC Med Inform Decis Mak 11:46. 2011..Our objective was to estimate the risk of re-identification from the basic cross-sectional and longitudinal demographics of Canadians... - Pilot study of an interactive voice response system to improve medication refill complianceKristen Reidel
Clinical and Health Informatics Research Group, McGill University, 1140 Pine Avenue West, Montreal, Quebec, H3A 1A3, Canada
BMC Med Inform Decis Mak 8:46. 2008..We tested two novel features: personalized, medication-specific reminder messages and communication via voice recognition... - Assessing the accuracy of an inter-institutional automated patient-specific health problem listLise Poissant
Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada
BMC Med Inform Decis Mak 10:10. 2010.... - Monitoring community pharmacist's quality of care: a feasibility study of using pharmacy claims data to assess performanceNancy Winslade
Department of Medicine, Faculty of Medicine, McGill University, 1140 Pine Avenue West, H3A 1A3 Montreal, Quebec, Canada
BMC Health Serv Res 11:12. 2011..The purpose of this project was to determine the feasibility of routine use of information from these databases by regulatory authorities to screen the quality of care provided at community pharmacies... - Association between risk factors for injurious falls and new benzodiazepine prescribing in elderly personsGillian Bartlett
Department of Family Medicine, McGill University, 515 517 Pine Avenue West, Montreal, Quebec, Canada
BMC Fam Pract 10:1. 2009..The objective of this study is to assess if some of the risk factors for falls are associated with new benzodiazepine prescriptions in elderly persons... - A 5-year prospective assessment of the risk associated with individual benzodiazepines and doses in new elderly usersRobyn Tamblyn
Department of Medicine, McGill University, Montreal, Quebec, Canada
J Am Geriatr Soc 53:233-41. 2005..To determine the risk of injury associated with the new use of individual benzodiazepines and dosage regimens in the elderly... - Effect of a community oriented problem based learning curriculum on quality of primary care delivered by graduates: historical cohort comparison studyRobyn Tamblyn
McGill University, Montreal, QC, Canada H3A 1A3
BMJ 331:1002. 2005.... - Prescription drug coverage: an essential service or a fringe benefit?Robyn M Tamblyn
Department of Medicine, McGill University, Montreal, Que
CMAJ 173:1343-4. 2005 
Influence of physicians' management and communication ability on patients' persistence with antihypertensive medicationRobyn Tamblyn
Department of Medicine, McGill University, 1140 Pine Ave W, Montreal, QC, H3A 1A3 Canada
Arch Intern Med 170:1064-72. 2010..The purpose of this study was to determine whether a physician's medical management and communication ability influence persistence with antihypertensive treatment...- The medical office of the 21st century (MOXXI): effectiveness of computerized decision-making support in reducing inappropriate prescribing in primary careRobyn Tamblyn
Department of Medicine, McGill University, Montreal, Que
CMAJ 169:549-56. 2003.... - The development and evaluation of an integrated electronic prescribing and drug management system for primary careRobyn Tamblyn
Department of Epidemiology and Biostatistics, McGill University, Morrice House, 1140 Pine Avenue West, Montreal, Quebec, Canada H3A 1A3
J Am Med Inform Assoc 13:148-59. 2006..To develop and evaluate the acceptability and use of an integrated electronic prescribing and drug management system (MOXXI) for primary care physicians... - The impact of pharmacotherapy policy: a case studyR Tamblyn
Department of Medicine, Royal Victoria Hospital, Montreal, Canada
Can J Clin Pharmacol 8:39A-44A. 2001.... - Association between licensure examination scores and practice in primary careRobyn Tamblyn
Department of Medicine, McGill University, Morrice House, 1140 Pine Ave W, Montreal, Quebec, Canada H3A 1A3
JAMA 288:3019-26. 2002..Standards for licensure are designed to provide assurance to the public of a physician's competence to practice. However, there has been little assessment of the relationship between examination scores and subsequent practice performance... - Physician and practice characteristics associated with the early utilization of new prescription drugsRobyn Tamblyn
Department of Medicine, McGill University, Montreal, Quebec, Canada
Med Care 41:895-908. 2003..Prescription of new drugs contributes to substantial increases in annual drug expenditures. A small proportion of physicians appear to be early users of new prescription drugs and little is known about their characteristics... - Identification of persons with cardiorespiratory conditions who are at risk of dying from the acute effects of ambient air particlesM S Goldberg
Department of Medicine, McGill University, Montreal, Quebec, Canada
Environ Health Perspect 109:487-94. 2001..Further epidemiologic studies are required to confirm these findings... - Association between licensing examination scores and resource use and quality of care in primary care practiceR Tamblyn
Department of Medicine, McGill University, Montreal, Quebec, Canada
JAMA 280:989-96. 1998..Clinical competence is assumed to be assessed by licensing examinations, yet there is a paucity of information on whether scores achieved predict subsequent practice... - The association between daily mortality and ambient air particle pollution in Montreal, Quebec. 2. Cause-specific mortalityM S Goldberg
Department of Medicine, Royal Victoria Hospital, Montreal, Quebec, H3A 1A2, Canada
Environ Res 86:26-36. 2001..Further research to confirm these findings and to determine whether they are causal is warranted... - Adverse events associated with prescription drug cost-sharing among poor and elderly personsR Tamblyn
McGill University Health Center, Royal Victoria Hospital Site, Ross Pavilion, Room 4-12, 687 Pine Ave W, , Quebec, Canada H3A 1A1
JAMA 285:421-9. 2001.... - Faculty ratings of resident humanism predict patient satisfaction ratings in ambulatory medical clinicsP J McLeod
McGill University, Department of Medicine, Montreal, Quebec, Canada
J Gen Intern Med 9:321-6. 1994..This suggests that ambulatory care settings are useful for evaluation of noncognitive behavioral features of resident performance... - The impact of a multidisciplinary information technology-supported program on blood pressure control in primary careStephane Rinfret
Centre de recherche du Centre Hospitalier de l Universite de Montreal, Montreal, Quebec, Canada
Circ Cardiovasc Qual Outcomes 2:170-7. 2009..Effective programs to address this problem are lacking. We hypothesized that an information technology-supported management program could help improve blood pressure (BP) control... - Screening mammography referral rates for women ages 50 to 69 years by recently-licensed family physicians: physician and practice environment correlatesJ Haggerty
Departement de Medecine sociale et preventive, Universite de Montreal, Quebec, Canada
Prev Med 29:391-404. 1999..The purpose of this study was to determine physician and practice environment predictors of family physicians' screening mammography referral rates to women ages 50-69 years... - Increasing the detection and response to adherence problems with cardiovascular medication in primary care through computerized drug management systems: a randomized controlled trialRobyn Tamblyn
Department of Epidemiology and Bio statistics, McGill University, Montreal, Quebec, Canada
Med Decis Making 30:176-88. 2010..Treatment side effects, cost, and complexity are common reasons for nonadherence, and physicians are often unaware of these potentially modifiable problems... - Factors associated with pattern of care before surgery for breast cancer in Quebec between 1992 and 1997Ningyan Shen
Division of Clinical Epidemiology, McGill University Health Center, Montreal, Quebec, Canada
Med Care 41:1353-66. 2003..To reduce overall waiting time, strategies would need to be systemically applied... - There's no place like home : an evaluation of early supported discharge for strokeN E Mayo
Division of Clinical Epidemiology, Royal Victoria Hospital, Montreal, Canada
Stroke 31:1016-23. 2000..The purpose of this study was to determine the effectiveness of prompt discharge combined with home rehabilitation on function, community reintegration, and health-related quality of life during the first 3 months after stroke... - A population-based assessment of systemic lupus erythematosus incidence and prevalence--results and implications of using administrative data for epidemiological studiesS Bernatsky
Department of Clinical Epidemiology, Research Institute of the McGill University Health Centre, 687 Pine Avenue West, V Building, Montreal, Quebec, H3A 1A1, Canada
Rheumatology (Oxford) 46:1814-8. 2007.... - Impact of patient communication problems on the risk of preventable adverse events in acute care settingsGillian Bartlett
Department of Family Medicine, McGill University, Montreal, Que
CMAJ 178:1555-62. 2008..Language barriers and disabilities that affect communication have been shown to decrease quality of care. We sought to assess whether communication problems are associated with an increased risk of preventable adverse events... - Accuracy of physician billing claims for identifying acute respiratory infections in primary careGenevieve Cadieux
Clinical and Health Informatics Research Group, McGill University, 1140 Pine Avenue West, Montreal, QC H3A1A3, Canada
Health Serv Res 43:2223-38. 2008..To assess the accuracy of physician billing claims for identifying acute respiratory infections in primary care. STUDY SETTING. Nine primary care physician practices in Montreal, Canada (2002-2005)... - Detection of adverse drug events and other treatment outcomes using an electronic prescribing systemTewodros Eguale
Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, 1140 Pine Avenue West, Montreal, Quebec, Canada
Drug Saf 31:1005-16. 2008..We investigated the accuracy of using orders for drug discontinuation and dose change in an electronic prescribing system as a potential source of information for drug safety and effectiveness... - Enhancing pharmacosurveillance with systematic collection of treatment indication in electronic prescribing: a validation study in CanadaTewodros Eguale
Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Quebec, Canada
Drug Saf 33:559-67. 2010..We investigated the validity of treatment indications documented using an electronic prescribing system at the time of prescribing... - Advancing the chronic care road map: a contemporary overviewSara Ahmed
McGill University, Montreal, Quebec
Healthc Q 13:72-9. 2010..In the longer term, the key needs requiring action were more inter-professional education of health human resources and more practical information systems available to all stakeholders. Things can be better... - The impact of electronic health records on time efficiency of physicians and nurses: a systematic reviewLise Poissant
Clinical and Health Informatics Research Group, McGill University, Morrice House, 1140 Pine Ave West, Montreal Quebec, Canada H3A 1A3
J Am Med Inform Assoc 12:505-16. 2005..It also identified how the selection of bedside or central station desktop EHRs may influence documentation time for the two main user groups, physicians and nurses... - Inappropriate prescribing practices: the challenge and opportunity for patient safetyLaurel K Taylor
Department of Medicine, McGill University, QC
Healthc Q 8:81-5. 2005..The common denominators, however, are that care and outcomes could be better, and there is a role for patients, providers and policy makers in making improvements... - Assessing the impact of clinical information-retrieval technology in a family practice residencyRoland M Grad
Herzl Family Practice Centre, Sir Mortimer B Davis Jewish General Hospital, Montreal, QC, Canada
J Eval Clin Pract 11:576-86. 2005..We present a method to evaluate evidence-based sources of information, by systematically assessing the impact of searches for clinical information in everyday practice... - Modeling cumulative dose and exposure duration provided insights regarding the associations between benzodiazepines and injuriesMichal Abrahamowicz
Department of Epidemiology and Biostatistics, McGill University, Montreal, Quebec, Canada
J Clin Epidemiol 59:393-403. 2006..We propose new methods for modeling various aspects of medication use history and employment of them to assess the adverse effects of selected benzodiazepines... - Does the addition of functional status indicators to case-mix adjustment indices improve prediction of hospitalization, institutionalization, and death in the elderly?Nancy E Mayo
Medicine and Clinical Epidemiology, McGill University, Montreal, Quebec, Canada
Med Care 43:1194-202. 2005..One type of information that is highly valued but has so far not been captured by administrative health databases is functional status indicators (FSI)... - Evaluation of the use of an integrated drug information system by primary care physicians for vulnerable populationYuko Kawasumi
Department of Epidemiology and Biostatistics, McGill University, and Division of Clinical Epidemiology, Royal Victoria Hospital, Montreal, Quebec H3A1A3, Canada
Int J Med Inform 77:98-106. 2008..To investigate whether an electronic prescribing and integrated drug information system was more likely to be used by primary care physicians for patients of low socioeconomic (SES) patients... - Validation of The 30 Second Asthma Test as a measure of asthma controlSara Ahmed
Faculty of Medicine, McGill University, Montreal, Canada
Can Respir J 14:105-9. 2007..Simple and efficient tools are needed to assess patient-reported symptoms so that they can be used with or without airway function to evaluate asthma control... - Evaluating asthma control: a comparison of measures using an item response theory approachSara Ahmed
Department of Medicine, McGill University, Montreal, Canada
J Asthma 44:547-54. 2007..The IRT approach identified gaps in current measurement that need to be addressed to provide more precise evaluations of control required to accurately monitor changes in patient status... - Predictors of inappropriate antibiotic prescribing among primary care physiciansGenevieve Cadieux
Department of Epidemiology and Biostatistics, McGill University, Montreal, Que
CMAJ 177:877-83. 2007..Our objective was to assess whether physician knowledge, time in practice, place of training and practice volume explain the differences in antibiotic prescribing among physicians... - Reasons for physician non-adherence to electronic drug alertsLaurel K Taylor
Faculty of Management, McGill University, Montreal, Quebec, Canada
Stud Health Technol Inform 107:1101-5. 2004..The adherence to such decision aids is varied and the reasons for this variance not well understood... - Are physicians with better clinical skills on licensing examinations less likely to prescribe antibiotics for viral respiratory infections in ambulatory care settings?Genevieve Cadieux
Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada
Med Care 49:156-65. 2011..Effective patient-physician communication is critical to address this problem. Recognizing the importance of physician communication skills, licensure examinations were reformed in the United States and Canada to evaluate these skills... - The feasibility and value of using patient satisfaction ratings to evaluate internal medicine residentsR Tamblyn
Department of Medicine, McGill University, , , Canada
J Gen Intern Med 9:146-52. 1994..However, the number of ratings required to obtain a reliable estimate of resident skill may limit the feasibility of using patient ratings as part of residency evaluation... - Longitudinal patterns of new Benzodiazepine use in the elderlyGillian Bartlett
Department of Medicine, McGill University, Quebec, Canada
Pharmacoepidemiol Drug Saf 13:669-82. 2004..23, p < 0.001). CONCLUSION: Long periods of Benzodiazepine use are frequent among Quebec elderly. The evidence of increasing dose, particularly for older women, and long-duration of use has important implications for clinicians... - Measuring differences between patients' and physicians' health perceptions: the patient-physician discordance scaleMaida J Sewitch
Faculte de Medecine, Universite de Montreal C P 6128, Succ Centre Ville, Montreal, Quebec, Canada H3C 3J7
J Behav Med 26:245-64. 2003..Patient and physician ratings demonstrated moderate-to-high concurrent validity. Study limitations and directions for future research with PPDS are discussed... - Analysis of Centers for Disease Control and Prevention criteria for the eosinophilia-myalgia syndrome in a geographically defined populationW O Spitzer
Department of Epidemiology and Biostatistics, McGill University, Montreal, Canada
J Rheumatol Suppl 46:73-9; discussion 79-80. 1996..None of these individuals were reported to have taken L-tryptophan (LT). CONCLUSION: The CDC criteria for EMS are met by individuals in the general population who have never been exposed to LT... - Improving patient safety through computerized drug management: the devil is in the detailsRobyn Tamblyn
Department of Medicine, Faculty of Medicine, McGill University, Montreal, Canada
Healthc Pap 5:52-68; discussion 82-4. 2004..To improve the cost-effectiveness of prescribing, IT solutions should be developed to provide the cost of medication at the time the prescription is written, and evidence-based alerts for drugs of choice recommendations when appropriate... - The association between daily mortality and ambient air particle pollution in Montreal, Quebec. 1. Nonaccidental mortalityM S Goldberg
Department of Medicine, McGill University, Montreal, Quebec, H3A 1A2, Canada
Environ Res 86:12-25. 2001..This study therefore provides further evidence that the association is linear and that any threshold effect, should it exist, would be found at lower levels of air pollution than those found in Montreal... - The impact of electronic prescribing on the professionalization of community pharmacists: a qualitative study of pharmacists' perceptionAude Motulsky
Groupe de recherche interdisciplinaire en sante, Universite de Montreal, Montreal, Quebec, Canada
J Pharm Pharm Sci 11:131-46. 2008..We define professionalization as a pharmaceutical practice centred on clinical activities and made possible by the establishment of professional pharmaceutical services... - Risk of injury associated with opioid use in older adultsDavid Buckeridge
Department of Epidemiology and Biostatistics, McGill University, Montreal Quebec, Canada
J Am Geriatr Soc 58:1664-70. 2010..To estimate the dose-related risk of injuries in older adults associated with the use of low-, medium-, and high-potency opioids... - Implementing practice guidelines: a workshop on guidelines dissemination and implementation with a focus on asthma and COPDLouis Philippe Boulet
Hopital Laval, 2725 Chemin Sainte Foy, Quebec, Canada
Can Respir J 13:5-47. 2006..It is hoped that this event will be followed by other meetings that focus on how to improve the transfer of key recommendations from evidence-based guidelines into current care, and how to stimulate research to accomplish this... - Bias due to aggregation of individual covariates in the Cox regression modelMichal Abrahamowicz
Department of Epidemiology and Biostatistics, McGill University, Montreal, Quebec, Canada
Am J Epidemiol 160:696-706. 2004.... - The effect of physicians' training on prescribing beta-blockers for secondary prevention of myocardial infarction in the elderlyAdrian R Levy
Department of Health Care and Epidemiology, University of British Columbia and Centre for Health Evaluation and Outcome Sciences, St. Paul's Hospital, Vancouver, BC, Canada
Ann Epidemiol 12:86-9. 2002..However, prescribing differed by training characteristics such as medical specialty and year and medical school of graduation... - Use of time-dependent measures to estimate benefits of beta-blockers after myocardial infarctionAdrian R Levy
Department of Health Care and Epidemiology, University of British Columbia, Canada
Pharmacoepidemiol Drug Saf 13:623-31. 2004..To estimate the reduction in all-cause mortality conferred by beta-blockers in a population-based cohort of elderly survivors of myocardial infarction during the year following hospital discharge...